Provider Field Representative - Remote Southern California

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.

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

• 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.

• 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.

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…