Teams at Altais

Accountable for end-to-end physician lifecycle from contract signature through retention. Set onboarding and implementation strategy, govern go‑live readiness, coordinate credentialing/claims/provider data/call center workflows, manage AVP Network Engagement, define disciplined handoffs, identify and resolve systemic operational risks, and drive continuous improvement using lifecycle data and KPIs to inform network strategy and investments.

Manage full lifecycle of provider credentialing, recredentialing, and payer enrollment. Submit and track payer applications, maintain CAQH/PECOS/PAVE records, troubleshoot EHR/Athena enrollment issues, ensure NCQA and government payer compliance, prepare audit-ready files, and coordinate communications across teams to prevent billing disruption.

Lead actuarial analyses for Medicare risk adjustment, pricing, and financial reporting. Extract and manage large healthcare datasets, build risk score reports (Cozeva, claims, Power BI), support forecasts/filings, advise senior management, collaborate with operations, and mentor junior analysts.