Remote Field Provider Engagement Specialist — Travel

Alignment Healthcare USA, LLC; Merced (CA); Remote; USD 59,000 - 88,000; Full time

Benefits offered by this job

Mileage reimbursement

Travel expenses reimbursed

Job summary

Alignment Health seeks a proactive Provider Engagement Specialist to support our Merced/Stanislaus County network. This field-based role involves building strong relationships with physician practices, improving quality metrics and expanding the network, with about 80% travel.

Work is mainly Monday‑Friday during office hours, with occasional early/late events. Travel reimbursements are provided; mileage is covered per policy.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Minimum of two years of related experience and/or training.
• Bilingual English/Spanish preferred.
• Experience working with physician practices and healthcare providers.

Responsibilities

• 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.

Skills

Relationship-building

Communication

Analytical thinking

Public speaking

Problem solving

Education

Bachelor's degree or equivalent

Tools

Microsoft Office Suite

Job description

Alignment Health seeks a proactive Provider Engagement Specialist to support our Merced/Stanislaus County network. This field-based role involves building strong relationships with physician practices, improving quality metrics and expanding the network, with about 80% travel.

Work is mainly Monday‑Friday during office hours, with occasional early/late events. Travel reimbursements are provided; mileage is covered per policy.