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

About the role

Alignment Health is seeking a Provider Engagement Specialist to join the Provider Engagement team supporting the Tulare / Kern / Kings, CA market. This field-remote role involves building relationships with physician practices and provider groups to improve performance across various metrics.

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 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 support for ongoing provider education on Alignment tools, clinical programs, PCP incentives, Member benefit offerings, Model of Care and other compliance requirements, and Alignment initiatives.
• Aid 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 UM, 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.
• Maintain 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 2 years related experience and/or training, or equivalent combination of education and experience.
• Experience in provider relations / contracting with an HMO or IPA, medical group or institutional provider required.
• B.A./B.S. or equivalent combination of education and experience.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

• Proficient user 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 means of transportation and valid driver’s license and automobile insurance required.
• Extended works hours, as needed.
• Remote work on approval.

Skills

• 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.

Benefits

Field-based role with approximately 80% travel between provider offices across Tulare / Kern / Kings, CA. Initial training may include a few days to shadow an established market team in Fresno, CA. Occasional travel (approximately 1–2 times per year) may be required for conferences, trainings, or team meetings. Mileage and travel expenses reimbursed in accordance with company policy.

Pay

$58,531.00 - $87,797.00

Schedule

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