Provider Relations Manager – Managed Care

Alignment Health

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

Posted 10/12/2026full-timeSan Antonio • Texas • United StatesJuniorMid-Level💰 $54,434 - $81,651 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider relations and contracting, with a strong focus on improving KPIs and facilitating provider onboarding and education. Proficient in maintaining databases and tracking tools to enhance provider engagement and performance.

Highest-signal resume keywords

Provider Relations ExperienceHMO Or IPA ContractingBilingual English / SpanishStrong Analytic SkillsProficient In MS Office Suite

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

KPI ImprovementProvider OnboardingTraining Material DevelopmentData TrackingProvider CredentialingPerformance ReportingProblem-SolvingQuantitative AnalysisNegotiation SkillsCompliance Requirements

Soft Skills

Relationship-BuilderTeam-PlayerStrong Communication SkillsPresentation SkillsDetail Oriented

Tools & Technologies

MS Office SuiteDatabase Management ToolsTracking Tools

Industry Keywords

Provider EngagementAnnual Wellness VisitsHEDIS Gap ClosuresUtilization ManagementClaims Processing

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 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 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
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; track recruitment activity in the network database
Prepare weekly activity summaries and submit weekly reports
Attend staff meetings and perform special projects as assigned
Visit provider offices throughout San Antonio, Bexar County, surrounding areas, and New Braunfels
Prepare provider performance reports and conduct regular in-person provider meetings

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)
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 work hours, as needed

Benefits

Comp & perks

Mileage and travel expenses reimbursed in accordance with company policy
Opportunity for growth and innovation
Occasional travel for conferences, trainings, or team meetings
Remote work on approval