Remote Provider Relations & Training Specialist (CA)

Gainwell Technologies LLC

Columbus (OH)

Remote

USD 70,000 - 75,000

Full time

8 days ago

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Benefits offered by this job

401(k) employer match
Health benefits
Educational assistance

Job summary

Gainwell Technologies is seeking an experienced Provider Field Representative to support healthcare providers in Northern California as part of Medi-Cal. You will conduct virtual and onsite visits, deliver training, and resolve billing issues while traveling across the territory.

This remote, field-based role requires strong presentation and facilitation skills, plus a CA driver license and willingness to travel. Excellent communication and problem-solving abilities are essential.

Qualifications

  • 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.

Responsibilities

  • 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.

Skills

Provider relations
Training delivery
Communication skills
Time management
Travel readiness
Medi-Cal knowledge

Job description

Gainwell Technologies is seeking an experienced Provider Field Representative to support healthcare providers in Northern California as part of Medi-Cal. You will conduct virtual and onsite visits, deliver training, and resolve billing issues while traveling across the territory.

This remote, field-based role requires strong presentation and facilitation skills, plus a CA driver license and willingness to travel. Excellent communication and problem-solving abilities are essential.

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