The alignment of large language models (LLMs) with human values and intentions represents a core challenge in current AI research, where reward mechanism design has become a critical factor in shaping model behavior. This study conducts a comprehensive investigation of reward mechanisms in LLM alignment through a systematic theoretical framework, categorizing their development into three key phases: (1) feedback (diagnosis), (2) reward design (prescription), and (3) optimization (treatment). Through a four-dimensional analysis encompassing construction basis, format, expression, and granularity, this research establishes a systematic classification framework that reveals evolutionary trends in reward modeling. The field of LLM alignment faces several persistent challenges, while recent advances in reward design are driving significant paradigm shifts. Notable developments include the transition from reinforcement learning-based frameworks to novel optimization paradigms, as well as enhanced capabilities to address complex alignment scenarios involving multimodal integration and concurrent task coordination. Finally, this survey outlines promising future research directions for LLM alignment through innovative reward design strategies.