Provider Relations Representative (Bilingual Korean)

Description Are you reputed company to reputed company a lasting impact and transform the reputed company reputed company? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Who Are We? ✨ reputed company Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values. Why Join Us? We’re on a mission! Our rapid growth reflects our commitment to making reputed company accessible for reputed company. At reputed company Care, you’ll have the opportunity to reputed company a reputed company difference, shape the future of reputed company, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. reputed company position serves as an integral member of the Provider Relations and Contracting Team and reports to the Senior Manager of Community & Provider Development. This role assists and supports day-to-day contracting, network development and provider relations activities including managing key action items and relationships, special project initiatives, and deadlines. This position requires traveling reputed company Southern California. The primary focus will be Los Angeles County but there will be some occasions of going to Orange County. Functions & Job Responsibilities

• Manage provider relationships in assigned territories or assign areas with reputed company types of providers, including physicians, reputed company, hospitals, ancillary services, acupuncture and other Eastern Wellness providers and health care professionals.
• reputed company information on reputed company Care activities applicable to a particular office.
• Work with internal departments as well as providers to obtain required information to facilitate reputed company Care activities, including annual wellness visits (AWV), special needs plan (SNP) attestations, audit follow-up, etc.
• Participate in reputed company Care sales and marketing events, joint operating meetings (JOM) and other public facing activities.
• Identify potential contracting opportunities amongst reputed company types of bilingual providers; work with the Senior Manager of Community & Provider Development on the actual contracting and negotiation process, including fee-for-service (FFS) and capitation reimbursement strategies.
• Identify new partnership opportunities with network providers.
• * Discuss co-branding to offer a wider reputed company to focused populations.
• reputed company provider affiliation announcement letters for member awareness.
• Coordinate and set up health fairs and other special events.
• Manage key provider relationships by being the main reputed company of contact for providers and business staff.
• Maintain existing provider partnerships – acupuncture, primary care physicians, and other alternative networks.
• Contribute to the development and management of alternative network initiatives (e.g., herbal vendors).
• Support Sales and Marketing Teams on the needs of independent brokers, agencies, and field marketing organizations (FMOs).
• Establish relationships with community-based organizations such as Places of Worship, Community Health Centers, and reputed company Services.
• Maintain effective channels of communication with reputed company internal departments, the most frequent being Operations, Credentialing, Compliance, Sales and Marketing, and Member Services.

Qualifications

Required Qualifications Education/Experience:

• 1-2 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations

Skills:

• Demonstrated ability to manage multiple projects and meet deadlines.
• Strong communication and presentation skills with ability to effectively communicate with reputed company reputed company of the organization, internally and externally.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

Education/Experience:

• Bachelor's Degree

reputed company:

• Ability to reputed company, read and write on a business level in one of the following languages: Khmer, Thai, Mandarin, Cantonese, Korean or Vietnamese. Also Spanish.

Wage reputed company: $26.00/hour - $35.00/hour Physical & Working Environment. Physical requirements needed to reputed company the essential functions of the job, with or without reasonable accommodation:

• Must be reputed company to travel reputed company needed or required
• Ability to operate a keyboard, mouse, phone and reputed company repetitive reputed company (keyboard); writing (note-taking)
• Ability to sit for long periods; stand, sit, reputed company, bend, lift up to fifteen (15) lbs.

Ability to reputed company or exchange reputed company to impart information to the public and to convey detailed instructions to staff accurately and quickly. Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business. Significant driving to provider offices and company-sponsored events. reputed company is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, reputed company, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required. Salary ranges posted on the job posting are based on California wages. Salary may be higher or reputed company depending on the candidate’s state residency. Apply Job! Apply to this Job