Provider Field Representative Lead
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Provider Field Representative Lead supporting California Medi-Cal providers with billing, claims, outreach, and training. Leading field representatives for Gainwell Technologies’ healthcare operations.
Responsibilities:
- 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)
Similar Jobs
Intake Care Representative
Intake Care Representative supporting Evernorth specialty pharmacy and infusion patient referrals. Guiding patients, providers, and care teams through accurate healthcare intake and onboarding.
Retail Representative – Part-Time
Part-time Retail Representative selling and merchandising Mars Snacking products across Regina retail outlets. Managing product distribution, displays, promotions, inventory freshness, and territory coverage for Mars Snacking.
Field Services Representative
Field Services Representative supporting Dowty’s R391 composite propeller systems for GE Aerospace. Providing customer technical assistance, aircraft maintenance, repairs, reporting, and global field service support.
Roofing Technical Representative
FiberTite technical representative supporting roofing installations and inspections for Seaman Corporation. Providing field training, warranty investigations, and technical support across a designated U.S. territory.
Field Service Representative
Field Service Representative growing Altra’s running footwear brand across Virginia. Building retailer partnerships, product education, run-club activations, and community engagement in Richmond and Washington, D.C.
Field Service Representative
Altra Field Service Representative growing the running brand across Michigan. Building retailer partnerships, community activations, product education, and territory performance.
Technical Field Service Representative – SHEV & Ventilation
Technischer Außendienst für RWA- und Lüftungslösungen bei D+H Mechatronic. Beratung, Neukundengewinnung und Betreuung von Kunden in Norddeutschland.
Informatics Lead Development Representative, German
Lead generation representative qualifying life-science sales prospects for Revvity. Conducting outbound outreach, researching accounts, and supporting regional sales teams across Europe.
Patient Services Representative
Remote Patient Services Representative handling patient calls, billing questions, payments, and account issues. Supporting USACS healthcare operations while providing HIPAA-compliant customer service.
Patient Services Representative
Patient Services Representative supporting patients for Willow, a personalized cosmetic weight loss telehealth company. Handling inquiries, complaints, records, and account workflows across remote support channels.
Industrial Technical Services Representative
Industrial waste sales representative supporting hazardous-waste customers for WM’s environmental collection, recycling, and disposal services. Advising customers on compliant transportation, disposal, profiles, and sales solutions.
Retention Field Representative
Wellcare Field Retention Representative retaining Orlando-area healthcare members through telephonic and field outreach. Explaining products, resolving inquiries, and documenting member interactions.
Retention Field Representative
Field representative retaining Wellcare healthcare membership across New York City boroughs. Conducting member outreach, education, issue resolution, and field visits.
Retention Field Representative
Fidelis Care Field Retention Representative retaining health plan members through telephonic and community outreach. Conducting visits, answering product questions, and documenting member interactions across Oneida County.
Care Coordination Representative
Remote Care Coordination Representative processing health information, referrals, authorizations, and patient forms. Managing EHR filing, compliance, data entry, and client service protocols.
Eligibility Representative, Specialty
Insurance verification coordinator supporting specialty pharmacy and infusion patients for Evernorth. Verifying coverage, authorizations, reimbursement documents, and financial assistance requirements.
Senior Representative, BPS Middle Office
Senior Middle Office Representative administering CLO/CDO transactions for FIS’s alternative investment technology and services business. Managing reconciliations, waterfalls, cash movements, reporting, and counterparties.
Upsell Representative
Upsell Representative growing Arketa’s fitness and wellness software revenue through add-on and Payroll sales. Owning expansion conversations, demos, pipeline, and quota performance.
Specialty Representative, GI Care
Specialty Representative selling AbbVie GI care medicines across Trenton-area healthcare accounts. Managing territory strategy, customer relationships, sales performance, and clinical market intelligence.
Lead Patient Representative – Telehealth
Lead Patient Representative coordinating telehealth access operations at Cincinnati Children’s. Supporting patient services, quality auditing, compliance, and Agentic Voice AI monitoring.