Provider Engagement Specialist - Field Based

Alignment Healthcare•Merced, CA

3d•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. In this field-based role, the specialist partners with physician practices and provider groups to help optimize performance, improve patient outcomes, and navigate Alignment Health programs and resources. The role contributes to quality initiatives, network growth, provider satisfaction, and long-term partnerships across the market. Approximately 80% or more of the work involves travel by car throughout the assigned market. The schedule is flexible and self-managed, primarily Monday through Friday during provider office hours, with occasional early mornings, evenings, or community events. Occasional travel, approximately one to two times annually, may be needed for meetings, training, and conferences. Mileage and travel expenses are reimbursed according to company policy.

Requirements

At least 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, quantitative, and problem-solving abilities.
Strong organization and attention to detail, with the ability to manage multiple priorities.
Ability to work independently and collaborate across teams.
Ability to engage and influence diverse provider audiences.
Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.
Ability to routinely travel by car throughout the assigned market (80% or more).
Reliable transportation, a valid driver's license, and automobile insurance.
Ability to work extended or flexible hours occasionally.

Nice To Haves

Bachelor's degree (B.A. or B.S.), or 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 in growth, retention, Annual Wellness Visits (AWVs), 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.
Act as the primary 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.