Muskingum County, Ohio, United States · Remote OK
$40k–$60k/yr
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 opport…
Skills: Provider Relations, Medicaid Compliance, Healthcare Billing, Relationship Management, Public Speaking
Perry County, Ohio, United States · Remote OK
$87k–$124k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Project Management, Coordination Of Benefits, Payment Integrity, Audit And Recovery, Risk Mitigation
Bangalore South, Karnataka, India · Remote OK
Summary As a IBM WebSphere Application Server (WAS) 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 co…
Skills: Java, J2EE, RESTful Web Services, SOAP, Microservices
Perry County, Ohio, United States · Remote OK
$73k–$104k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: CI/CD, GitHub Actions, Azure DevOps, Ansible, Python
Perry County, Ohio, United States · Remote OK
$69k–$99k/yr
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 opport…
Skills: Data Analysis, Process Improvement, Medicaid Eligibility Verification, SNAP Operations, Workflow Evaluation
Perry County, Ohio, United States · Remote OK
$69k–$99k/yr
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 opport…
Skills: Data Analysis, Process Improvement, Medicaid Eligibility, SNAP Operations, Workflow Evaluation
Perry County, Ohio, United States · Remote OK
$69k–$99k/yr
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 opport…
Skills: Data Analysis, Workflow Evaluation, Process Improvement, Medicaid Policy, SNAP Policy
Perry County, Ohio, United States · Remote Solely
$69k–$99k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Medical Coding, Business Analysis, Requirements Elicitation, SDLC/PLC, Claims Processing
Perry County, Ohio, United States · Remote OK
$87k–$124k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Business Analysis, SQL, Microsoft Excel, Gherkin, ALM Tools
Tada, Andhra Pradesh, India · Remote Solely
Summary The Internal Audit Professional will be responsible for executing risk-based audits of business processes, operational activities, and key controls across the organization. This individual will assess the design …
Skills: Internal Audit, Risk Assessment, Internal Controls, Governance Frameworks, Operational Audits
Perry County, Ohio, United States · Remote OK
$65k–$92k/yr
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 car…
Skills: Prior Authorization Adjudication, Medical Necessity Review, DME Coding, DME Pricing, Medicaid Program Knowledge
Perry County, Ohio, United States · Remote Solely
$115k–$150k/yr
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 car…
Skills: Clinical Evaluation, Prior Authorization, Medicaid Program Management, Drug Utilization Review, Formulary Management
Muskingum County, Ohio, United States · Remote OK
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 opport…
Skills: Business Analysis, SQL, Microsoft Excel, ALM Tools, Requirement Mapping
Perry County, Ohio, United States · Remote OK
$52k–$74k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Business Analysis, Project Management Office, Agile Methodology, Requirements Gathering, Data Visualization
Muskingum County, Ohio, United States · Remote Solely
$31k–$44k/yr
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 opport…
Skills: Provider Enrollment, Customer Service, Credentialing, Healthcare Administration, Case Processing
Perry County, Ohio, United States · Remote OK
$69k–$99k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Pharmacy Benefit Management, SQL, Microsoft Excel, Business Process Re-engineering, Requirement Mapping
Perry County, Ohio, United States · Remote OK
$91k–$130k/yr
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 opport…
Skills: Software Testing, Test Management, Immunization Information Systems (IIS), HL7 Messaging Standards, Agile Methodology
Perry County, Ohio, United States · Remote OK
$69k–$99k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: RBAC, IAM, SQL, Process Mapping, User Stories
Perry County, Ohio, United States · Remote Solely
$87k–$124k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Project Management, Program Management, Waterfall Methodology, Resource Allocation, Client Relationship Management
Perry County, Ohio, United States · Remote Solely
$58k–$83k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: C Programming, Unix, Linux, Relational Databases, Batch Job Automation
Muskingum County, Ohio, United States • Remote OK
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Acts as the primary liaison between healthcare providers and Missouri Medicaid by conducting site visits to ensure compliance with state and federal requirements. Delivers education and training on billing practices and policies while resolving complex operational issues for providers.
Requires experience with Medicaid, Medicare, or healthcare operations and the ability to travel throughout Missouri. Candidates must possess strong communication skills and confidence in facilitating training sessions for diverse audiences.
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.
The Professional Field Representative serves as the primary liaison between healthcare providers and Missouri Medicaid, conducting virtual and in-person provider site visits, resolving complex issues, and delivering training to ensure provider compliance and satisfaction. This is a remote position, and candidates must reside in Missouri. The role operates Monday through Friday during standard business hours.
#LI-REMOTE
#LI-JT!
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. 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.
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
