Provider Engagement Specialist - Field Based

alignmenthealthcare; Merced (CA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Mileage reimbursement

Flexible schedule

Autonomy in day-to-day work

Travel opportunities

Job summary

Alignment Health is seeking a proactive, relationship-driven Provider Engagement Specialist to support and strengthen our provider network across Merced and Stanislaus Counties. This field-based role requires building strong partnerships with physician practices, driving performance improvements, and guiding providers through Alignment Health programs and resources.

Ideal candidates have a minimum of two years of related experience, a Bachelor's degree or equivalent, and prefer bilingual

Qualifications

• Minimum of two (2) years of related experience and/or training.
• Bachelor's degree (B.A. or B.S.) preferred; or an equivalent combination of education and experience.

Responsibilities

• Build and maintain strong relationships with healthcare providers and office staff.
• Improve performance on growth, retention, AWVs, HEDIS gaps, and care utilization.
• Lead provider onboarding and deliver ongoing education on Alignment Health programs and resources.
• Develop training materials and presentations for providers.
• Serve as primary contact for provider needs including utilization management, prior authorizations, claims, eligibility, and roster validation.
• Represent Alignment Health at provider meetings and community engagements.
• Support network expansion through contracting, recruitment, and credentialing.
• Maintain provider engagement documentation and meeting records.
• Participate in team meetings and special projects.

Skills

Relationship-building

Communication skills

Analytical thinking

Organization

Independent work

Cross-team collaboration

Influencing provider audiences

MS Office

Education

Bachelor's degree preferred

Tools

Microsoft Office Suite

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

At Alignment Health, we're committed to transforming the healthcare experience for seniors through strong provider partnerships and innovative care solutions. We're seeking a proactive, relationship-driven, and highly organized Provider Engagement Specialist to support and strengthen our growing provider network throughout Merced and Stanislaus Counties.

In this highly visible, field-based role, you'll serve as a trusted partner to physician practices and provider groups, helping them optimize performance, improve patient outcomes, and successfully navigate Alignment Health's programs and resources. You'll play a key role in advancing quality initiatives, supporting network growth, enhancing provider satisfaction, and strengthening long-term partnerships across the market.

This opportunity is ideal for a self-motivated professional who enjoys building relationships, solving complex challenges, driving measurable results, and making a meaningful impact on healthcare delivery.

Why Join Alignment Health?

• Field-based role with approximately 80% travel throughout Merced/Stanislaus County
• Flexible, self-managed schedule with autonomy in your day-to-day work
• Opportunity to work directly with physicians, practice leaders, and healthcare organizations
• Meaningful role influencing provider success and member health outcomes
• Occasional travel (1-2 times annually) for meetings, training, and conferences
• Mileage and travel expenses reimbursed according to company policy
• Primarily Monday-Friday during provider office hours, with flexibility for occasional early morning, evening, or community events

Essential Duties & Responsibilities

• Build and maintain strong, collaborative relationships with healthcare providers and office staff.
• Partner with providers to improve performance across growth, retention, Annual Wellness Visits (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 as assigned.

Requirements:

Experience

• Minimum of two (2) years of related experience and/or training.

Education

• Bachelor's degree (B.A. or B.S.) preferred; or an equivalent combination of education and experience.

Preferred Qualifications

• Bilingual English/Spanish preferred.
• Experience working directly with physician practices and healthcare providers.
• Knowledge of Medicare Advantage, quality improvement programs, risk adjustment, utilization management, and provider performance metrics.

Knowledge, Skills & Abilities

• Exceptional relationship-building and interpersonal skills.
• Strong verbal and written communication abilities.
• Effective presentation, facilitation, and provider education skills.
• Analytical mindset with strong quantitative and problem-solving abilities.
• Highly organized, detail-oriented, and able to manage multiple priorities.
• Self-starter with the ability to work independently while collaborating across teams.
• Ability to engage and influence diverse provider audiences.
• Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.

Travel Requirements

Routinely required to travel by car throughout the assigned market (80% or more). Must maintain reliable transportation,