Our Team

Leadership built on decades of behavioral health experience

Alignment Behavioral Health was founded by a team who spent their careers inside behavioral health — and who saw, up close, how often the system fails the people it’s meant to serve. We built a telehealth company to change that, across Pennsylvania, Delaware, and Maryland.

Kristen Alwine
Kristen Alwine
Co-Founder & Chief Executive Officer
Co-Founder 20+ Years in Behavioral Health Telehealth Leader Patient-First Care

Kristen co-founded Alignment Behavioral Health after watching someone she loved fall through every gap in the mental healthcare system — unreturned calls, disconnected providers, and no one accountable for the outcome. The system she had spent her career inside had failed her own family, and that experience changed everything.

Rather than accept the way things were, she set out to build what behavioral health should be: a telehealth company where every patient has a person, not a pamphlet, where therapy and psychiatric care are coordinated under one team, and where access happens in days — not months. As CEO, Kristen brings more than two decades of behavioral health leadership to that mission, guiding Alignment’s growth across Pennsylvania, Delaware, and Maryland with a relentless focus on access, accountability, and quality of care.

Selected highlights
  • More than two decades leading behavioral health across the full continuum of care: mental health, substance use, and medication-assisted treatment.
  • Grew a behavioral health organization’s revenue by 20% and turned negative cash flow into sustainable, positive cash flow.
  • Negotiated directly with major managed care payers to expand and stabilize patient access to care.
Charles Shoenfelt
Charles Shoenfelt
Co-Founder & Chief Revenue Officer
Co-Founder 20+ Years in Healthcare Operations Revenue Cycle Leader Patient-First Care

Charles co-founded Alignment Behavioral Health out of the same conviction that drives the company: that mental healthcare should be connected, accountable, and built entirely around the patient. Having spent his career inside behavioral health and healthcare organizations, he saw firsthand how broken systems leave both patients and providers stranded — and he set out to build something better.

As Chief Revenue Officer, Charles makes sure Alignment runs seamlessly behind the scenes — from intake and credentialing to compliance and billing — so therapists are fully supported and never left to figure it out alone, and patients get a smooth, coordinated experience from the very first call. His two decades of revenue and operations leadership are the engine that keeps Alignment’s care reliable, compliant, and built to last.

Selected highlights
  • Built behavioral health revenue cycle operations from the ground up across multiple states.
  • Led multi-state launches of mental health and substance use programs — licensure, credentialing, and payer onboarding.
  • Modernized billing operations, moving organizations from manual to electronic claims and cutting days-in-A/R by nearly half.
  • Built and led revenue cycle, credentialing, and compliance teams under HIPAA and 42 CFR Part 2 standards.

Why we built Alignment

We’ve seen behavioral health from the inside — what works, what gets in the way, and what people actually need. Alignment is our answer.

Access first

Virtual care that removes the barriers of distance, waitlists, and scheduling so therapy fits real life across PA, DE, and MD.

Run with care

Operational excellence behind the scenes means clinicians can focus fully on clients, not paperwork.

Built to last

Decades of behavioral health experience guide every decision we make about quality, safety, and the care our patients receive.

Looking for care, not a career? We’re here for you too.

Get in Touch

Want to build something better with us?

We’re growing a connected clinical community where therapists are supported, never left to figure it out alone. If that sounds like the kind of place you want to practice, we’d love to meet you.

Explore Careers at Alignment