Claims Manager - Indianapolis, IN - Hybrid

Gainwell-Technologies-LL; Indianapolis (IN); Hybride; USD 100 000 - 124 000; Plein temps

Avantages offerts par ce poste

401(k) employer match

Health benefits

Flexible vacation policy

Educational assistance

Résumé du poste

Gainwell Technologies in Indianapolis, IN seeks a Claims Manager to lead Medicaid claims operations, ensuring service levels, regulatory compliance, and operational efficiency across processing, adjudication, and client relationships.

This hybrid role oversees teams, emphasizes performance metrics, and collaborates with cross-functional stakeholders. The position offers a $100,000–$123,900 yearly pay range with strong benefits including a 401(k) match and comprehensive health coverage.

Qualifications

• 5+ years of healthcare claims processing experience including adjudication and operations.
• 3+ years of leadership experience managing claims teams.
• Strong knowledge of Medicaid claims processing and regulations.
• Experience with claims systems, operational reporting, dashboards, and performance metrics.
• Indiana Medicaid and MCO experience preferred.

Responsabilités

• Lead daily claims operations to ensure service levels and quality.
• Manage teams responsible for adjudication, adjustments, escalations, and issue resolution.
• Monitor metrics and drive productivity, accuracy, compliance, and customer satisfaction.
• Partner with clients and cross-functional teams to support initiatives and claims enhancements.
• Ensure compliance with federal and state regulations, including HIPAA.
• Coach and develop team members to foster accountability and continuous improvement.

Connaissances

Healthcare claims

Claims adjudication

Leadership

Medicaid knowledge

Operational reporting

Cross-functional leadership

Regulatory compliance

Outils

Claims systems

Dashboards

Description du poste

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Claims Manager - Indianapolis, IN - Hybrid

Date: Oct 27, 2026

Location: Indianapolis, IN, US, 46204-1077 Any city, IN, US, 99999

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.

Summary

As a Claims Manager at Gainwell Technologies, you will lead claims operations supporting Indiana Medicaid programs while ensuring service excellence, regulatory compliance, and operational efficiency. This role is responsible for overseeing claims processing functions, driving performance improvements, supporting client relationships, and leading teams responsible for delivering high-quality claims outcomes.

Your role in our mission

• Lead daily claims operations to ensure service levels, quality standards, and client expectations are consistently achieved.
• Manage teams responsible for claims adjudication, adjustments, escalations, inventory management, and issue resolution.
• Monitor operational metrics and identify opportunities to improve productivity, accuracy, compliance, and customer satisfaction.
• Partner with clients, business stakeholders, and cross-functional teams to support operational initiatives and claims enhancements.
• Ensure compliance with federal and state regulations, including Medicaid and HIPAA requirements.
• Coach, mentor, and develop team members while fostering a culture of accountability and continuous improvement.

What we're looking for

• 5 + years of healthcare claims processing experience, including adjudication, adjustments, issue resolution, and claims operations.
• 3+ years of leadership experience managing claims teams, supervisors, or operational staff.
• Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations.
• Experience working with claims systems, operational reporting, dashboards, and performance metrics.
• Ability to lead cross-functional initiatives, solve complex operational challenges, and drive process improvements.
• Indiana Medicaid and Managed Care Organization (MCO) experience strongly preferred.

What you should expect in this role

• Hybrid position requiring onsite support at 6612 E. 75th Street, Indianapolis, IN 46250, with collaboration across claims operations, finance, compliance, and leadership teams.
• Opportunity to support critical Medicaid programs serving vulnerable populations.

Applications for this position will be accepted until 11/9/2026.

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The pay range for this position is $100,000 - $123,900.00 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.