Remote Provider Engagement Specialist - Growth & Quality

E2E Alignment Healthcare USA, LLC; Texas; Hybrid; USD 54,000 - 82,000; Full time

Job summary

Alignment Health is a fast-growing company focused on senior care and patient outcomes. We seek a Field Remote Provider Engagement Specialist to develop and maintain strong relationships with provider offices, enhance network performance, and support organizational growth.

This remote role partners with providers on strategies to increase patient retention and growth, while driving performance across key quality and utilization metrics.

Qualifications

• Two 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.
• Bi-lingual English/Spanish – preferred.
• Strong verbal and written communication skills.
• Strong analytic, quantitative, and problem-solving skills.

Responsibilities

• Build and maintain collaborative relationships with providers and their 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 and initiatives.
• 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 (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; maintain databases and tracking tools.
• Negotiate and implement standard physician and ancillary agreements; obtain provider credentialing; track recruitment activity.
• Maintain weekly activity summaries and reports; attend staff meetings; perform special projects.

Skills

Provider relations

Analytical skills

Communication skills

Presentation skills

Bilingual English/Spanish

Team player

MS Office

Education

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

Tools

MS Office

Job description

Alignment Health is a fast-growing company focused on senior care and patient outcomes. We seek a Field Remote Provider Engagement Specialist to develop and maintain strong relationships with provider offices, enhance network performance, and support organizational growth.

This remote role partners with providers on strategies to increase patient retention and growth, while driving performance across key quality and utilization metrics.