Provider Field Representative

. Build and maintain relationships with healthcare providers and provider organizations throughout an assigned Northern California territory .

Posted 9/25/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $70,000 - $75,000 per yearWebsite

Key responsibilities & impact

Build and maintain relationships with healthcare providers and provider organizations throughout an assigned Northern 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
Serve as a liaison between healthcare providers, provider associations, internal Gainwell departments, and client representatives
Apply Medi-Cal policies, procedures, and program requirements to research and resolve provider questions and operational issues
Identify provider trends, recurring issues, and opportunities for education or process improvement and communicate findings to leadership
Exercise independent judgment within established guidelines and escalate complex or sensitive issues as appropriate
Travel throughout the assigned Northern California territory for provider visits, training, outreach activities, provider association events, and other business needs
Represent Gainwell professionally during provider meetings, training sessions, and outreach activities

What you’ll need

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
Willingness and ability to travel throughout an assigned Northern California territory, including limited overnight travel as business needs require
Candidates must reside in Northern California
Reliable high-speed internet connectivity is required for work-from-home responsibilities

Comp & perks