Clinical Trial Specialist, APAC (Mandarin Speaking)
Emerald Clinical
Support Emerald Clinical’s global early-phase trials across APAC. Coordinate study records, meetings, budgets, vendors, and trial master file activities.
Open
Alignment Health is a healthcare insurance company focused on improving care for Medicare members, particularly seniors, people living with chronic conditions, and those who are frail. Founded in 2013, the company combines a personalized care model with technology and a 24/7 concierge care team to coordinate support with trusted local providers. Its work spans healthcare delivery and insurance, with a focus on making care more accessible, responsive, and cost-conscious for its members. Alignment Health hires across a growing healthcare organization serving the needs of Medicare communities.
Provider Relations Manager, Managed Care
Build Alignment Health’s San Antonio provider network through stronger engagement and performance. Support managed-care quality, growth, retention, utilization, and contracting.
United States
Texas$54,434 – $81,651 / year
HybridFull-timeJuniorMiddleEnglish RequiredAccount ManagerSalesDescription
- Build collaborative provider relationships that support growth, retention, and performance improvement.
- Work with providers to improve KPIs such as Annual Wellness Visits, HEDIS gap closures, hospital and ER utilization, risk adjustment, and other quality measures.
- Onboard providers and educate them on Alignment tools, clinical programs, PCP incentives, member benefits, the Model of Care, compliance, and company initiatives.
- Help develop training materials and prepare provider in-service and implementation packets.
- Resolve provider concerns involving utilization management, prior authorization, claims, encounter data, eligibility, rosters, and directory validation.
- Represent Alignment Health at provider meetings, trainings, and community events; record minutes and action items.
- Track provider engagement, visits, and outcomes using department databases and tools.
- Negotiate and implement standard physician and ancillary agreements, secure provider credentialing, and track network recruitment.
- Prepare weekly activity summaries and reports.
- Attend staff meetings and complete special projects as assigned.
- Visit provider offices across San Antonio, Bexar County, nearby areas, and New Braunfels.
- Prepare provider performance reports and hold regular in-person meetings.
Requirements
- At least two years of related experience or training, or an equivalent combination of education and experience.
- Experience in provider relations or contracting with an HMO, IPA, medical group, or institutional provider.
- Bachelor’s degree or an equivalent combination of education and experience.
- English and Spanish bilingual skills preferred.
- Organized, detail-oriented, and self-directed.
- Strong analytical, quantitative, and problem-solving abilities.
- Strong verbal and written communication skills.
- Able to build relationships and work effectively on a team.
- Strong presentation skills and ability to address diverse audiences effectively.
- Proficiency with Microsoft Word, Excel, and PowerPoint.
- Routine travel by car within the assigned market, 80% or more.
- Air travel as needed.
- Reliable transportation, a valid driver’s license, and automobile insurance required.
- Able to work extended hours as needed.
Benefits
- Mileage and travel expenses reimbursed under company policy.
- Opportunities for growth and innovation.
- Occasional travel for conferences, training, or team meetings.
- Remote work available with approval.
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