Provider Engagement Lead - Field-Based Growth Partnerships

alignmenthealthcare; United States; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Mileage reimbursement

Travel expense reimbursements

Job summary

Alignment Health is seeking a proactive, relationship-driven Provider Engagement Specialist to join the Provider Engagement team supporting the San Antonio market. This field-remote role involves visiting provider offices across San Antonio and surrounding areas, presenting performance insights and supporting programs to improve quality, growth, retention, and utilization.

You will spend the majority of your time meeting with providers, onboarding them to Alignment tools, and coordinating

Qualifications

• 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
• Bachelor's degree or equivalent
• Bilingual English/Spanish preferred

Responsibilities

• 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 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.
• 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 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.
• Consistently utilize, update and maintain department databases and tracking tools to ensure provider engagement activities, provider 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 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.

Skills

Analytical skills

Communication skills

Relationship building

Bilingual English/Spanish

Education

Bachelor’s degree

Job description

Alignment Health is seeking a proactive, relationship-driven Provider Engagement Specialist to join the Provider Engagement team supporting the San Antonio market. This field-remote role involves visiting provider offices across San Antonio and surrounding areas, presenting performance insights and supporting programs to improve quality, growth, retention, and utilization.

You will spend the majority of your time meeting with providers, onboarding them to Alignment tools, and coordinating