Professional Field Representative

Gainwell Technologies

. Partner with Wisconsin Medicaid providers and stakeholders to research, analyze, and resolve complex operational or claims-related issues .

Posted 10/5/2026full-timeRemote • Wisconsin • United StatesJuniorMid-Level💰 $54,300 - $77,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicaid and healthcare provider relations, with a strong focus on operational issue resolution, provider education, and stakeholder engagement. Proficient in project management and analytical problem-solving within fast-paced healthcare environments.

Highest-signal resume keywords

Medicaid ExperienceProvider RelationsProject ManagementAnalytical SkillsCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Operational Issue ResolutionClaims ResearchBusiness Process AnalysisWorkflow DocumentationContract Policy Application

Soft Skills

Organizational SkillsProblem-Solving SkillsIndependencePrioritization

Industry Keywords

Healthcare OperationsProvider ServicesManaged CareGovernment Healthcare ProgramsCustomer Satisfaction

About the role

Key responsibilities & impact

Partner with Wisconsin Medicaid providers and stakeholders to research, analyze, and resolve complex operational or claims-related issues
Educate and train providers and stakeholders through one-on-one support, guidance sessions, and ongoing communication
Learn and apply contract policies, procedures, and operational guidelines to ensure accurate support and issue resolution
Support escalated provider issues by researching concerns, coordinating with internal teams, and ensuring timely follow-up
Participate in identifying, documenting, analyzing, and validating business processes, workflows, and operational requirements
Build strong provider relationships while supporting service quality, operational consistency, and customer satisfaction
Support Wisconsin Medicaid provider operations and stakeholder engagement
Interact regularly with healthcare providers, internal operational teams, and leadership
Support provider education, operational improvements, and process enhancement initiatives

Requirements

What you’ll need

Minimum of 2 years of experience working with Medicaid, Medicare, commercial insurance, or government healthcare programs
Minimum of 2 years of experience working directly with healthcare providers, provider relations, provider services, healthcare operations, or managed care environments
Strong written and verbal communication skills with the ability to educate, present, and communicate professionally with providers and stakeholders
Strong project management, organizational, research, analytical, and problem-resolution skills
Ability to work independently, prioritize responsibilities, and make sound business decisions in a fast-paced environment
Experience researching and resolving escalated operational, claims, billing, or provider-related issues preferred

Benefits

Comp & perks

Flexible hours
Work-life balance
Continuous learning and career development
Medical insurance
Dental insurance
Vision insurance
401(k) with company match
Paid time off
Company-observed holidays
Flexible vacation policy
Educational assistance
Leadership and technical development academies