Senior Provider Field Representative

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.

Summary

The Senior Provider Field Representative, supports the provider community in a variety of areas including but not limited to virtual and onsite visits, claims follow up and research support, as well as virtual and face-to-face training development and delivery. These positions act as liaisons between providers and internal departments. The appropriate individuals for these positions will possess complex claims resolutions, strong communication skills, have experience delivering training in-person and virtually, and be available for local travel in the DC metropolitan area. This senior role also encompasses account management, relationship building with key partners in the DC area at senior leadership levels. These positions work with providers, provider associations, and directly with the client in support of the District's Medicaid programs.

Your role in our mission

• Develop and manage strong relationships with assigned providers or provider communities, serving as the primary point of contact and trusted "go-to" resource.
• Proactively address provider needs and potential issues to ensure satisfaction, confidence, and effective collaboration.
• Perform routine to complex tasks related to provider claims, program policies, and training with minimal supervision.
• Provide training and support to the provider community through workshops, seminars, group events, and one-on-one billing assistance; act as a liaison between providers, internal teams, and the client.
• Resolve provider concerns by applying established policies and independent judgment, escalating issues as needed, and driving timely resolution and compliance.

What we're looking for

• Demonstrated account management and provider relations skills, delivering responsive, personalized support to assigned providers or provider communities.
• Experience in provider-facing roles within Medicaid or Medicare environments (preferred), including provider relations, training, contracting, billing, or complex claims processing.
• Strong understanding of provider operations and managed care, including medical claims resolution and key healthcare business transactions.
• Advanced analytical, communication, and presentation skills, including Excel-based reporting and analysis, training facilitation, and executive-level (C-suite) communication.
• Ability to develop and apply consulting-based solutions with independent judgment, and willingness to travel within the DC Metro area as needed.

What you should expect in this role

• Work from Gainwell's office in downtown DC, and when needed on-site at provider locations in the DC Metro area. This is an in-person and in-office role with very limited home or remote work opportunities.
• Travelling to provider, client, or relevant meetings with up to 50% local travel
• Work standard business hours Monday through Friday, 8:00 AM to 5:00 PM EST. Occasional flexibility may be required to accommodate provider schedules or special events.
• #LI-HYBRID
• #LI-LS2

The pay range for this position is $69,100.00 - $98,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Nearest Major Market: Washington DC