Provider Field Representative - Jackson, MS

About the role

Join the group that solves business challenges and enhances the way we work and grow. As a Provider Field Representative - Jackson, MS at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable.

Responsibilities

• Analyzes inquiries through use of personal knowledge of the particular functional subject matter. Augments knowledge with reference materials as needed.
• Provides response and takes appropriate action to resolve. May interact directly with original requestor, advise others on how to respond or escalate to a higher level if needed.
• Contributes to a shared knowledge database to facilitate response consistency and to document complex issue resolution.
• Maintains and monitors customer inquiries for a specific functional area, tracks progress and resolution of escalated inquiries.
• Assists less experienced staff in developing appropriate responses.

Requirements

• Bachelor’s degree or a minimum of 5 years of relevant experience in the healthcare industry.
• Strong knowledge of claims processing and provider relations.
• Proficiency in delivering presentations and public speaking.
• Familiarity with federal and state healthcare regulations.
• In-depth understanding of Medicaid policies and procedures.

What you should expect in this role

• On-site position based in Jackson/Ridgeland, MS, with potential for hybrid work after 90 to 120 days.
• Work schedule is Monday – Friday, 8:00 AM to 5:00 PM CST.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• Assessment Requirement: Candidates will be required to complete a skills and competency assessment before advancing to the next stage of the selection process.
• Able and willing to travel with occasional overnight stays (approximately 50% within territory).
• If travel is required, transportation is covered.

Employee Benefits & Perks

• Health benefits (medical, dental, and vision) begin on Day 1 of employment.
• 401(k) with company match and additional benefits become available within the first few months.
• Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.

Pay Range

The pay range for this position is $42,100.00 - $60,100.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.