Provider Engagement Specialist – San Diego County (Field Remote)

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we this fast-growing company you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters not only changing lives but saving them. Together.

Location: San Diego CA (Field-based must reside in San Diego County)
Job Type: Full-time Regular Employee
Work Arrangement: Remote (Field-based 80% local travel required)
About the Role
We are seeking a Provider Engagement Specialist to join our team and support the performance operations and growth of our provider network within the San Diego market. This role is ideal for someone who thrives in a field-facing position enjoys building relationships and is passionate about improving access and outcomes in managed care.
You will serve as the primary liaison between the organization and our network of primary care and specialty providersconducting outreach supporting provider education assisting in contracting efforts and helping to resolve provider-related issues. Your efforts will directly support network performance HEDIS benchmarks and Risk Adjustment initiatives.

• Build and maintain collaborative relationships with providers office staff and ancillary partners.

• Conduct initial and ongoing provider orientations trainings (including Model of Care) and issue resolution support.

• Perform field visits to address provider concerns related to claims authorizations eligibility and directory updates.

• Support contracting and credentialing activities including collecting necessary documentation and initiating standard provider agreements.

• Track provider outreach and contracting status using Salesforce and other internal systems.

• Assist in the development of educational and implementation materials.

• Maintain weekly activity summaries and support internal reporting efforts.

• Coordinate targeted outreach campaigns using customized email distribution lists.

• Support departmental special projects aimed at provider engagement and performance improvement.

• High school diploma or GED required.

• Valid drivers license auto insurance and reliable transportation required.

• Must reside inSan Diego Countyand be available for frequent field travel (80% or more).

• One year of provider relations contracting or healthcare network operations experiencein an HMO IPA or medical group setting.

• Proficiency in MS Office (Excel Word PowerPoint).

• Strong communication relationship-building and problem-solving skills.

• Comfortable working independently in a field-based fast-paced environment.

• Bachelors degree (or 4 years additional relevant experience in lieu).

• 2 years of experience in provider engagement managed care or health plan operations.

• Understanding of HEDIS Risk Adjustment and Managed Care operations.

• Bilingual in English and another language (e.g. Spanish Tagalog) a plus.

• This is afield-remoterole with significant travel within the San Diego area to meet with providers.

• Occasional air travel may be required.

• Work may occasionally require extended hours based on operational needs.

• Reasonable accommodations will be made for individuals with disabilities.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job the employee is regularly required to talk or hear. The employee regularly is required to stand walk sit use hand to finger handle or feel objects tools or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $58531.00 - $87797.00

Pay range may be based on a number of factors including market location education responsibilities experience etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability age protected veteran status gender identity or sexual orientation.

*DISCLAIMER:Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal be advised that Alignment Health and its subsidiaries will never ask you for a credit card send you a check or ask you for any type of payment as part of consideration for employment with our you feel that you have been the victim of a scam such as this please report the incident to the Federal Trade Commission at If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Healths talent acquisition team please email.