Provider Relations Representative jobs in Independence, MO

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Supervisor (0410004)
  • State of Missouri
  • Kansas City, MO FULL_TIME
  • Developmental Disability Service Supervisor

    (Provider Relations Lead)

    Salary: $2,486.24 Semi-Monthly ($59,669.76 Annually)


    Deadline to Apply by: May 10, 2022

    *Hybrid & Flexible Work Options Available*

    Domiciled location – Kansas City Regional Office


    The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team, YOU can make a difference in the lives of those impacted by a mental illness or developmental disability so they have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities.


    Benefits of working with Missouri Department of Mental Health include: Health, Vision, and Dental Insurance, Sick and Vacation Leave, 13 Paid Holidays per year, and Retirement. https://oa.mo.gov/personnel/state-team-members/team-member-benefits


    The Regional Office Provider Relations Team is recruiting a dynamic, positive and flexible professional to support the Provider Relations team and contracted provider development, in pursuit of quality provision of supports and services. This position oversees professional staff who offer technical assistance to providers and monitors their service delivery systems to assess quality of services to individuals and compliance with contractual, regulatory and Medicaid Waiver requirements.


    This position supports the Western District (Kansas City and Albany) and must be physically present in a Kansas City Office at least one eight hour work day each week. Additional in-office workdays may be required, up to five workdays per week, based on scheduled meetings, at any office in the eastern district.


    Primary Functions:

    • Partner with and provide technical assistance to stake holders regarding service delivery and requirements including but not limited to contract language, Code of State Regulations, Medicaid Waiver service definitions including standards and record keeping, Individualized Supported Living and Shared Living budgets, staffing patterns, certification standards, and policy and procedure development.
    • Review, interpret, analyze and apply agency standards for care and treatment/habilitation of persons served by the Department of Mental Health.
    • Conduct analysis of Quality Assurance data (event reports, fiscal review, event management tracking and quality management findings) to identify possible provider systemic issues to be addressed.
    • Initiate Provider Corrective Action Plans as identified by data analysis, incident evaluations and referrals to ensure desired changes are affected, objectives achieved and program changes are maintained.
    • Facilitate evaluation of provider contract renewal and termination processes.
    • Develop and assure completion of provider and Division staff training, attend and present material as needed.
    • Facilitate bi-annual information meetings open to all providers.
    • Develop and maintain technical knowledge of information management systems, which includes but is not limited to Share Point documents, Excel, Integrated Quality Management Database and CIMOR.
    • Engage in and facilitate Continual Quality Improvement activities.
    • Disseminate Division and Regional communication and obtain data and responses when required.
    • Manage special projects assigned to the provider relations team.
    • Provide leadership and supervision to professional, technical and program staff.
      • Review, submit, and approve all timesheets by established deadlines.
      • Hire, develop and promote qualified individuals through defined department processes.
      • Perform and document Engage process with each team member monthly.
      • Address situations that need to be addressed in a timely fashion.
      • Foster an open environment for the exchange of ideas by being open to differing opinions and ideas.
      • Make timely and consistent decisions and communicate those to staff in a clear manner.

    Typical qualifications:

    Bachelor’s degree and 3 or more years of relevant experience. (Substitutions may be allowed.)


    To Apply:

    Upload a cover letter, resume, college transcript, and three professional letters of recommendation to:

    https://mocareers.mo.gov/apply for applicants not yet employed with the State of Missouri.

    https://mocareers.mo.gov/internal for applicants currently employed with the State of Missouri.


    Complete information must be provided for your request to be considered. Documentation supporting your eligibility (transcripts, employment records, etc.) may be required at any time during the application and hiring process.

    Please email additional questions to: Cheryl.wilson@dmh.mo.gov


    The State of Missouri is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

  • 21 Days Ago

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Field Support Representative - Full Time
  • Dohrn Transfer -Field Support Representative
  • Cameron, MO FULL_TIME
  • Field Support Representative - Full Time Apply Now Description/Job Summary Dohrn Transfer is your complete Midwestern transportation partner. We offer less-than-truckload, truckload and value-added se...
  • 1 Month Ago

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crna
  • KPG Provider Services
  • Kirksville, MO FULL_TIME
  • CRNA physician job in Missouri : Inpatient Facility: Looking for an experienced CRNA in the Kirksville, Missouri area. Below you will find the Position Overview with all the detail regarding the posit...
  • 28 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Michael Oehrke - State Farm Agent
  • Summit, MO FULL_TIME
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the ...
  • 19 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Chad Mitchell - State Farm Agent
  • Independence, MO FULL_TIME
  • Position Overview State Farm Insurance Agent located in Independence, MO is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Chad Mitchell - State ...
  • 21 Days Ago

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0 Provider Relations Representative jobs found in Independence, MO area

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Account Representative I
  • Guidant Financial
  • Independence, MO
  • This is a fully and permanently remote work from home opportunity with a growing and stable company available in select ...
  • 4/24/2024 12:00:00 AM

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Crisis Services Supervisor, KC Region
  • Burrell Behavioral Health
  • Independence, MO
  • Job Description: Job Title: Crisis Center Supervisor Location: Kansas City, Missouri area Department: Crisis Services Em...
  • 4/24/2024 12:00:00 AM

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Customer Service Rep
  • GEODIS Group
  • Kansas City, MO
  • ** Customer Service Rep** **Job Category****:** Operations **Requisition Number****:** CUSTO17962 Showing 1 location **J...
  • 4/24/2024 12:00:00 AM

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Medical Billing Specialist
  • Lakeview Village
  • Lenexa, KS
  • * Submits billings to Medicare, or the appropriate commercial insurer. Ensures the accurate billing of residents, Medica...
  • 4/23/2024 12:00:00 AM

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Banking Service Representative (Entry-Level)
  • Katapult Network
  • Kansas City, MO
  • Katapult Network is designed to help college graduates with zero to two years of professional experience find their next...
  • 4/23/2024 12:00:00 AM

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Medical Billing Specialist
  • Lakeview Village
  • Lenexa, KS
  • * Submits billings to Medicare, or the appropriate commercial insurer. Ensures the accurate billing of residents, Medica...
  • 4/22/2024 12:00:00 AM

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Resident Shelter Monitor
  • The Salvation Army Central Territory
  • Independence, MO
  • Job Description Job Objective: The Resident Monitor is responsible to ensure the integrity of the program, philosophy, a...
  • 4/21/2024 12:00:00 AM

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Survey Crew Chief / Bemidji, MN, USA
  • Northern Engineering & Consulting
  • Kansas City, MO
  • Job Description Job Description At Northern Engineering & Consulting, Inc. (NECI), we take pride in being a company of e...
  • 4/21/2024 12:00:00 AM

Independence is the fifth-largest city in the U.S. state of Missouri. It lies within Jackson County, of which it is the county seat. Independence is a satellite city of Kansas City, Missouri, and is part of the Kansas City metropolitan area. In 2010, it had a total population of 116,830. Independence is known as the "Queen City of the Trails" because it was a point of departure for the California, Oregon, and Santa Fe Trails. Independence was also the hometown of U.S. President Harry S. Truman; the Truman Presidential Library and Museum is located in the city, and Truman and First Lady Bes...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$52,381 to $67,014
Independence, Missouri area prices
were up 1.7% from a year ago