Altais

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.

Manage and support provider contracts across various lines of business, including drafting agreements, amendments, and negotiating Letters of Agreement. Act as a liaison between providers and internal departments to resolve operational issues and implement contract terms in systems like Epic.

The Director of Provider Contracting develops and manages strategic relationships and contracts with hospitals, physicians, and behavioral health providers. This role involves leading a team to implement contracting strategies, managing value-based reimbursement methodologies, and ensuring alignment with company goals.

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.

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.