Provider Field Representative

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

📋 Description

• Establish and nurture strong professional relationships with healthcare providers and organizations across a designated territory in Central California.

• Conduct both virtual and in-person visits to healthcare providers to offer education, training, operational support, and assistance regarding Medi-Cal program requirements.

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

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

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

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

• Identify trends among providers, recurring challenges, and opportunities for further education or process enhancement, and communicate these insights to leadership.

• Exercise independent judgment within established guidelines while appropriately escalating complex or sensitive matters.

• Travel throughout the designated Central California territory for provider visits, training, outreach initiatives, provider association events, and other business needs.

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

⛳️ Requirements

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

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

• Proven experience in delivering training, presentations, workshops, webinars, or educational sessions in both virtual and face-to-face settings.

• Background in researching and resolving issues related to healthcare claims, billing, payments, provider enrollment, or other operational matters affecting providers.

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

• Strong analytical, organizational, and time-management skills with the capability to independently manage a designated geographic territory.

• Willingness and ability to travel within the assigned Central California territory, including occasional overnight travel as required by business needs.

• Experience with Medi-Cal or Medicaid is preferred.

• Candidates must reside in Central California.

• Reliable high-speed internet connection is necessary for remote work responsibilities.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Generous and flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits package.

• Educational assistance programs.

• Leadership and technical development academies.