<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:ns2="http://www.sec.gov/edgar/common">
    <headerData>
        <submissionType>144</submissionType>
        <filerInfo>
            <filer>
                <filerCredentials>
                    <cik>0001850414</cik>
                    <ccc>XXXXXXXX</ccc>
                </filerCredentials>
            </filer>
            <liveTestFlag>LIVE</liveTestFlag>



        </filerInfo>
    </headerData>
    <formData>
        <issuerInfo>
            <issuerCik>0001832466</issuerCik>
            <issuerName>ALIGNMENT HEALTHCARE INC</issuerName>
            <secFileNumber>001-40295</secFileNumber>
            <issuerAddress>
                <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                <ns2:city>Orange</ns2:city>
                <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                <ns2:zipCode>92868</ns2:zipCode>
            </issuerAddress>
            <issuerContactPhone>8443102247</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>FCO HOLDINGS LLC</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Officer</relationshipToIssuer>
            </relationshipsToIssuer>
        </issuerInfo>
        <securitiesInformation>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <brokerOrMarketmakerDetails>
                <name>Morgan Stanley Smith Barney LLC Executive Financial Services</name>
                <address>
                    <ns2:street1>1 New York Plaza</ns2:street1>
                    <ns2:street2>8th Floor</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
                </address>
            </brokerOrMarketmakerDetails>
            <noOfUnitsSold>137000</noOfUnitsSold>
            <aggregateMarketValue>1472750.00</aggregateMarketValue>
            <noOfUnitsOutstanding>191299946</noOfUnitsOutstanding>
            <approxSaleDate>09/12/2024</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>06/03/2016</acquiredDate>
            <natureOfAcquisitionTransaction>Shares issued pre IPO in exchange for partnership units</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>135000</amountOfSecuritiesAcquired>
            <paymentDate>06/03/2016</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>08/01/2024</acquiredDate>
            <natureOfAcquisitionTransaction>RSA</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>2000</amountOfSecuritiesAcquired>
            <paymentDate>08/01/2024</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/11/2024</saleDate>
            <amountOfSecuritiesSold>8561</amountOfSecuritiesSold>
            <grossProceeds>85687.91</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/05/2024</saleDate>
            <amountOfSecuritiesSold>4789</amountOfSecuritiesSold>
            <grossProceeds>47912.99</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/04/2024</saleDate>
            <amountOfSecuritiesSold>1650</amountOfSecuritiesSold>
            <grossProceeds>16500.17</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>07/19/2024</saleDate>
            <amountOfSecuritiesSold>38858</amountOfSecuritiesSold>
            <grossProceeds>388789.83</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>07/18/2024</saleDate>
            <amountOfSecuritiesSold>44042</amountOfSecuritiesSold>
            <grossProceeds>440433.21</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>07/17/2024</saleDate>
            <amountOfSecuritiesSold>22100</amountOfSecuritiesSold>
            <grossProceeds>221013.26</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>09/12/2024</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>03/15/2024</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Robert Thomas Freeman</signature>
        </noticeSignature>
    </formData>
</edgarSubmission>
