Provider Field Representative - Remote Missouri at Gainwell Technologies LLC

, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Sep, 26

Salary

60000.0

Posted On

27 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Relations, Medicaid Compliance, Healthcare Billing, Relationship Management, Public Speaking, Training Facilitation, Provider Enrollment, Healthcare Policy, Site Visit Auditing, Stakeholder Engagement

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 Professional Field Representative serves as the primary liaison between healthcare providers and Missouri Medicaid, conducting virtual and in-person provider site visits, resolving complex issues, and delivering training to ensure provider compliance and satisfaction. This is a remote position, and candidates must reside in Missouri. The role operates Monday through Friday during standard business hours.Your role in our mission 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. What we're looking for 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. What you should expect in this role Remote position requiring residence in Missouri with regular travel for provider site visits, conferences, training events, and stakeholder meetings. Frequent interaction with healthcare providers and internal partners supporting Missouri Medicaid programs. A dynamic field-based role that combines virtual meetings, in-person visits, provider education, and relationship management. Participation in pre- and post-enrollment site visits to verify compliance with state and federal Medicaid requirements. Opportunities to make a direct impact by improving provider compliance, strengthening provider relationships, and enhancing the overall provider experience. *This posting is intended for pipelining. We will accept applications on an ongoing basis. #LI-REMOTE #LI-JT! The pay range for this position is $40,000 - $60,000 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. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Responsibilities

Acts as the primary liaison between healthcare providers and Missouri Medicaid by conducting site visits to ensure compliance with state and federal requirements. Delivers education and training on billing practices and policies while resolving complex operational issues for providers.