Provider Field Representative - Remote Missouri

Summary

The Professional Field Representative serves as the primary liaison between healthcare providers and Missouri Medicaid, conducting virtual and in-person provider site visits, resolving complex issues, and delivering training to ensure provider compliance and satisfaction. This is a remote position, and candidates must reside in Missouri. The role operates Monday through Friday during standard business hours.

Your role in our mission

• 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.

What we're looking for

• 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.

What you should expect in this role

• Remote position requiring residence in Missouri with regular travel for provider site visits, conferences, training events, and stakeholder meetings.
• Frequent interaction with healthcare providers and internal partners supporting Missouri Medicaid programs.
• A dynamic field-based role that combines virtual meetings, in-person visits, provider education, and relationship management.
• Participation in pre- and post-enrollment site visits to verify compliance with state and federal Medicaid requirements.
• Opportunities to make a direct impact by improving provider compliance, strengthening provider relationships, and enhancing the overall provider experience.

*This posting is intended for pipelining. We will accept applications on an ongoing basis.

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