Provider Relations Representative jobs in Kansas City, 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.

  • 15 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...
  • 23 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 ...
  • 14 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 ...
  • 15 Days Ago

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0 Provider Relations Representative jobs found in Kansas City, MO area

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Customer Support Specialist (Bilingual)
  • Basys
  • Kansas City, MO
  • Summary Maintain a positive work atmosphere by behaving and communicating in a manner consistent with the mission, visio...
  • 4/19/2024 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...
  • 4/18/2024 12:00:00 AM

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Customer Service Representative ( remote)
  • PATH ARC
  • Kansas City, MO
  • The customer service representative will be responsible for answering client inquiries, provide product information, and...
  • 4/17/2024 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...
  • 4/16/2024 12:00:00 AM

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Customer Support Specialist (Bilingual)
  • Basys
  • Kansas City, MO
  • Summary Maintain a positive work atmosphere by behaving and communicating in a manner consistent with the mission, visio...
  • 4/16/2024 12:00:00 AM

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Customer Service Representative ( remote)
  • Path Arc
  • Kansas City, MO
  • The customer service representative will be responsible for answering client inquiries, provide product information, and...
  • 4/16/2024 12:00:00 AM

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Support Services Representative
  • Fellowship of Christian Athletes
  • Kansas City, MO
  • Job Description Job Description The Support Services Representative is often the first level contact with the public and...
  • 4/16/2024 12:00:00 AM

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Customer Service Representative
  • Doctor's Equipment Service
  • Kansas City, MO
  • Job Description Job Description We are seeking a Customer Service Representative to join our team! You will be responsib...
  • 4/16/2024 12:00:00 AM

Kansas City is the largest city in the U.S. state of Missouri. According to the U.S. Census Bureau, the city had an estimated population of 488,943 in 2017, making it the 37th most-populous city in the United States. It is the central city of the Kansas City metropolitan area, which straddles the Kansas–Missouri state line. Kansas City was founded in the 1830s as a Missouri River port at its confluence with the Kansas River coming in from the west. On June 1, 1850 the town of Kansas was incorporated; shortly after came the establishment of the Kansas Territory. Confusion between the two ensued...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$52,435 to $67,082
Kansas City, Missouri area prices
were up 1.7% from a year ago