Field-Based Provider Engagement Specialist

Alignment Healthcare USA, LLC in; Merced (CA); Híbrido; USD 59 000 - 88 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Mileage reimbursement

Flexible schedule

Field-based role

Resumo da oferta

Alignment Health is seeking a proactive, field-based Provider Engagement Specialist to support and strengthen our provider network in Merced and Stanislaus Counties. This role emphasizes relationship-building with physician practices and provider groups, aiming to optimize performance and patient outcomes.

You will onboard providers, educate on programs and resources, and collaborate with teams to drive quality initiatives, while maintaining documentation, reporting, and coordination with

Qualificações

• Bachelor's degree (B.A./B.S.) preferred; or an 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 is required.

Responsabilidades

• Build and maintain strong, collaborative relationships with healthcare providers and office staff.
• Partner with providers to improve performance across growth, retention, AWVs, HEDIS gap closure, hospital and emergency room utilization, risk adjustment, and other quality measures.
• Lead provider onboarding and deliver ongoing education on Alignment Health programs, tools, incentives, member benefits, Model of Care requirements, compliance standards, and organizational initiatives.
• Develop and deliver provider training materials, educational resources, implementation guides, and presentations.
• Serve as the primary point of contact for provider needs and operational support, including utilization management, prior authorizations, claims, eligibility, encounter data, provider rosters, and directory validation.
• Represent Alignment Health at provider meetings, training sessions, networking events, and community engagements.
• Support network expansion efforts through physician and ancillary provider contracting, recruitment, and credentialing activities.
• Maintain accurate provider engagement documentation, activity reports, tracking databases, and meeting records.
• Participate in team meetings and contribute to special projects and strategic initiatives.

Conhecimentos

Relationship-building

Verbal communication

Written communication

Analytical mindset

Organizational skills

Self-starter

Formação académica

Bachelor's degree

Ferramentas

MS Word

Excel

PowerPoint

Descrição da oferta de emprego

Alignment Health is seeking a proactive, field-based Provider Engagement Specialist to support and strengthen our provider network in Merced and Stanislaus Counties. This role emphasizes relationship-building with physician practices and provider groups, aiming to optimize performance and patient outcomes.

You will onboard providers, educate on programs and resources, and collaborate with teams to drive quality initiatives, while maintaining documentation, reporting, and coordination with