Altais Health Solutions
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At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We help physicians focus more on patient care and less on paperwork through smarter technology, purpose-built tools, and a team-based model of care.
Our network includes Brown & Toland Physicians, Altais Medical Group, and Family Care Specialists. Together, we’re building a more connected, physician-first healthcare system.
Are you looking to join a fast-growing, dynamic team?
We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.
Actuarial analyst III is an expert on delivering Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.
This role conducts complex revenue analysis including pricing, quality performance and actuarial best estimate, complex analysis in support of payer and provider negotiations and medical cost management strategies.
The actuarial role is the lead in partnering with multi-faceted departments providing high level business intelligence and analytics requirements of varying disciplines. Advance skills in statistical analysis, reporting cycle, project management, customer service and consultative skills are critical to the success of this position.
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.
Bachelor’s degree in quantitative discipline such as accounting, engineering, economics, finance, statistics, or mathematics from an accredited program or similar
5 or more years of experience working with data and actuarial models.
5 or more years working with managed care application like GE Centricity, Epic, Cerner etc.
5 or more years of experience in the healthcare industry either working in a hospital, health plan or managed care environment preferred.
5 or more years of experience in financial modeling in payer and provider negotiations and medical cost management strategies.
5 or more years of experience in working in rapid cycle, decision support role in a very dynamic environment.
Base Salary
You Share Our Mission & Values:
We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuinecommitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.
We foster a culture of collaboration--with physicians, patients across the healthcare ecosystem, and among our teams. By building strong,trusted relationships, we create a unified community focused on advancing patient care and physician well-being.
We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration andexpertise, we empower others to lead, drive change, and shape the future of care.
We are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our highstandards reflect our commitment to excellence, operational discipline, and continuous improvement.
We embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward-thinking,we adapt, innovate, and act decisively to keep physicians at the forefront.
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Originally posted on Himalayas