Provider Engagement Specialist – Field

Alignment Health

Provider Engagement Specialist driving quality improvement and retention for Alignment Health and provider groups. Collaborating with physicians in Charlotte, NC with majority field-based role and travel involved.

Posted 7/21/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $54,434 - $81,651 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider relations and contracting, with a focus on performance improvement and compliance. Proficient in developing training materials and maintaining provider engagement through effective communication and relationship-building.

Highest-signal resume keywords

Provider Relations ExperiencePerformance ImprovementBilingual English / SpanishAnalytic and Problem-Solving SkillsMS Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider OnboardingKPI MonitoringTraining Material DevelopmentNegotiation SkillsCredentialingDatabase ManagementClaims ProcessingQuality Indicator TrackingReport GenerationCompliance Requirements

Soft Skills

Relationship-BuildingTeam PlayerStrong Communication SkillsPresentation SkillsDetail Oriented

Industry Keywords

HMOIPAMedical GroupProvider EngagementAnnual Wellness VisitsHEDISUtilization ManagementPrior AuthorizationEncounter DataProvider Directory Validation

About the role

Key responsibilities & impact

Build and maintain collaborative relationships with providers and their staff to support growth, retention, and performance improvement.
Partner with providers to improve performance on key performance indicators (KPIs), including but not limited to growth, retention, Annual Wellness Visits (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, clinical programs, PCP incentives, Member benefit offerings, Model of Care and other compliance requirements, and Alignment 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, including but not limited to 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 as needed.
Consistently utilize, update and maintain department databases and tracking tools to ensure provider engagement activities, provider visits and outcomes are documented and monitored.
Negotiate and implement standard physician and ancillary agreements; obtain provider credentialing; utilize network database to track recruitment activity.
Maintain weekly summary of activity and submit reports on a weekly basis.
Attend and participate in all staff meetings as required.
Perform special projects as assigned.

Requirements

What you’ll need

2 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 required.
B.A./B.S. or equivalent combination of education and experience.
Bilingual English / Spanish (preferred).
Organized, detail oriented, and a self-starter.
Strong analytic, quantitative, and problem-solving skills.
Strong verbal and written communication skills.
Relationship-builder and team-player.
Strong presentation skills and ability to address diverse audiences appropriately and effectively.
Proficient user in MS office suite (Word, Excel and PowerPoint).

Benefits

Comp & perks

Mileage and travel expenses reimbursed in accordance with company policy