Altais Inc.
Revenue Analyst II page is loaded## Revenue Analyst IIlocations:
Remotetime type:
Full timeposted on:
Posted 2 Days Agojob requisition idAbout Altais: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.**About the Role**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.The Revenue Analyst II is responsible for receiving, reconciling and reporting monthly health plan capitation revenue & membership data. Performs monthly and retroactive audit, assessment and analysis of data to ensure that health plan revenue and membership have been received in accordance with the health plan contracts.**You Will Focus On:*** Responsible for ensuring monthly receipt of multiple health plans (including BTHS) capitation payments, files and remittance summaries and that they meet compliance with contractual terms as outlined in the health plan contracts.* Responsible for performing contractual reconciliations, including EPIC and internal databases, and/or audits on capitation revenue changes which may require extensive research.
Develop requests to health plans for underpayments related to eligibility or rate issues and track activity to ensure successful outcomes. Communicate results, pursue and track capitation revenue until the revenue is received and according to Health Plan contracts.* Perform quantitative analysis on revenue data (including risk adjustments and RAF data); evaluate results and report on health plan monthly revenue by product type and/or other key indicators.* Perform quantitative analysis on membership and distribute management reporting; evaluate results and report on health plan monthly membership by product type and/or other key indicators.* Validate health plan data repository through knowledge of data sources or tools (e.g. Cognos, Access, and plan websites) on all health plan capitation revenues and membership reporting.* Prepares individual health plan analysis and reports on revenue and membership as required or requested.**The Skills, Experience & Education You Bring*** Bachelor’s degree from an accredited program or relative career experience.
Course work or equivalent experience in finance, accounting, business and health care required.* One to three years experience in healthcare industry and/or finance position and/or or insurance environments.* **Knowledge of managed care industry and healthcare billing practices:** Must be accurate, detail oriented with excellent analytical skills and ability to handle variety of financial functions.
Ability to work independently.
Capacity to work with all levels of personnel.
Excellent verbal and written communication skills, PC proficiency using Databases, Microsoft Excel, Word and Access required. Ability to research, retrieve and organize data to prepare reports and financial documentation; analyze and audit data to detect, identify and correct errors; operate standard office equipment; ability to accurately perform complex mathematical computations when required; ability to organize and maintain accurate accounting records.* **Creative, Problem-solving, and Innovation Skills:** Ability to organize work to meet strict deadlines; coordinate a variety of projects simultaneously; communicate effectively in both oral and written form.
Must be able to work independently or as part of a team; must be able adapt to changing department needs; ability analyze complex health plan rules, regulations and policies.* **Customer Focused and Communication Skills:** Must have good written and oral skills. Ability to establish and maintain positive working relationships with internal and external clients; be able to explain revenue and membership details clearly and concisely.**Base Salary**$62,250 - $74,700/yr**You Share Our Mission & Values:****Compassion**We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.**Community**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.**Leadership**We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.**Excellence**We are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.**Agility**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. #J-18808-Ljbffr
Remotetime type:
Full timeposted on:
Posted 2 Days Agojob requisition idAbout Altais: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.**About the Role**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.The Revenue Analyst II is responsible for receiving, reconciling and reporting monthly health plan capitation revenue & membership data. Performs monthly and retroactive audit, assessment and analysis of data to ensure that health plan revenue and membership have been received in accordance with the health plan contracts.**You Will Focus On:*** Responsible for ensuring monthly receipt of multiple health plans (including BTHS) capitation payments, files and remittance summaries and that they meet compliance with contractual terms as outlined in the health plan contracts.* Responsible for performing contractual reconciliations, including EPIC and internal databases, and/or audits on capitation revenue changes which may require extensive research.
Develop requests to health plans for underpayments related to eligibility or rate issues and track activity to ensure successful outcomes. Communicate results, pursue and track capitation revenue until the revenue is received and according to Health Plan contracts.* Perform quantitative analysis on revenue data (including risk adjustments and RAF data); evaluate results and report on health plan monthly revenue by product type and/or other key indicators.* Perform quantitative analysis on membership and distribute management reporting; evaluate results and report on health plan monthly membership by product type and/or other key indicators.* Validate health plan data repository through knowledge of data sources or tools (e.g. Cognos, Access, and plan websites) on all health plan capitation revenues and membership reporting.* Prepares individual health plan analysis and reports on revenue and membership as required or requested.**The Skills, Experience & Education You Bring*** Bachelor’s degree from an accredited program or relative career experience.
Course work or equivalent experience in finance, accounting, business and health care required.* One to three years experience in healthcare industry and/or finance position and/or or insurance environments.* **Knowledge of managed care industry and healthcare billing practices:** Must be accurate, detail oriented with excellent analytical skills and ability to handle variety of financial functions.
Ability to work independently.
Capacity to work with all levels of personnel.
Excellent verbal and written communication skills, PC proficiency using Databases, Microsoft Excel, Word and Access required. Ability to research, retrieve and organize data to prepare reports and financial documentation; analyze and audit data to detect, identify and correct errors; operate standard office equipment; ability to accurately perform complex mathematical computations when required; ability to organize and maintain accurate accounting records.* **Creative, Problem-solving, and Innovation Skills:** Ability to organize work to meet strict deadlines; coordinate a variety of projects simultaneously; communicate effectively in both oral and written form.
Must be able to work independently or as part of a team; must be able adapt to changing department needs; ability analyze complex health plan rules, regulations and policies.* **Customer Focused and Communication Skills:** Must have good written and oral skills. Ability to establish and maintain positive working relationships with internal and external clients; be able to explain revenue and membership details clearly and concisely.**Base Salary**$62,250 - $74,700/yr**You Share Our Mission & Values:****Compassion**We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.**Community**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.**Leadership**We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.**Excellence**We are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.**Agility**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. #J-18808-Ljbffr