Field Remote Provider Engagement Specialist MercedStanislaus County
Job Location:
Merced, CA - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
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.
Alignment Health is seeking a proactive relationship-driven and highly organized Provider Engagement Specialist to support our growing provider network inMerced/Stanislaus County this field-based remote role you will build strong relationships with physician practices and provider groups helping improve quality growth retention utilization and risk adjustment performance while supporting network expansion.This position is ideal for a self-driven professional who enjoys building partnerships analyzing provider performance solving problems and improving healthcare outcomes.
- Field-based role with approximately 80% travel throughoutMerced/Stanislaus County CA .
- Flexible self-managed schedule
- Initial training may include shadowing an established market team in Raleigh NC
- Occasional travel (1-2 times annually) for meetings training or conferences
- Mileage and travel expenses reimbursed per company policy
- Primarily Monday-Friday during provider office hours with flexibility for occasional early morning evening or community events
- Build and maintain collaborative relationships with providers and office staff.
- Partner with providers to improve performance in growth retention AWVs HEDIS gap closures hospital and ER utilization risk adjustment and other quality metrics.
- Conduct provider onboarding and ongoing education regarding Alignment Health tools programs incentives member benefits Model of Care requirements compliance requirements and organizational initiatives.
- Develop provider training materials implementation packets and educational presentations.
- Serve as the primary point of contact for provider issues including UM prior authorizations claims eligibility encounter data provider rosters and directory validation.
- Represent Alignment Health at provider meetings trainings and community events.
- Negotiate and implement physician and ancillary agreements and support provider credentialing and recruitment efforts.
- Maintain provider engagement documentation tracking databases activity reports and meeting records.
- Attend staff meetings and perform special projects as assigned.
- Bachelors degree (B.A. or B.S.) preferred; or equivalent combination of education and experience.
- Minimum of two (2) years of related experience and/or training.
- Experience in provider relations provider contracting network development healthcare operations managed care IPA HMO medical group or institutional provider environments required.
- Bilingual English/Spanish preferred.
- Experience working directly with physician practices and healthcare providers.
- Knowledge of Medicare Advantage quality programs risk adjustment utilization management and provider performance metrics.
- Strong relationship-building and interpersonal skills.
- Excellent verbal and written communication abilities.
- Strong presentation and facilitation skills.
- Strong analytical quantitative and problem-solving capabilities.
- Highly organized detail-oriented and self-motivated.
- Ability to work independently and collaboratively.
- Ability to effectively engage diverse provider audiences.
- Proficiency with Microsoft Office Suite (Word Excel and PowerPoint).
- Routinely required to travel by car throughout the assigned market (80% or more).
- Must maintain reliable transportation a valid drivers license and automobile insurance.
- Air travel required as needed.
- Extended or flexible work hours may occasionally be required.
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.
Required Experience:
IC
