Provider Field Representative - Remote - San Diego, CA - Any city, CA, US, 99999

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

The Provider Field Representatives (PFRs) will support the provider community in a variety of areas including, for example, claims submissions, provider enrollment, and training. 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 Dental program.

Your role in our mission

• Under minimal supervision, performs routine to complex tasks that are related to various provider claims and policies. 
• Provides training 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. 
• Performs outreach to providers and the provider community; Works with the customer and the provider community to grow participation in the program.
• 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. Dental or Medi-Cal Dental experience.
• Strong analytical skills and customer 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 to travel.

What you should expect in this role

Work from Home, in Southern California (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.  

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The pay range for this position is $60,200.00 - $86,000.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.