Senior Provider Relations Representative – Korean Speaking Position Available In Queens, New York

Senior Provider Relations Representative – Korean Speaking Optum United States, York, Flushing Jun 21, 2025

Job Summary:

Join UnitedHealthcare to simplify the health care experience, create healthier communities, and remove barriers to quality care. Your work will impact millions, helping to build a more responsive, affordable, and equitable health care system.

Responsibilities:

Assist with provider claims and enhance call quality.
Identify and solve problems using data.
Investigate non-standard requests.
Design and implement programs to build positive relationships with providers.
Implement training and development programs for external providers.
Identify gaps in network composition and assist with network development.

Key Skills:

Relationship building, flexibility, and reliability.
Hands-on experience with issue resolution and contract maintenance.
Engage providers in process improvements.
Produce and distribute operational reports.
Collaborate with other managers to foster teamwork.
Implement strategies for provider network development.
Resolve provider complaints to improve ratings and referrals.
Collect charts for

HEDIS/STAR

measures and quality metrics.
Manage relationships with key Asian medical groups.

Qualifications:

4+ years of health care/managed care experience.
2+ years of provider relations/network experience.
Proficient in English/Korean.
Proficiency with MS Word, Excel, PowerPoint, and Access.
Intermediate proficiency in claims processing and issue resolution.
Familiarity with Medicare and Medicaid regulations.

Full description:

https://careers.unitedhealthgroup.com/job/21113285/senior-provider-relations-representative-korean-speaking-flushing-ny/