Provider Relations Representative jobs in Kansas

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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Medicaid Liaison (Provider Relations)
  • EMBERHOPE, INC
  • Wichita, KS FULL_TIME
  • Location - Wichita KS

    Find your fit. Ignite your passion. Change a life.

    Everyone has a calling that shapes them, and it looks different for each person, but the passion remains the same. You can be an irreplaceable part of bringing hope to at-risk youth and families. When you come to work for EmberHope, you can create impact in a youth’s life. Even in the dark, there is still an ember of hope.

    Where do you fit?

    To be a successful Medicaid Liaison (Provider Relations) you must become able to do the following always:

    Support the permanency and cross-over case management teams by troubleshooting Medicaid issues and interfacing with community stakeholders.

    Serve as a liaison for the Company with the Managed Care Organizations (MCOs) as well as any specialty service providers that may offer unique services to our children, youth, and families.

    Respond to MCO inquiries within 2 business days, via e-mail or phone, and document all correspondence in our electronic client record.

    Serve as the credentialing specialist to ensure the therapists connected to this contract are credentialed with the MCOs.

    Host quarterly meetings with external services providers to discuss any needs and system improvements that we can address to partner and serve our families better.

    Conduct community stakeholders meetings.

    Partner with the internal communications department to develop community messaging.

    Follow Company Policy and Procedure and operate according to the Company’s Program Practice Guidelines.

  • Just Posted

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Manager, Provider Relations
  • Sunflower Health Plan
  • UNKNOWN, KS FULL_TIME
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll hav...
  • 30 Days Ago

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T-Mobile Sales Representative
  • T-Mobile Sales Representative
  • Topeka, KS PART_TIME,FULL_TIME
  • T-Mobile Premium Retailer – Wireless Vision Do the hottest new tech trends excite you? Do you naturally make connections with people everywhere you go? Then a Mobile Expert role with Wireless Vision w...
  • 25 Days Ago

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T-Mobile Sales Representative
  • T-Mobile Sales Representative
  • Manhattan, KS PART_TIME,FULL_TIME
  • T-Mobile Premium Retailer – Wireless Vision Do the hottest new tech trends excite you? Do you naturally make connections with people everywhere you go? Then a Mobile Expert role with Wireless Vision w...
  • 1 Month Ago

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Part Time T-Mobile Sales Representative
  • T-Mobile Sales Representative
  • Pittsburg, KS PART_TIME
  • T-Mobile Premium Retailer – Wireless Vision Do the hottest new tech trends excite you? Do you naturally make connections with people everywhere you go? Then a Mobile Expert role with Wireless Vision w...
  • 1 Month Ago

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Network Relations Consultant (LTSS Provider Rep)
  • Elevance Health
  • Kansas, KS FULL_TIME
  • Description Network Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of on...
  • 10 Days Ago

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Provider Relations Representative
  • DOCTORS HEALTHCARE PLANS, INC.
  • Broward County, FL
  • Job Description Job Description Position Purpose: Exercise the duties and responsibilities delegated to the Provider Rel...
  • 4/23/2024 12:00:00 AM

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Provider Relations Representative
  • TEKsystems
  • Lincoln, NE
  • **** Provider Relations Representative **** *First week of training will be onsite in Lincoln. After that the position w...
  • 4/22/2024 12:00:00 AM

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Provider Relations Representative
  • University Health System
  • San Antonio, TX
  • Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Provider Relations Re...
  • 4/22/2024 12:00:00 AM

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Senior Provider Relations Representative
  • Molina Healthcare
  • Albuquerque, NM
  • ***Remote and must live in New Mexico*** Job Description Job Summary Molina Health Plan Network Provider Relations jobs ...
  • 4/22/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 4/20/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 4/20/2024 12:00:00 AM

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Provider Relations Representative
  • Phoebe Health
  • Albany, GA
  • Description JOB SUMMARY * Serves as a liaison between PHP providers and the organization to meet provider network servic...
  • 4/20/2024 12:00:00 AM

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Provider Relations Representative
  • MBI Health Services
  • Los Angeles, CA
  • Job Description Job Description Position Title: Provider Relations Representative Job Type: Full-Time / Hybrid Departmen...
  • 4/19/2024 12:00:00 AM

Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$50,989 to $65,232