Altais

Utilization Manager Medical Director - Casual

Altais · Contract · 3 days ago

Altais

🌎 United States 💵 $222K - $267K per year ⭐ 10+ yrs exp 💼 Healthcare

The Medical Director oversees utilization management policies and procedures to ensure high-quality, efficient healthcare delivery across the network. This role facilitates clinical rounds, manages physician education on utilization goals, and acts as a liaison for health plan appeals and clinical reviews.

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Utilization Management Nurse, LVN - Casual

Altais · Full Time · 14 days ago

Altais

🌎 United States 💵 $36 - $43 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Perform prospective and retrospective utilization reviews for hospital admissions and outpatient services to determine medical necessity. Coordinate with health plans, providers, and medical directors to manage authorization requests and ensure accurate case data entry.

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Utilization Management Coordinator - Casual

Altais · Full Time · 14 days ago

Altais

🌎 United States 💵 $25 - $30 per hour ⭐ 2-5 yrs exp 💼 Others

Manage incoming authorizations via Tapestry Link and OnBase while ensuring compliance with ICE regulations and turnaround times. Act as the primary contact for internal and external customers regarding authorization requests and clinical documentation.

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Health Navigator

Altais · Full Time · 15 days ago

Altais

🌎 United States 💵 $20 - $25 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Health Navigator supports clinical staff by coordinating care and assisting members in accessing medical, social, and behavioral services. Responsibilities include documenting care gaps, facilitating communication between patients and providers, and providing guidance through the healthcare continuum.

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Senior Practice Informatics Specialist

Altais · Full Time · a month ago

Altais

🌎 United States 💵 $75000 - $90000 per year ⭐ 5-10 yrs exp 💼 Others

Serve as the primary contact for practices to support the implementation, adoption, and optimization of Epic and other clinical tools. Lead efforts to analyze clinical workflows and resolve provider escalations to improve healthcare delivery.

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Manager, Accounting

Altais · Full Time · a month ago

Altais

🌎 United States 💵 $107K - $128K per year ⭐ 5-10 yrs exp 💼 Finance

The Accounting Manager oversees the financial accounting process, including general ledger maintenance, monthly closes, and financial reporting for all AHS entities. They are also responsible for establishing internal controls to prevent fraud and assisting the Controller with the annual budget process.

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Pharmacy Technician

Altais · Full Time · 2 months ago

Altais

🌎 United States 💵 $17.3 - $21 per hour ⭐ 0-2 yrs exp 💼 Healthcare

The Pharmacy Technician supports the Clinical Pharmacy Team in implementing medication management programs and improving Pharmacy Quality programs. Key duties include conducting member calls to address gaps in care and documenting clinical activities in electronic health records.

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Provider Enrollment Specialist II

Altais · · 5 months ago

Altais

🌎 United States 💵 $21 - $25 per hour ⭐ 2-5 yrs exp 💼 Others

The Provider Enrollment Specialist II independently manages the full lifecycle of provider credentialing, recredentialing, and payer enrollment for specified medical groups, ensuring compliance with various policies and standards. This role involves coordinating payer enrollment, maintaining government payer records, collaborating on EHR system issues, and managing credentialing processes for health plans and medical staff.

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Senior Actuarial Analyst

Altais · Full Time · 8 months ago

Altais

🌎 United States 💵 $107K - $128K per year ⭐ 5-10 yrs exp 💼 Finance

The Senior Actuarial Analyst will generate and distribute reports to support risk adjustment calculations and financial reporting, while also conducting complex revenue analysis. This role involves collaborating with various departments to provide business intelligence and analytics.

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