Provider Field Representative
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Job Description
Provider Field Representative supporting California Medi-Cal providers for Gainwell Technologies. Delivering provider education, claims support, and onsite and virtual outreach across assigned California territories.
Responsibilities:
- Build and maintain strong working relationships with healthcare providers and provider organizations within an assigned 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 geographic region for provider visits, training, outreach activities, provider association events, and other business needs
- Represent Gainwell professionally during provider meetings, training sessions, and outreach activities
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 California territory, including limited overnight travel as business needs require
- Candidates must reside in California
- Reliable high-speed internet connectivity is required for work-from-home responsibilities
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
- Reliable high-speed internet connectivity for work-from-home responsibilities
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