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 within a designated California territory.

• Perform virtual and in-person provider visits to offer education, training, operational support, and guidance regarding Medi-Cal program requirements.

• Create and present provider training via workshops, seminars, webinars, individualized sessions, and other educational events conducted both virtually and in-person.

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

• 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.

• Recognize provider patterns, recurring issues, and opportunities for enhanced education or process improvements, communicating insights to leadership.

• Apply independent judgment within set guidelines, escalating complex or sensitive matters as needed.

• Travel across the assigned geographic region for provider visits, training, outreach activities, provider association events, and other business requirements.

• Represent Gainwell in a professional manner during provider meetings, training sessions, and outreach initiatives.

⛳️ Requirements

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

• Proven experience working directly with healthcare providers, provider offices, medical groups, healthcare organizations, or other relevant healthcare stakeholders.

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

• Experience in researching and resolving issues related to healthcare claims, billing, payment, provider enrollment, or other operational matters involving providers.

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

• Strong analytical, organizational, and time management skills.

• Capability to independently manage a designated geographic territory.

• Willingness and ability to travel throughout an assigned California territory, including occasional overnight travel as business needs dictate.

• Candidates must reside in California.

• Reliable high-speed internet access is required 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.

• Educational assistance programs.

• Leadership and technical development academies.

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