Provider Field Representative

🕒 September 25

🏄 California – Remote

🏄 California – Remote

💵 $70k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 23%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Build and maintain strong working relationships with healthcare providers and provider organizations throughout an assigned Southern California territory • Conduct virtual and onsite provider visits to provide education, training, operational support, and assistance with Medi-Cal program requirements • Develop and deliver provider training through workshops, seminars, webinars, one-on-one sessions, and other virtual and in-person educational events • Provide one-on-one billing support and research healthcare claims, payment, and provider-related issues • Serve as a liaison between healthcare providers, provider associations, internal Gainwell departments, and client representatives • Apply established Medi-Cal policies, procedures, and program requirements to research and resolve provider questions and operational issues • Identify provider trends, recurring issues, and opportunities for additional education or process improvement and communicate findings to leadership • Exercise independent judgment within established guidelines while escalating complex or sensitive issues as appropriate • Travel throughout the assigned territory for provider visits, training, outreach activities, provider association events, and other business needs

🎯 Requirements

• Three or more years of experience in provider relations, provider outreach, provider education, healthcare operations, healthcare claims, Medicaid/Medi-Cal, healthcare consulting, business process outsourcing, or a related healthcare function • Experience working directly with healthcare providers, provider offices, medical groups, healthcare organizations, or other healthcare stakeholders • Experience delivering training, presentations, workshops, webinars, or educational sessions in both virtual and in-person environments • Experience researching and resolving healthcare claims, billing, payment, provider enrollment, or other provider-related operational issues • Strong communication, presentation, facilitation, relationship-management, and customer service skills • Strong analytical, organizational, and time-management skills • Ability to independently manage an assigned geographic territory • Willingness and ability to travel throughout an assigned Southern California territory, including limited overnight travel as business needs require • Candidates must reside in Southern California • Reliable high-speed internet connectivity for work-from-home responsibilities

🏖️ Benefits

• Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Work flexibility • Career development opportunities

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