<?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>0001032563</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>CHRISTOPHER J. JOYCE</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>16667</noOfUnitsSold>
            <aggregateMarketValue>146836.27</aggregateMarketValue>
            <noOfUnitsOutstanding>191198000</noOfUnitsOutstanding>
            <approxSaleDate>07/12/2024</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>09/01/2023</acquiredDate>
            <natureOfAcquisitionTransaction>Restricted Stock Units</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>16667</amountOfSecuritiesAcquired>
            <paymentDate>09/01/2023</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for CHRISTOPHER J. JOYCE</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>07/01/2024</saleDate>
            <amountOfSecuritiesSold>666</amountOfSecuritiesSold>
            <grossProceeds>5328.00</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for CHRISTOPHER J. JOYCE</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>06/14/2024</saleDate>
            <amountOfSecuritiesSold>16000</amountOfSecuritiesSold>
            <grossProceeds>128198.40</grossProceeds>
        </securitiesSoldInPast3Months>
        <remarks>The securities to be sold were acquired upon the vesting of restricted stock units during the period of 9/1/2023 through 3/31/2024</remarks>
        <noticeSignature>
            <noticeDate>07/12/2024</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>03/15/2024</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Christopher Joyce</signature>
        </noticeSignature>
    </formData>
</edgarSubmission>
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144
0001032563
XXXXXXXX
LIVE
0001832466
ALIGNMENT HEALTHCARE INC
001-40295
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
8443102247
CHRISTOPHER J. JOYCE
Officer
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
8th Floor
New York
NY
10004
16667
146836.27
191198000
07/12/2024
NASDAQ
Common
09/01/2023
Restricted Stock Units
Issuer
N
16667
09/01/2023
N/A
N
10b5-1 Sales for CHRISTOPHER J. JOYCE
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
07/01/2024
666
5328.00
10b5-1 Sales for CHRISTOPHER J. JOYCE
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
06/14/2024
16000
128198.40
The securities to be sold were acquired upon the vesting of restricted stock units during the period of 9/1/2023 through 3/31/2024
07/12/2024
03/15/2024
/s/ Christopher Joyce