Provider Engagement Specialist – Field Remote (Tulare / Kern / Kings, CA)

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and the chronically ill and frail. It takes a passionate, caring team united in our mission to put the senior first. We’ve built a team of talented, experienced professionals who are transforming the lives of the seniors we serve. In this fast-growing company, you’ll find ample room for growth and innovation alongside the Alignment Health community. Working here provides an opportunity to do work that truly matters—changing and even saving lives.

About the role

Alignment Health is seeking a proactive, relationship-driven, and highly organized Provider Engagement Specialist to join the Provider Engagement team supporting the Tulare / Kern / Kings, CA market. In this field-remote role, you will build trusted relationships with physician practices and provider groups, partnering with them to improve performance across quality, growth, retention, and utilization metrics while supporting Alignment Health’s continued network expansion.

You will spend most of your time visiting provider offices, presenting performance insights, educating providers on Alignment programs and initiatives, and supporting strategies that help practices succeed while delivering high-quality care to Alignment members. This is a field-based role with approximately 80% travel between provider offices in the assigned market. Initial training may include shadowing an established market team in Fresno, CA, and occasional travel (1–2 times per year) may be required for conferences, trainings, or team meetings. Mileage and travel expenses are reimbursed in accordance with company policy.

Schedule

Primarily Monday – Friday during standard provider office hours, with flexibility required to accommodate early morning meetings, occasional evening events, and community engagements.

Responsibilities

• Build and maintain collaborative relationships with providers and their staff to support growth, retention, and performance improvement.
• Partner with providers to improve performance on key performance indicators (KPIs), including but not limited to growth, retention, Annual Wellness Visits (AWVs), HEDIS gap closures, hospital and ER utilization, risk adjustment, and other quality indicators.
• Conduct initial provider onboarding and provide ongoing education on Alignment tools, clinical programs, PCP incentives, member benefit offerings, Model of Care and other compliance requirements, and Alignment initiatives.
• Assist in the development of training and educational materials/tools. Create provider in-service and implementation packets.
• Facilitate and serve as a single point of resolution for provider issues, including but not limited to utilization management, prior authorization, claims, encounter data, eligibility, provider rosters, and directory validation.
• Represent Alignment Health at provider meetings, trainings, and community events. Document meeting minutes and action items as needed.
• Consistently utilize, update, and maintain department databases and tracking tools to ensure provider engagement activities, visits, and outcomes are documented and monitored.
• Negotiate and implement standard physician and ancillary agreements; obtain provider credentialing; utilize network database to track recruitment activity.
• Maintain a weekly summary of activity and submit reports on a weekly basis.
• Attend and participate in all staff meetings as required.
• Perform special projects as assigned.

Requirements

• Minimum of 2 years related experience and/or training; or equivalent combination of education and experience.
• Experience in provider relations/contracting with an HMO, IPA, medical group, or institutional provider required.
• B.A./B.S. or equivalent combination of education and experience.
• Bilingual English/Spanish preferred.
• Organized, detail-oriented, and a self-starter.
• Strong analytic, quantitative, and problem-solving skills.
• Strong verbal and written communication skills.
• Relationship-builder and team-player.
• Strong presentation skills and ability to address diverse audiences appropriately and effectively.
• Proficient in MS Office suite (Word, Excel, and PowerPoint).
• 80% or more travel by car routinely required (in assigned market). Travel by plane required as needed.
• Maintenance of reliable transportation, valid driver’s license, and automobile insurance required.
• Extended work hours as needed; remote work on approval.

Pay

Pay Range: $58,531.00 – $87,797.00. Pay range may be based on a number of factors including market location, education, responsibilities, and experience.