Healthcare advisory & management · Puerto Rico
We work with physicians and medical groups on how care is contracted, credentialed, billed and managed, and we stay accountable for the results.
Hands-on
Our people execute the work, not only advise on it.
Specialists
Managed care, credentialing, revenue and technology for healthcare.
Client in control
You keep ownership of your practice, your data and every decision.
01
Services
Each service can be engaged on its own or as part of an ongoing management relationship.
01
We review where you participate and what each plan pays, then build one contracting strategy around it.
02
One roster and one renewal calendar, so no physician bills under a lapsed credential.
03
Clear sight of what was billed, what was paid and where money is lost, by physician, payer and service.
04
We run the administration of your practice under an ongoing agreement, so you can focus on patients.
02
Technology
Most healthcare software is built by people who have never negotiated a contract or chased a denied claim. We have. We advise on, design and build technology around how managed care actually works, for providers, health plans and management organizations.
01
Fee schedules compared against what each plan actually paid, so underpayments surface on their own.
02
Member panels, quality measures and shared-savings performance tracked against each contract's terms.
03
Claims and remittances reconciled line by line, with denials grouped by cause and by payer.
04
Rosters, renewal calendars and directory data in one place, with alerts before anything lapses.
05
Chronic-care and post-discharge programs measured on what matters to plans: adherence, follow-up and readmissions.
06
EMR, billing, eligibility and claims data connected through FHIR and X12 standards, or the exports you already have.
How we engage
Our principles
03
Approach
Every engagement follows the same four steps, whether it is a single credentialing file or a full management partnership. The scope and the pace are set by what you need.
Step 01
We listen first: how you are contracted, credentialed, billed and run today, and what success looks like for you.
Step 02
A clear scope and priorities, sized to what you need, with one point of contact who answers for it.
Step 03
Our team does the work alongside yours and keeps you informed at every step.
Step 04
We check results against the starting point we set together, and agree on what comes next.
04
Who we serve
Commercial plans, Medicare Advantage and the Vital government plan each have their own rules. We work across all three.
Solo and small practices that need their contracts, credentials and collections handled by people who answer the phone.
Multi-physician groups that want visibility across physicians and payers, and a stronger position at the negotiating table.
Health plans, IPAs and management organizations that need technology built around how managed care really operates.
05
About
ALENDA Group is a Puerto Rico healthcare advisory and management firm.
We specialize in managed care strategy, practice management, revenue cycle optimization, operational transformation and technology development for managed care, and we partner with physician groups and healthcare organizations to strengthen payer relationships and grow sustainably.
We work alongside each client's leadership, inside its priorities. We do not hand over a report and leave: the same team that designs the plan carries it out and answers for it.
Leadership
Alejandro D. Meléndez Pérez
Founder & Managing Principal
Alejandro is a healthcare executive and strategic advisor with over 12 years of experience in managed care, provider network management, strategic contracting and healthcare business development.
He has led operational transformation initiatives, complex payer negotiations, strategic partnerships and technology-driven solutions for healthcare organizations and medical practices. His expertise spans provider operations, specialty medical group management, value-based care contracting and financial performance.
Before founding ALENDA Group, he served as Vice President of Provider Services at FARO LLC, where he led initiatives in provider services, healthcare technology and cost optimization.
Connecting strategy, technology and execution to drive meaningful growth across healthcare.LinkedIn profile ↗
Contact
Tell us where things stand today. The first conversation is about understanding your situation, with no commitment.