Provider Field Representative - Remote Southern California

Gainwell Technologies LLC; Columbus (OH); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership/Technical developmentAcadem

Job summary

Gainwell Technologies is seeking an experienced Provider Field Representative to support providers across a Southern California territory. This remote, field-based role involves home-based work with regular travel for visits, training, and outreach activities to ensure Medi-Cal program adherence.

You will build relationships, educate providers, deliver workshops, and resolve billing or claims issues. The role requires strong communication, organization, and the ability to operate independently

Qualifications

• Three or more years of experience in provider relations or a related healthcare function.
• Experience working with healthcare providers, provider offices, or healthcare organizations.
• Experience delivering training, presentations, or educational sessions in virtual and in-person settings.
• Medi-Cal or Medicaid experience is preferred.
• Ability to travel throughout a Southern California territory, including occasional overnight travel.

Responsibilities

• Build and maintain relationships with healthcare providers and provider organizations in the Southern California territory.
• Conduct virtual and onsite provider visits to educate, train, and support Medi-Cal program requirements.
• Develop and deliver provider training through workshops, seminars, webinars, and in-person events.
• Provide one-on-one billing support and investigate provider billing and payment issues.
• Serve as a liaison between providers, associations, internal teams, and client representatives.
• Apply Medi-Cal policies to research and resolve provider questions and issues.
• Identify provider trends and opportunities for education or process improvement; report findings to leadership.
• Exercise independent judgment within guidelines; escalate complex issues as needed.

Skills

Provider relations

Provider outreach

Provider education

Healthcare operations

Healthcare claims

Medi-Cal/Medicaid

Travel readiness

Training delivery

Communication skills

Customer service

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.

Summary

Gainwell Technologies is seeking an experienced Provider Field Representative to support healthcare providers throughout Southern California as part of California’s Medi-Cal program.

Your role in our mission

• Build and maintain strong working relationships with healthcare providers and provider organizations throughout an assigned Southern California territory.
• Conduct virtual and onsite provider visits to provide education, training, operational support, and assistance with Medi-Cal program requirements.
• Develop and deliver provider training through workshops, seminars, webinars, one‑on‑one sessions, and other virtual and in‑person educational events.
• Provide one‑on‑one billing support and research healthcare claims, payment, and provider‑related issues to help identify and resolve concerns.
• Serve as a liaison between healthcare providers, provider associations, internal Gainwell departments, and client representatives.
• Apply established Medi-Cal policies, procedures, and program requirements to research and resolve provider questions and operational issues.
• Identify provider trends, recurring issues, and opportunities for additional education or process improvement and communicate findings to leadership.
• Exercise independent judgment within established guidelines while escalating complex or sensitive issues as appropriate.

What we're looking for

• Three or more years of experience in provider relations, provider outreach, provider education, healthcare operations, healthcare claims, Medicaid/Medi-Cal, healthcare consulting, business process outsourcing, or a related healthcare function.
• Experience working directly with healthcare providers, provider offices, medical groups, healthcare organizations, or other healthcare stakeholders.
• Experience delivering training, presentations, workshops, webinars, or educational sessions in both virtual and in‑person environments.
• Experience researching and resolving healthcare claims, billing, payment, provider enrollment, or other provider‑related operational issues.
• Strong communication, presentation, facilitation, relationship‑management, and customer service skills.
• Strong analytical, organizational, and time‑management skills with the ability to independently manage an assigned geographic territory.
• Medi‑Cal or Medicaid experience is preferred.
• Willingness and ability to travel throughout an assigned Southern California territory, including limited overnight travel as business needs require.

What you should expect in this role

This is a remote, field‑based position for candidates who reside in Southern California. You will support healthcare providers within an assigned Southern California geographic territory. The territory may include Los Angeles, Orange, San Diego, Riverside, San Bernardino, Ventura, Imperial, and Santa Barbara counties, as well as surrounding areas based on business needs. You will work from home when not conducting provider visits, training sessions, meetings, or other field activities. Regular travel throughout your assigned Southern California territory is required to support provider visits, training, outreach activities, provider association events, and other business needs. Limited overnight travel may be required. You will regularly interact with healthcare providers, provider organizations, client representatives, and internal Gainwell teams. This position requires strong presentation and facilitation skills and the ability to professionally represent Gainwell during provider meetings, training sessions, and outreach activities. Reliable high‑speed internet connectivity is required for work‑from‑home responsibilities.

The pay range for this position is $70,000 - $75,000 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.

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.

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.”