Provider Field Representative

This is a fully remote position, open to applicants in California.

📋 Description

• Establish and nurture robust working relationships with healthcare providers and provider organizations across a designated Southern California territory.

• Conduct both virtual and in-person visits with providers to offer education, training, operational support, and guidance on Medi-Cal program requirements.

• Create and present training for providers through workshops, seminars, webinars, one-on-one sessions, and other educational events, both virtual and in-person.

• Provide individualized billing support and investigate healthcare claims, payment, and provider-related issues.

• Act as a liaison among healthcare providers, provider associations, internal Gainwell departments, and client representatives.

• Utilize established Medi-Cal policies, procedures, and program requirements to investigate and address provider inquiries and operational challenges.

• Identify trends among providers, recurring issues, and opportunities for additional training or process enhancements, sharing insights with leadership.

• Exercise independent judgment within set guidelines while appropriately escalating complex or sensitive issues.

• Work from home when not engaged in provider visits, training sessions, meetings, or other field activities.

• Travel regularly throughout the assigned Southern California territory to engage with healthcare providers, client representatives, and internal Gainwell teams.

⛳️ Requirements

• A minimum of three years' experience in provider relations, provider outreach, provider education, healthcare operations, healthcare claims, Medicaid/Medi-Cal, healthcare consulting, business process outsourcing, or a similar healthcare role.

• Experience collaborating directly with healthcare providers, provider offices, medical groups, healthcare organizations, or other stakeholders in the healthcare sector.

• Proven experience in delivering training, presentations, workshops, webinars, or educational sessions in both virtual and in-person formats.

• Demonstrated experience in researching and resolving healthcare claims, billing, payment, provider enrollment, or other provider-related operational issues.

• Excellent communication, presentation, facilitation, relationship management, and customer service skills.

• Strong analytical, organizational, and time-management abilities, with a proficiency in independently managing a designated geographic territory.

• Willingness and capacity to travel throughout the assigned Southern California territory, including occasional overnight travel as business needs dictate.

• Candidates must reside in Southern California.

• Reliable high-speed internet access is mandatory for remote work responsibilities.

🏝️ Benefits

• Work flexibility.

• Opportunities for learning and career development.

• Flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.