Provider Relations Specialist

Job Number: 7277

Workplace Type: Fully Remote

Position Title: Provider Relations Specialist

External Description:

POSITION SUMMARY:

The Provider Relations Specialist will play a key role in supporting the Provider Relations Manager in maintaining positive relationships with healthcare providers and ensuring the smooth operation of provider-related activities within Alignment Health Plan with our Contracted Network (PCP, Specialists, Ancillary/Facility).
GENERAL DUTIES/RESPONSIBILITIES (MAY INCLUDE BUT ARE NOT LIMITED TO):
• Serve as the primary point of contact for provider inquiries, requests, and concerns, and provide timely and professional assistance
• Coordinates with internal teams in a timely manner for resolution of provider issues
• Assist in the evaluation of provider performance and satisfaction through surveys, feedback mechanisms, and data analysis
• Support the Provider Relations Manager in maintaining and updating provider information impacting directories, networks, and contracts
• Work assigned tasks, including but not limited to provider onboarding, call center queues, CRM, portal access
requests, timely and accurately
• Attends and participates in all staff meetings as required
• All other assigned tasks

SUPERVISORY RESPONSIBILITIES:
N/A

MINIMUM REQUIREMENTS:

Minimum Experience:

• 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 Alignment Healthcare
• Education/Licensure: B.A./B.S. OR 2 years relevant experience
• Competencies:
• Organized, detail driven and a self-starter.
• Strong analytic, quantitative, and problem-solving skills.
• Strong verbal and written communication skills.
• Basic computer skills in MS office suite (Word, Excel, and PowerPoint).

Work Environment:

The work environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the
essential functions.

ESSENTIAL PHYSICAL FUNCTIONS:
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel and talk or hear.
• The employee is frequently required to reach with hands and arms.
• The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch, or crawl.
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Pay Range: $60,000 - $65,000 annually.

City: Remote-US

State: California

Location City: Remote-US

Location State: California

Community / Marketing Title: Provider Relations Specialist

Company Profile:

Alignment Health is revolutionizing health care for seniors by leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. 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. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].