Altais

Actuary

• Generate and distribute routine reports to support risk adjustment actuarial best estimate calculation and financial reporting.
• Extract and compile information from various systems to support executive decision-making.
• Research and develop reports and analysis for senior management; effectively communicate results.
• Assist in the preparation of forecasts/filings related to risk adjustment.
• Developing risk score reporting with Cozeva, internal claims and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings.
• Collaborate with operational staff to analyze, understand, modify, and communicate models and results.
• Make recommendations to management based on relevant findings.
• Utilizes Power BI to display relevant reporting within a refresh cycle.
• Analyzes key trends and performance related to clinical programs, provider network performance, other programs or practices, and providers of health care.
• Peer review and train junior level actuarial analyst including prioritization of work and projects.

Senior Actuarial Analyst

Sales

• Own and optimize sales pipeline, marketing, implementation, and customer relationship management strategy.
• Focus on sales to existing providers in CA & HI and leveraging existing people in the organization.
• Grow the sales pipeline, keep leads warm, progress, and close customers with signed contracts.
• Ensure proper implementation and launch post-contract.
• Track and report on sales pipeline progress.
• Collaborate with cross-functional teams for marketing campaigns and improve customer retention.

Provider Services Sales & Strategy Lead

Director

• Develop, maintain and expand strategic relationships in multiple geographies with hospitals, physicians, ancillary and behavioral health providers
• Manage, negotiate and execute contracts with various provider types as well as implementation of such contracts
• Identify, develop, and implement corporate contracting strategies and business opportunities
• Develop and maintain strong working relationships with key hospitals and network providers
• Manage complex contracting and negotiations for fee for service and value-based reimbursements
• Perform analysis independently and coordinate with the Finance Division to review financial performance and healthcare costs of provider contracts
• Lead complex contract implementations and identify and resolve issues around contracts
• Create and manage value-based contracting incentives and reimbursement methodologies that are quality and performance based
• Lead in resolving elevated and complex contractual issues with internal and/or external customers
• Participate in external provider meetings and internal operational meetings to continuously improve relationships, processes, operations and best practices
• Oversee the development of accurate and timely internal communication around new and renewed managed care arrangements
• Develop, evaluate, and interpret contract language terms to ensure consistency with company policies and applicable regulatory agencies
• Oversee all contract template revisions, partnering with Compliance and Legal to ensure templates are up to date
• Create and oversee all departmental and organization resource material applicable to Provider Contracting
• Responsible for training contracting team on operational changes, department updates and upcoming projects

Director, Provider Contracting

Growth Marketing

• Develop and execute strategies to expand and enhance the physician network in alignment with organizational and market needs.
• Lead physician recruitment, prospecting, and contracting efforts to achieve network adequacy and expansion goals.
• Identify and cultivate relationships with physicians, medical groups, and healthcare organizations during the pre‑contract phase.
• Own physician relationships through contract execution only.
• Define and document what is being sold, including services, assumptions, and expectations.
• Ensure commitments, assumptions, and growth expectations are clearly documented for downstream Network Implementation and Engagement teams.
• Partner with clinical, quality, and MSO teams to validate feasibility prior to sale.
• Support awareness of programs and services during the growth phase (not onboarding or execution).
• Ensure disciplined handoff of physicians to Network Implementation once contracts are signed.
• Act as the primary physician contact during recruitment and contracting.
• Ensure physicians understand participation expectations at a high level prior to implementation.
• Partner with Marketing on growth‑phase communications and materials only.

Director, Network Growth

General Counsel

• Provide legal support for corporate development activities including mergers, acquisitions, and joint ventures
• Serve as legal point of contact for employment-related matters
• Oversee drafting and negotiation of vendor and commercial contracts
• Lead litigation and dispute management efforts
• Act as a trusted legal advisor to senior leaders

Associate General Counsel

Manager

• Responsible for the direct supervision of day-to-day operations of the credentialing function to support the delegated function for all our Health Plan Partners.
• Manage the credentialing program for Altais affiliated entities.
• Oversee the interdependencies between departments, maintaining knowledge of the impact to providers.
• Provide leadership/coaching to the credentialing team staff.

Senior Actuarial Analyst

Provider Services Sales & Strategy Lead

Director, Provider Contracting

Director, Network Growth

Associate General Counsel

Manager, Credentialing