Medical Group currently seeking for Provider Relation candidates. 

Area :  Buena Park

PremierOne Plus MSO (POPMSO) is a management services organization serving the needs of medical providers in a managed care setting. PremierOne Plus MSO provides you with the resources and opportunity to build a rewarding career in an environment that supports your success. We are seeking a full-time Provider Relations Representative to perform internal and external duties to ensure high quality and efficient day-to-day operations. The Provider Relations Representative is involved in office and field duties in educating, training, and supporting the network of PremierOne Plus MSO’s contracted IPAs. Provider Relations Representatives will have the opportunity to learn about the ins and outs of managed care and build a career with what they learn.

Duties

1.       Maintain, establish, and develop collaborative relationships with network providers and prospective providers

2.       Call and contact various provider offices to send out and obtain contracts through mail, fax, or in-person

3.       Research and understand the processes of the MSO and the IPAs including but not limited to claims, utilization management, eligibility, credentialing, and contracting

4.       Provide support to providers regarding the policies and procedures of the IPA, health plans, and state and federal bodies

5.       Be involved in new business development projects for the MSO and the IPAs

6.       Drive to provider offices to represent, to conduct business, and/or perform marketing activities/duties on behalf of the MSO and the IPAs (more than 50% of the time)

Qualifications

1.       Experience in business management/marketing

2.       College graduate

3.       Excellent and proven interpersonal, verbal, and written communication skills

4.       Ability to keep schedule; customer service; strong work ethics

5.       Proficiency with Microsoft Excel/Word

6.       Ability to cope with conflict, stress, and crisis situations

7.       Ability to drive (more than 50% of the time is field work)

8.       Fluent in both English and Korean

Resume submission: info330amm@gmail.com