Professional Field Representative

🔥 1 minute ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $54.3k - $77.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Partner with Wisconsin Medicaid providers and stakeholders to research, analyze, and resolve complex operational or claims-related issues • Educate and train providers and stakeholders through one-on-one support, guidance sessions, and ongoing communication • Learn and apply contract policies, procedures, and operational guidelines to ensure accurate support and issue resolution • Support escalated provider issues by researching concerns, coordinating with internal teams, and ensuring timely follow-up • Participate in identifying, documenting, analyzing, and validating business processes, workflows, and operational requirements • Build strong provider relationships while supporting service quality, operational consistency, and customer satisfaction • Support Wisconsin Medicaid provider operations and stakeholder engagement • Interact regularly with healthcare providers, internal operational teams, and leadership • Support provider education, operational improvements, and process enhancement initiatives

🎯 Requirements

• Minimum of 2 years of experience working with Medicaid, Medicare, commercial insurance, or government healthcare programs • Minimum of 2 years of experience working directly with healthcare providers, provider relations, provider services, healthcare operations, or managed care environments • Strong written and verbal communication skills with the ability to educate, present, and communicate professionally with providers and stakeholders • Strong project management, organizational, research, analytical, and problem-resolution skills • Ability to work independently, prioritize responsibilities, and make sound business decisions in a fast-paced environment • Experience researching and resolving escalated operational, claims, billing, or provider-related issues preferred

🏖️ Benefits

• Flexible hours • Work-life balance • Continuous learning and career development • Medical insurance • Dental insurance • Vision insurance • 401(k) with company match • Paid time off • Company-observed holidays • Flexible vacation policy • Educational assistance • Leadership and technical development academies