Claims Manager - Indianapolis, IN - Hybrid

Gainwell•Indianapolis, IN

1d•Hybrid

About The Position

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. You will oversee claims processing functions, drive performance improvements, support client relationships, and lead teams responsible for delivering high-quality claims outcomes. This is a hybrid position requiring onsite support at 6612 E. 75th Street, Indianapolis, IN 46250, with collaboration across claims operations, finance, compliance, and leadership teams. The role offers an opportunity to support critical Medicaid programs serving vulnerable populations. Applications will be accepted until 11/9/2026.

Requirements

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.

Nice To Haves

Indiana Medicaid and Managed Care Organization (MCO) experience is strongly preferred.

Responsibilities

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.