Provider Field Representative Lead

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $70k - $80k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Provide functional leadership and direction to Provider Field Representatives serving California’s Medi-Cal provider community • Support team escalations, complex provider inquiries, billing questions, claims issues, and program requirements • Provide one-on-one billing assistance, claims research and analysis, reimbursement support, and resolution of provider billing issues • Support and help direct provider education and outreach, including workshops, seminars, program-specific events, one-on-one training, and provider association activities • Serve as a liaison between providers, internal departments, and the client to resolve issues and support Medi-Cal programs and initiatives • Apply policies and procedures while exercising independent judgment to resolve complex provider issues and recommend solutions or escalation • Contribute to shared knowledge resources and document complex issue resolution • Support development and mentoring of Provider Field Representatives • Identify opportunities to improve provider service, team processes, and operational effectiveness • Travel throughout California for provider training, outreach, events, and other business needs

🎯 Requirements

• Three or more years of business process outsourcing, consulting, systems implementation, provider relations, provider services, or related healthcare operations experience • Experience supporting healthcare providers with billing, claims research, billing issues, and reimbursement-related questions • Experience serving as a functional lead, subject matter expert, mentor, trainer, or escalation point for a team • Experience developing and/or delivering training to healthcare providers virtually and in person • Strong provider relations, analytical, problem-solving, communication, presentation, facilitation, and functional leadership skills • Experience working with business processes, assessing provider or client needs, and identifying opportunities for improvement • Medi-Cal or Medicaid experience preferred • Willingness and ability to travel throughout California • Must reside in California • Reliable high-speed internet connectivity is required

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Travel expense reimbursement (referenced in the compensation definition)