Field Representative- HYBRID (VA)

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

We are seeking a proactive and service-oriented Field Representative to support our Medicaid operations. This role involves conducting outreach to Medicaid members, engaging with community partners, and ensuring members have access to the services and benefits they're entitled to. You'll be a key liaison between the organization, providers, and Medicaid-eligible populations.

Your role in our mission

• Conduct in-person visits to members, community organizations, and healthcare providers within assigned regions.
• Educate members on Medicaid benefits, eligibility, enrollment, and care coordination services.
• Assist individuals with completing applications and redeterminations, resolving access or coverage issues.
• Represent the organization at health fairs, enrollment drives, and community events.
• Partner with internal departments to escalate issues related to member care or eligibility.
• Ensure compliance with all Medicaid policies, privacy laws (HIPAA), and organizational procedures.
• Maintain accurate and timely documentation of all field activities using internal systems.
• Identify and report social determinants of health (SDOH) barriers and coordinate solutions or referrals.

What we're looking for

• High school diploma or GED required; associate or bachelor's degree in healthcare, public health, social work, or related field preferred.
• 1-3 years of experience in healthcare, Medicaid programs, case management, outreach, or community health work.
• Familiarity with Medicaid eligibility and services.
• Strong interpersonal and communication skills; bilingual preferred (if applicable).
• Ability to work independently in the field with minimal supervision.
• Valid driver's license and reliable transportation required.
• Proficient in Microsoft Office and/or electronic health record systems

What you should expect in this role

• Provider Relations: Building and maintaining strong relationships with network providers, serving as a point of contact for inquiries and issues.
• Provider Support: Responding to provider inquiries, facilitating access to resources, and helping resolve administrative or operational concerns.
• Knowledge of local community resources and healthcare providers.
• Experience working with vulnerable populations.
• Previous experience in member engagement, field-based case work, or enrollment assistance.
• They need to have a valid driver's license
• This is a virtual role
• Must live in Virginia (preferably in Richmond area)

#LI-REMOTE #LI-JW1

The pay range for this position is $56,300.00 - $80,400.00 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.