Alignment Healthcare
Remote Provider Engagement Specialist (North Carolina)
Remote North Carolina · Mid
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About the role
- Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.
- We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
- Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.
Responsibilities
- Build and maintain collaborative relationships with providers, office staff, and key stakeholders to support network growth and performance
- Perform regular in-person provider visits to review performance metrics and identify improvement opportunities
- Analyze provider performance data and deliver actionable insights to optimize outcomes
- Develop and implement provider engagement strategies to improve quality scores and member experience
- Support resolution of provider issues related to access, claims, eligibility, and utilization management
- Create and deliver training materials, in-service presentations, and Model of Care trainings
- Maintain accurate provider data and activity tracking in Salesforce and internal systems
- Support provider recruitment, contracting, and credentialing processes
- Negotiate and implement provider agreements in assigned markets
Requirements
- Proficiency in Microsoft Office (Word, Excel, PowerPoint)
- Valid driver's license required
- Reliable transportation and current automobile insurance required
- Regularly required to sit, stand, walk, and use hands for tasks
- Ability to work extended hours when necessary
Nice to have
- Strong understanding of HEDIS, Stars, Risk Adjustment, and MLR
- Required: High School Diploma or GED (Bachelor's degree or equivalent experience preferred)
- Preferred: 2+ years of provider-facing experience, including Medicare lines of business
Skills
- Strong communication and relationship-building skills
- Strong analytical, problem-solving, and organizational skills
Compensation
- $54,434.00 - $81,651.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Benefits
- Conduct provider onboarding, orientations, and ongoing education initiatives
Company info
- It takes an entire team of passionate and caring people, united in our mission to put the senior first.
- Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company.
This listing is sourced directly from Alignment Healthcare's careers page and normalized into a canonical job model.