<?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>0001222028</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>JEK TRUST U/A DTD 02/08/2021</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Director</relationshipToIssuer>
                <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>118000</noOfUnitsSold>
            <aggregateMarketValue>2046120.00</aggregateMarketValue>
            <noOfUnitsOutstanding>204296493</noOfUnitsOutstanding>
            <approxSaleDate>03/23/2026</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>05/09/2014</acquiredDate>
            <natureOfAcquisitionTransaction>Shares Issued Pre-IPO in Exchange for Partnership Units  </natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>118000</amountOfSecuritiesAcquired>
            <paymentDate>05/09/2014</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>JOHN E KAO</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>03/18/2026</saleDate>
            <amountOfSecuritiesSold>73046</amountOfSecuritiesSold>
            <grossProceeds>1303140.64</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>JOHN E KAO</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>03/12/2026</saleDate>
            <amountOfSecuritiesSold>48899</amountOfSecuritiesSold>
            <grossProceeds>853125.50</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales Plan for JEK TRUST U/A DTD 02/08/2021</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>03/10/2026</saleDate>
            <amountOfSecuritiesSold>180000</amountOfSecuritiesSold>
            <grossProceeds>3273558.00</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales Plan for JEK TRUST U/A DTD 02/08/2021</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>02/10/2026</saleDate>
            <amountOfSecuritiesSold>180000</amountOfSecuritiesSold>
            <grossProceeds>3687345.00</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales Plan for JEK TRUST U/A DTD 02/08/2021</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>01/12/2026</saleDate>
            <amountOfSecuritiesSold>180000</amountOfSecuritiesSold>
            <grossProceeds>3799231.00</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>JOHN E KAO</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>12/29/2025</saleDate>
            <amountOfSecuritiesSold>605648</amountOfSecuritiesSold>
            <grossProceeds>11351466.51</grossProceeds>
        </securitiesSoldInPast3Months>
        <remarks>The securities to be sold were Shares Issued Pre-IPO in exchange for Partnership Units during the period of 05/09/2014 through 09/07/2025.</remarks>
        <noticeSignature>
            <noticeDate>03/23/2026</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>11/21/2025</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ John Kao</signature>
        </noticeSignature>
    </formData>
</edgarSubmission>
