Medicare Advantage Provider Relations Specialist

Alignment Healthcare USA, LLC in; Raleigh (NC); Híbrido; USD 54.000 - 82.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work on approval

Travel opportunities

Descripción de la vacante

Alignment Health is seeking a Provider Engagement Specialist to build and sustain strong relationships with provider offices, improving network performance, retention, and quality metrics. You will partner with providers on onboarding, education on Alignment tools and clinical programs, and support incentives and compliance initiatives.

The role involves regular travel across markets, documenting meetings, and delivering education and materials to providers.

Formación

• Two years related experience and/or training in provider relations.
• Experience in provider relations / contracting with HMO/IPA or medical group.
• Bi-lingual preferred.

Responsabilidades

• Build and maintain collaborative relationships with providers and staff to support growth, retention, and performance improvement.
• Partner with providers to improve performance on KPIs including growth, retention, AWVs, HEDIS gaps, utilization and risk adjustment.
• Onboard providers and educate on Alignment tools, clinical programs, incentives, benefits, and compliance.
• Develop training materials and provider implementation packets.
• Maintain provider databases, track activity and prepare weekly summaries; attend meetings.

Conocimientos

Analytical skills

Communication skills

Relationship builder

Educación

Bachelor's degree (B.A./B.S.)

Herramientas

MS Office (Word, Excel, PowerPoint)

Descripción del empleo

Alignment Health is seeking a Provider Engagement Specialist to build and sustain strong relationships with provider offices, improving network performance, retention, and quality metrics. You will partner with providers on onboarding, education on Alignment tools and clinical programs, and support incentives and compliance initiatives.

The role involves regular travel across markets, documenting meetings, and delivering education and materials to providers.