Provider Engagement Specialist – Medicare Advantage

Alignment Health

. Build and maintain collaborative relationships with providers and their staff to support growth, retention, and performance improvement .

Posted 11/10/2026full-timeNorth 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 improving KPIs and facilitating provider education. Strong analytical and communication skills are essential for building relationships and addressing provider needs effectively.

Highest-signal resume keywords

Provider Relations ExperienceKPI ImprovementAnalytic SkillsMS Office ProficiencyBilingual Preferred

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Provider OnboardingTraining DevelopmentCredentialingContract NegotiationData TrackingQuality ImprovementCompliance RequirementsPerformance ImprovementHealthcare MetricsProvider Education

Soft Skills

Relationship BuildingTeam PlayerStrong CommunicationPresentation SkillsDetail Oriented

Tools & Technologies

MS Office SuiteNetwork DatabaseTracking ToolsDepartment Databases

Industry Keywords

HMOIPAMedical GroupProvider EngagementAnnual Wellness VisitsHEDISUtilization ManagementRisk AdjustmentProvider MeetingsCommunity Events

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 KPIs including growth, retention, Annual Wellness Visits, HEDIS gap closures, hospital and ER utilization, risk adjustment, and other quality indicators
Conduct initial provider onboarding and provide ongoing provider education on Alignment tools, clinical programs, PCP incentives, member benefits, Model of Care, compliance requirements, and Alignment initiatives
Assist in developing 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 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
Maintain department databases and tracking tools to document and monitor provider engagement activities, visits, and outcomes
Negotiate and implement standard physician and ancillary agreements
Obtain provider credentialing
Use the network database to track recruitment activity
Maintain weekly activity summaries and submit weekly reports
Attend and participate in required staff meetings
Perform special projects as assigned

Requirements

What you’ll need

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
Maintenance of reliable means of transportation and valid driver’s license and automobile insurance required
Extended works hours, as needed
Bi-lingual preferred

Benefits

Comp & perks

Opportunity for growth and innovation
Remote work on approval
Equal Opportunity/Affirmative Action employment