Provider Field Representative - California (San Diego area) at Gainwell Technologies LLC

, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Jan, 26

Salary

66900.0

Posted On

13 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Business Process Outsourcing, Consulting, Systems Implementation, Analytical Skills, Provider Relations, Organizational Skills, Time Management, Communication Skills, Presentation Skills, Facilitation Skills, Training Development, Billing Support, Claim Research, Problem Solving, Compliance, Travel

Industry

IT Services and IT Consulting

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. Summary The 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. What we're looking for 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. What you should expect in this role Work from Home, in the San Diego area 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. #LI-REMOTE #LI-LS2 #LI-CM1 The pay range for this position is $46,800.00 - $66,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Responsibilities

Provider Field Representatives support the provider community through virtual and onsite visits, claims follow-up, and training delivery. They act as liaisons between providers and internal departments to implement necessary programs for the Medi-Cal program.