Conduct virtual and in-person provider site visits to verify enrollment information and ensure compliance with state and federal Medicaid requirements.
Guide healthcare providers through the site visit process, documenting observations, communicating findings, and coordinating follow-up activities when corrective actions are required.
Deliver provider education and training sessions on Medicaid policies, enrollment requirements, billing practices, and program-specific initiatives.
Serve as a trusted resource by assisting providers with complex billing, policy, and operational questions while fostering strong professional relationships.
Proactively engage providers throughout your assigned region to improve provider satisfaction, support compliance efforts, and promote successful participation in Missouri Medicaid programs.

Experience working with Medicaid, Medicare, managed care organizations, health insurance plans, or other healthcare operations.
Strong communication and relationship-building skills with the ability to effectively interact with healthcare providers and key stakeholders.
Confidence presenting information and facilitating training sessions for both small and large audiences.
Residence in Missouri with the ability and willingness to travel throughout the state as needed for provider visits and meetings.
Experience in provider relations, provider enrollment, healthcare billing, healthcare compliance, or healthcare policy is preferred.

generous, flexible vacation policy
401(k) employer match
comprehensive health benefits
educational assistance
leadership and technical development academies to help build your skills and capabilities

Provider Field Representative

Key skills