Job Description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

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.

Your role in our mission

• 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.

What we're looking for

• 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.

What you should expect in this role

• 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.
• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.

#LI-REMOTE
#LI-JT1

The pay range for this position is $54,300.00 - $77,500.00 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.