Provider Engagement Specialist - Field Based

Alignment Health•Merced, CA

5d•$58,531 - $87,797•Onsite

About The Position

Alignment Health is seeking a proactive, relationship-driven, and highly organized Provider Engagement Specialist to support and strengthen its provider network throughout Merced and Stanislaus Counties. This field-based role serves as a trusted partner to physician practices and provider groups, helping them optimize performance, improve patient outcomes, and navigate Alignment Health programs and resources. The position supports quality initiatives, network growth, provider satisfaction, and long-term partnerships. The role is approximately 80% field travel throughout the assigned market and offers a flexible, self-managed schedule. Work is primarily Monday through Friday during provider office hours, with occasional early mornings, evenings, community events, and extended or flexible hours. Occasional travel, approximately one to two times annually, may be required for meetings, training, and conferences. Mileage and travel expenses are reimbursed according to company policy.

Requirements

Minimum of two years of related experience and/or training.
Experience in provider relations, provider contracting, network development, healthcare operations, managed care, IPA, HMO, medical group, or institutional provider environments.
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 and detail-oriented, with the ability to manage multiple priorities.
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.
Must maintain reliable transportation, a valid driver's license, and automobile insurance.
Ability to meet the position's physical demands, including occasionally lifting and/or moving up to 25 pounds.

Nice To Haves

Bachelor's degree (B.A. or B.S.), or an equivalent combination of education and experience.
Bilingual English/Spanish.
Experience working directly with physician practices and healthcare providers.
Knowledge of Medicare Advantage, quality improvement programs, risk adjustment, utilization management, and provider performance metrics.

Responsibilities

Build and maintain collaborative relationships with healthcare providers and office staff.
Partner with providers to improve performance related to growth, retention, Annual Wellness Visits, HEDIS gap closure, hospital and emergency room utilization, risk adjustment, and other quality measures.
Lead provider onboarding and provide 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 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.