Alignment Health
Provider Engagement Specialist - Field in Fresno County
Fresno, CA · Full-time
Sponsorship not specified$59k-$88kDetected 14 days ago
ExcelRecruitingCommunicationProblem SolvingMicrosoft Office
About the role
- Assist in the development of training and educational materials and tools.
- Facilitate and serve as a single point of resolution for provider issues, including UM, prior authorization, claims, encounter data, eligibility, provider rosters, and directory validation.
Responsibilities
- The Provider Engagement Specialist is responsible for developing and maintaining strong relationships with provider offices to improve network performance, enhance provider satisfaction, and support organizational growth.
- Build and maintain collaborative relationships with providers and their staff to support growth, retention, and performance improvement.
- Maintain weekly activity summaries and submit reports on a weekly basis.
- Create provider in-service and implementation packets.
- Consistently utilize, update, and maintain department databases and tracking tools to ensure provider engagement activities, visits, and outcomes are documented and monitored.
Requirements
- Strong presentation skills with ability to address diverse audiences effectively.
- Ability to travel 80% or more by car routinely in assigned market
- Maintenance of reliable transportation, valid driver's license, and automobile insurance required.
- Regularly required to sit, talk, hear, use hands to finger, handle, or feel.
- Frequently required to reach with hands and arms.
- Occasionally required to stand, walk, climb, balance, stoop, kneel, crouch, or crawl.
Nice to have
- B.A./B.S. degree preferred or two years relevant experience.
- Bilingual (English/Spanish) preferred.
Compensation
- $58,531.00 - $87,797.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Benefits
- 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.
- In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community.
- Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.
- Conduct initial provider onboarding and provide ongoing education on Alignment tools, clinical programs, PCP incentives, member benefits, Model of Care, compliance requirements, and organizational initiatives.
- Represent Alignment Health at provider meetings, trainings, and community events; document meeting minutes and action items as needed.
Company info
- It takes an entire team of passionate and caring people, united in our mission to put the senior first.
Equal opportunity
- Alignment Health is proud to practice Equal Employment Opportunity and Affirmative Action.
- We seek diversity in qualified candidates, including minority, female, disabled, and protected veterans.
- Reasonable Accommodation
- If you require a reasonable accommodation under the Americans with Disabilities Act (ADA) during the application or selection process, please contact: careers@ahcusa.com
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This listing is sourced directly from Alignment Health's careers page and normalized into a canonical job model.