Provider Field Representative - Remote Missouri

The Professional Field Representative

Your role in our mission
Conduct virtual and in-person provider site visits to verify enrollment information and ensure compliance with state and federal Medicaid requirements.
Guide healthcare providers through the site visit process, documenting observations, communicating findings, and coordinating follow-up activities when corrective actions are required.
Deliver provider education and training sessions on Medicaid policies, enrollment requirements, billing practices, and program-specific initiatives.
Serve as a trusted resource by assisting providers with complex billing, policy, and operational questions while fostering strong professional relationships.
Proactively engage providers throughout your assigned region to improve provider satisfaction, support compliance efforts, and promote successful participation in Missouri Medicaid programs.

What We're Looking For

• Experience working with Medicaid, Medicare, managed care organizations, health insurance plans, or other healthcare operations.
  
• Strong communication and relationship-building skills with the ability to effectively interact with healthcare providers and key stakeholders.
  
• Confidence presenting information and facilitating training sessions for both small and large audiences.
  
• Residence in Missouri with the ability and willingness to travel throughout the state as needed for provider visits and meetings.
  
• Experience in provider relations, provider enrollment, healthcare billing, healthcare compliance, or healthcare policy is preferred.

What You Should Expect In This Role

• A remote position requiring residence in Missouri with regular travel for provider site visits, conferences, training events, and stakeholder meetings.
  
• Frequent interaction with healthcare providers and internal partners supporting Missouri Medicaid programs.
  
• A dynamic field-based role that combines virtual meetings, in-person visits, provider education, and relationship management.
  
• Participation in pre- and post-enrollment site visits to verify compliance with state and federal Medicaid requirements.
  
• Opportunities to make a direct impact by improving provider compliance, strengthening provider relationships, and enhancing the overall provider experience.

Pay and Benefits

The pay range for this position is $40,000 - $60,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

About the Role

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.