Provider Contract Specialist; Hybrid Remote + Provider Office Visits – Charlotte, NC

Provider Contract Specialist (Hybrid Remote + Provider Office Visits) – Charlotte, NC page is loaded## Provider Contract Specialist (Hybrid Remote + Provider Office Visits) – Charlotte, NCremote type:
Field Remote locations:
Charlotte, NCtime type:
Full time posted on:
Posted Yesterday job requisition :
R1799

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.

In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

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.
The role is primarily remote, with approximately 20% local provider office visits (with mileage reimbursement) in the San Antonio / New Braunfels area (no air travel required). When not meeting with providers, you’ll work from home drafting contracts, managing documentation, and collaborating with internal teams including claims, clinical, and network management.
This role is well-suited for someone who is detail-oriented, persistent, and comfortable having direct conversations to move agreements forward.
*
* 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 time frames.
* 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…