Field Provider Engagement Specialist - Merced/Stanislaus Travel

Alignment Health; Merced (CA); Hybride; USD 59 000 - 88 000; Plein temps

Avantages offerts par ce poste

Mileage reimbursement

Travel expenses reimbursed

Résumé du poste

Alignment Health is seeking a Field Remote Provider Engagement Specialist to support our Merced/Stanislaus County network. This field-based role requires extensive travel (80%) to provider offices, with occasional training in Raleigh, NC.

You will build partnerships, drive performance improvements, and onboard providers to Alignment Health programs. The ideal candidate has a bachelor's degree (or equivalent) and at least 2 years in provider relations or healthcare operations, with knowledge of

Qualifications

• Bachelor's degree (B.A. or B.S.) preferred; or equivalent combination of education and experience.
• Minimum of two years of related experience in provider relations, network development, or healthcare operations.
• Knowledge of Medicare Advantage, quality programs, risk adjustment, utilization management, and provider performance metrics.

Responsabilités

• 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.

Connaissances

Relationship building

Communication

Presentation skills

Analytical thinking

Organizational skills

Independent work

Team collaboration

Diversity engagement

Formation

Bachelor's degree or equivalent

Outils

Microsoft Office Suite

Description du poste

Alignment Health is seeking a Field Remote Provider Engagement Specialist to support our Merced/Stanislaus County network. This field-based role requires extensive travel (80%) to provider offices, with occasional training in Raleigh, NC.

You will build partnerships, drive performance improvements, and onboard providers to Alignment Health programs. The ideal candidate has a bachelor's degree (or equivalent) and at least 2 years in provider relations or healthcare operations, with knowledge of