Provider Relations Specialist

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

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.

Salary : $60,000 - $65,000