Provider Contract Specialist (Field Remote- Charlotte, NC)

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. In this fast‑growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Alignment Health is seeking a hybrid remote Provider Contract Specialist to support the growth and performance of our provider network in the Charlotte, NC market. In this role, you’ll identify, recruit, and contract with providers—owning the process from initial outreach through signed agreement. This is not a coordination role. You will be directly negotiating contract terms, handling redlined language, and working through provider pushback while representing Alignment Health’s interests in a professional and solutions‑oriented way. Strong Excel skills (e.g., pivot tables, VLOOKUPs) will be important for managing contract data and tracking performance. Job Responsibilities Provider Contracting & Network Development Recruit new providers in assigned specialty(ies) and regions to support CMS network adequacy and expansion goals. Draft and implement contracts in accordance with department guidelines with physicians and/or ancillary providers to support existing and developing markets. Review Letters of Interest and distribute to the Contract Manager per department guidelines. Secure patient specific Letters of Agreement for non‑contracted providers when requested by UM or Market Leadership. Credentialing, Documentation & Data Management Prepare and maintain contract documentation and supporting materials to ensure accuracy, completeness, and audit readiness. Request and obtain necessary credentialing information/documents for new providers and monitor credentialing status to ensure timely contract execution and network participation. Populate and maintain the contract tracker by promptly and accurately entering key contractual information, verifying data for accuracy and completeness, and ensuring records are consistently up to date. Compliance, Communication & Provider Relations Serve as resource for internal customers for provider contracting questions, ensuring timely professional and effective communication. Ensure overall compliance by responding to grievances/appeals and adhering to regulatory and departmental policy and procedure guidelines and timeframes. Process and communicate provider network changes, including additions, terminations, demographic updates, panel closures, and contractual risk changes in a timely manner to ensure accurate provider directories, Alignment systems, and internal stakeholder awareness. Cross‑Functional Collaboration & Departmental Support Participate in interdepartmental meetings and committees to support Network Management initiatives and organizational objectives. Contribute to departmental goals by supporting team initiatives and performing other related duties as assigned. Other duties and projects not listed above. Supervisory Responsibilities N/A Job Requirements Experience: Minimum 5 years’ experience in provider relations / contracting with an HMO or IPA, medical group or institutional provider required. Education: High School Diploma or GED required; Bachelor's degree or four years additional experience in lieu of education. Specialized Skills: Strong analytic, quantitative, and problem‑solving skills required; strong verbal and written communication skills required; strong presentation skills and ability to appropriately and effectively address diverse audiences required. Proficiency: Proficiency in MS Word and Excel required; Access database proficiency preferred. Office Hours: Monday-Friday, 8am to 5pm. Extended work hours, as needed. Maintain reliable means of transportation. If driving, must have a valid driver’s license and automobile insurance. Drives approximately 20‑60% of the time to provider sites. Travel by plane required as needed to support provider services needs in other geographies. Physical Functions While performing the duties of this job, the employee is regularly required to talk or hear. Employee regularly required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. Frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range $59,877.00 - $89,816.00 (may be based on a number of factors including market location, education, responsibilities, experience, etc.) Equal Opportunity Statement 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. #J-18808-Ljbffr E2E Alignment Healthcare USA, LLC