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Gainwell Technologies · 1 day ago

Justice Involved Outreach Specialist - Remote CA

United States

Full-time

Remote

Mid Level

$70K/yr - $72K/yr

3+ years exp

Gainwell Technologies LLC is a company focused on solving business challenges and enhancing operational efficiency. The Justice Involved Outreach Specialist will maintain effective communication with stakeholders, manage inquiries, conduct outreach and training, and ensure compliance with the Medi-Cal program.

Health CareInformation Technology

Responsibilities

Under minimal supervision, using independent judgement, respond to inquiries from clients, providers, and internal stakeholders with professionalism and accuracy. Handle claims research, billing support, and issue resolution to build trust and maintain strong relationships. Apply knowledge of policies and procedures to resolve issues and ensure adherence to program standards

Plan and deliver training sessions (including workshops, seminars, program specific group events)—both virtual and in-person—covering billing processes, policy updates, and program requirements. Act as a liaison between providers and internal departments to develop training material and implement initiatives that support program goals

Provide one on one billing support, claim research and analysis. Coordinate the flow of correspondence, ensuring clarity, accuracy, and timely responses. Maintain organized communication channels to support collaboration across teams

Research claim trends, analyze data, and provide actionable insights to improve processes and provider experience

Support schedule development, track/own progress of training and outreach deadlines. Escalate risks or delays to keep initiatives on track

Qualification

Healthcare industry experienceProvider billing experienceClaims researchAnalysisTraining delivery skillsAnalytical skillsCommunication skillsOrganizational skillsProject management capabilities

Required

Excellent verbal and written communication, presentation, and training skills for diverse audiences (virtual and in person settings), with a focus on simplifying complex billing and policy topics

Three or more years' experience in the healthcare industry in insurance, provider support, IT and operations

Ability to work independently and exercise judgement

Hands-on experience with researching, resolving, educating providers on claims processing, billing, and reimbursement; Medi-Cal or Medicaid experience preferred

Strong analytical and organizational skills with the ability to manage multiple priorities; including basic project management capabilities for scheduling and progress tracking of training and outreach tasks

Willingness to travel within one or more geographic regions to support outreach and training needs

Must be a resident of the state of California

Travel required throughout one or more geographic regions to support outreach, training and other provider and account needs

For positions assigned to WFH, reliable high-speed internet connectivity is required