Field Provider Engagement Specialist

🕒 July 24

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $54.4k - $81.7k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Build and maintain collaborative relationships with providers and their staff to support growth, retention, and performance improvement • Partner with providers to improve KPIs, including growth, retention, AWVs, HEDIS gap closures, hospital and ER utilization, risk adjustment, and other quality indicators • Conduct initial provider onboarding and provide ongoing education on Alignment tools, clinical programs, PCP incentives, member benefit offerings, Model of Care, compliance requirements, and Alignment initiatives • Assist in developing training and educational materials and create provider in-service and implementation packets • Facilitate and serve as a single point of resolution for provider issues involving 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 • Utilize, update, and maintain department databases and tracking tools to document and monitor provider engagement activities, provider visits, and outcomes • Negotiate and implement standard physician and ancillary agreements • Obtain provider credentialing and use the network database to track recruitment activity • Maintain weekly activity summaries and submit weekly reports • Attend and participate in staff meetings as required • Perform special projects as assigned

🎯 Requirements

• Two 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 2 years relevant experience • Organized, detail driven 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) • 80% or more travel by car routinely required in assigned market • Travel by plane required as needed • Reliable means of transportation, valid driver's license, and automobile insurance required • Extended work hours as needed

🏖️ Benefits

• Opportunity for growth and innovation • Equal Opportunity/Affirmative Action employment