Provider Field Representative - Southern California
Posted 2025-06-16Job title: Provider Field Representative - Southern California in West Sacramento, CA at Gainwell Technologies
Company: Gainwell Technologies
Job description: Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.SummaryThe Provider Field Representatives, also known as Regional Representatives, support the provider community in a variety of areas including but not limited to virtual and onsite visits, claims follow up and research support, as well as virtual and face-to-face training development and delivery. These positions act as liaisons between providers and internal departments. The appropriate individuals for these positions will possess strong communication skills, have experience delivering training in-person and virtually, and be available for limited overnight travel. These positions work with providers, provider associations, and directly with the client in support of the Medi-Cal program.Your role in our mission
- Under minimal supervision, performs routine to complex tasks that are related to provider claiming, program policies, and training.
- Provides training (workshops, seminars, program specific group events) to the provider community and acts as liaison with our internal departments and the customer to implement programs that are necessary for the Medicaid program.
- Provides one-on-one billing support, claim research and analysis, and targeted outreach to providers; supports provider association inquiries and events
- Applies knowledge of established policies and procedures to resolve provider issues, and to work with the customer to ensure compliance.
- Exercises independent judgment within defined practices and procedures to define appropriate actions; escalates areas of concern to leadership/the client as defined by procedures; evaluates unique circumstances and makes recommendations.
- Three or more years of business process outsourcing, consulting, or systems implementation experience. Medi-Cal experience preferred
- Strong analytical skills and provider relations skills. Organizational and time management skills. Communication, presentation, and facilitation skills.
- Experience working with business processes. Ability to assess clients' business and identify improvement opportunities.
- Ability to conceptualize, develop, and apply business and management consulting applications and services.
- Willingness and ability to travel.
- Work from Home, in central or southern California
- Travel required throughout the assigned geographic region to support training and other provider and account needs.
- For positions assigned to WFH, reliable high-speed internet connectivity is required. Employees working-from-home may be required to report to the office, at times, to support work efforts.
Expected salary: $46800 - 66900 per year
Location: West Sacramento, CA
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