Provider Field Representative Lead

Gainwell Technologies

. Provide functional leadership and direction to Provider Field Representatives serving California’s Medi-Cal provider community .

Posted 10/3/2026full-timeRemote • California • United StatesSenior💰 $70,000 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in provider relations and healthcare operations, with a strong focus on billing assistance, claims research, and training delivery. Capable of leading teams, resolving complex provider issues, and improving operational effectiveness within Medi-Cal programs.

Highest-signal resume keywords

Provider RelationsClaims ResearchFunctional LeadershipTraining DevelopmentMedi-Cal Experience

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

Billing AssistanceClaims AnalysisReimbursement SupportBusiness Process ImprovementHealthcare Operations

Soft Skills

Analytical SkillsProblem-SolvingCommunication SkillsPresentation SkillsFacilitation Skills

Industry Keywords

Medi-CalMedicaidProvider EducationProvider OutreachBusiness Process Outsourcing

About the role

Key responsibilities & impact

Provide functional leadership and direction to Provider Field Representatives serving California’s Medi-Cal provider community
Support team escalations, complex provider inquiries, billing questions, claims issues, and program requirements
Provide one-on-one billing assistance, claims research and analysis, reimbursement support, and resolution of provider billing issues
Support and help direct provider education and outreach, including workshops, seminars, program-specific events, one-on-one training, and provider association activities
Serve as a liaison between providers, internal departments, and the client to resolve issues and support Medi-Cal programs and initiatives
Apply policies and procedures while exercising independent judgment to resolve complex provider issues and recommend solutions or escalation
Contribute to shared knowledge resources and document complex issue resolution
Support development and mentoring of Provider Field Representatives
Identify opportunities to improve provider service, team processes, and operational effectiveness
Travel throughout California for provider training, outreach, events, and other business needs

Requirements

What you’ll need

Three or more years of business process outsourcing, consulting, systems implementation, provider relations, provider services, or related healthcare operations experience
Experience supporting healthcare providers with billing, claims research, billing issues, and reimbursement-related questions
Experience serving as a functional lead, subject matter expert, mentor, trainer, or escalation point for a team
Experience developing and/or delivering training to healthcare providers virtually and in person
Strong provider relations, analytical, problem-solving, communication, presentation, facilitation, and functional leadership skills
Experience working with business processes, assessing provider or client needs, and identifying opportunities for improvement
Medi-Cal or Medicaid experience preferred
Willingness and ability to travel throughout California
Must reside in California
Reliable high-speed internet connectivity is required

Benefits

Comp & perks

Work flexibility
Learning and career development
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Travel expense reimbursement (referenced in the compensation definition)