Provider Field Representative

🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $40k - $60k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

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

• Conduct virtual and in-person provider site visits to verify enrollment information and ensure compliance with state and federal Medicaid requirements. • Guide healthcare providers through the site visit process, documenting observations, communicating findings, and coordinating follow-up activities when corrective actions are required. • Deliver provider education and training sessions on Medicaid policies, enrollment requirements, billing practices, and program-specific initiatives. • Serve as a trusted resource by assisting providers with complex billing, policy, and operational questions while fostering strong professional relationships. • Proactively engage providers throughout your assigned region to improve provider satisfaction, support compliance efforts, and promote successful participation in Missouri Medicaid programs.

🎯 Requirements

• Experience working with Medicaid, Medicare, managed care organizations, health insurance plans, or other healthcare operations. • Strong communication and relationship-building skills with the ability to effectively interact with healthcare providers and key stakeholders. • Confidence presenting information and facilitating training sessions for both small and large audiences. • Residence in Missouri with the ability and willingness to travel throughout the state as needed for provider visits and meetings. • Experience in provider relations, provider enrollment, healthcare billing, healthcare compliance, or healthcare policy is preferred.

🏖️ Benefits

• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance • leadership and technical development academies to help build your skills and capabilities