[Hiring] Professional Field Representative @Gainwell Technologies LLC

Role Description

The Professional Field Representative supports Wisconsin Medicaid providers by serving as a key liaison for provider education, issue resolution, and operational support. This role partners directly with providers and stakeholders to research and resolve complex issues, deliver training and guidance on policies and procedures, and support effective communication between providers and the organization.

The ideal candidate brings strong healthcare knowledge, problem-solving skills, and the ability to work independently within a fast-paced, customer-focused environment.

• 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.

Qualifications

• 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.

Requirements

• Remote position supporting Wisconsin Medicaid provider operations and stakeholder engagement.
• Regular interaction with healthcare providers, internal operational teams, and leadership.
• Fast-paced environment requiring strong communication, organization, and independent decision-making skills.
• Opportunities to support provider education, operational improvements, and process enhancement initiatives.

Benefits

• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.
• Generous, flexible vacation policy.
• Educational assistance.
• Leadership and technical development academies to help build your skills and capabilities.