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.

This is a pipeline requisition intended to proactively build a strong pool of qualified candidates for upcoming business needs. We will be actively reviewing applications, conducting screenings, and coordinating interviews on an ongoing basis. Our goal is to identify qualified talent in anticipation of filling this position by July 2026.

Please note that cameras will be required to be turned on during video screening calls and interview meetings as part of the interview process.

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The pay range for this position is $86,000 - $123,900 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.