Claims Manager - Indianapolis, IN - Hybrid

Claims Manager - Indianapolis, IN - Hybrid

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.

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. Collaboration with operations, compliance, finance, technology, and client-facing teams. Fast-paced environment focused on operational excellence, quality outcomes, and client satisfaction. Leadership role with visibility across multiple stakeholders and business partners. Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.