Job Description

Job Description

Job Description

About Our Company

At Altais, we're looking for bold and curious innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, patients, and the clinical community. At Altais, we’re building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include: Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.

About Your Team

Are you looking to work with a high performing, fast growing and dynamic contracting team? We are 4,000+ physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.

This position is located in our brand-new Oakland City Center location, or remotely (within the state of California). We are flexible provided you are open to traveling to the Oakland office locations as needed.

About Your Work

As the Contracts Manager at Altais, you will be Responsible for managing and negotiating Payer Contracts for all lines of business; Commercial, Medicare and Medi-Caid HMO, PPO, and ACO. Primary duties include health plan operations, contract analyses, negotiations and contributing to operational implementation.

You will focus on:

• Health Plan Contract Management: Oversee multiple health plan contracts in California, ensuring operational efficiency and adherence to budgetary targets.
• Negotiation Leadership: Conduct negotiations with health plan partners, utilizing financial analysis and historical data to drive favorable outcomes.
• Communication Coordination: Draft and disseminate timely communication regarding new and renewed health plan arrangements to internal stakeholders, including executive summaries and updates.
• Data Management: Maintain accurate contract data in a centralized database for tracking and reporting purposes.
• Relationship Building: Develop and nurture relationships with health plan partners, serving as a primary point of contact for all levels of contracting staff.
• Issue Resolution: Act as a liaison to resolve operational problems related to health plan contracts, ensuring smooth day-to-day operations.
• Resource Organization: Organize and maintain health plan payer resources for easy accessibility and reference within the organization.
• Support Provider Contracts: Provide support for provider contract negotiations and collaborate with operational leaders to ensure compliance with contract terms.
• Education and Training: Conduct in-service education sessions to educate the organization on health plan relationships and contract terms.
• Adaptable Responsiveness: Perform office functions accurately within established deadlines and adapt to evolving needs and responsibilities as required.

The Skills, Experience & Education You Bring

• Educational Background and Experience: Bachelor's degree or equivalent education and experience required, with a minimum of five years of managed healthcare contracting and health plan negotiating experience, including at least three years working for a health plan or medical group/IPA.
• Problem-Solving and Analytical Skills: Proficient in advanced problem-solving and analytical techniques to foster positive relationships internally and externally.
• Negotiation Expertise: Well-versed in health plan negotiating and managed care operations, demonstrating the ability to secure favorable outcomes.
• Collaboration: Ability to collaborate effectively with various stakeholders, including health plans, peers, executives, and support staff.
• Communication: Strong verbal and written communication skills, essential for effective interaction with diverse audiences.
• Microsoft Office Proficiency: Proficiency in PowerPoint and Excel, crucial for creating presentations and managing data.
• Multitasking Abilities: Capacity to independently manage multiple projects simultaneously in a deadline-driven environment.
• Adaptability: Flexibility and agility in adjusting to changing priorities and circumstances.
• Training and Education Skills: Strongly preferred ability to deliver training and educational sessions.
• Financial Analysis: Competency in financial analysis and understanding of contracting regulations, highly desirable.

You Share our Mission & Values

• You are passionate about improving the healthcare experience and want to be part of the Altais mission.
• You are bold and curious - willing to take risks, try new things and be creative.
• You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
• You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
• You co-create , knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
• You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.

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, experience, and geographic location. This base pay range is specific to California and can vary based on Bay Area, Metro LA, and Greater California regions which may not be applicable to other locations.

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.

Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of workday.

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.

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