Claims Technical Supervisor - Hybrid (Indianapolis, Indiana)

Claims Technical Supervisor - Hybrid (Indianapolis, Indiana)

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.

The Claims Technical Supervisor provides day-to-day technical leadership for the Benefit Plan Administration/Reference and EDI operations teams. This role supports quality, productivity, technical accuracy, workflow management, and operational compliance within a fast-paced healthcare claims environment. The supervisor will provide subject-matter expertise, support technical claims operations, oversee EDI workflow activities, monitor operational performance, and partner with internal stakeholders to ensure accurate and compliant processing, system configuration, and operational readiness.

Supervise daily workflow operations for Benefit Plan Administration/Reference and EDI teams, including assigning work, balancing priorities, monitoring queues, and removing operational blockers to meet service-level targets. Provide technical guidance and subject-matter expertise related to claims operations, regulatory requirements, benefit configuration, claim editing, audits, and EDI processes. Lead quality assurance activities by conducting audits, identifying root causes, implementing corrective actions, and coaching staff to improve operational accuracy and consistency. Partner with IT and business owners to support testing, validation, and implementation of system updates including CPT, HCPCS, ICD-10, CDT, fee schedules, edits, audits, and EDI transaction updates. Track and report operational metrics including quality, timeliness, productivity, inventory, and risk trends while escalating concerns and remediation plans to leadership. Support onboarding, training, documentation maintenance, process improvements, and ongoing coaching to ensure technical proficiency, compliance, and operational excellence across the team.

High school diploma or GED required; associate or bachelor's degree in healthcare administration or related field preferred. Prior lead, supervisory, mentoring, or informal leadership experience within healthcare operations, claims operations, EDI, or benefit administration environments preferred. Experience with claims systems, rule configuration, claim editing, audits, EDI transaction workflows, or benefit administration processes preferred. Strong analytical, technical, problem-solving, communication, and organizational skills with attention to detail and operational accuracy. Proficiency with Microsoft Excel, reporting tools, operational dashboards, and trend analysis. Ability to interpret policies, operational procedures, regulatory requirements, and benefit plans while supporting compliant and consistent operational outcomes.

Hybrid position requiring onsite support at 6612 E. 75th Street, Indianapolis, IN 46250, with collaboration across claims operations, EDI, IT, compliance, and leadership teams. Fast-paced, deadline-driven environment focused on technical accuracy, workflow management, quality, productivity, and operational performance. Regular interaction with operational leadership, internal stakeholders, IT teams, and business owners to support issue resolution and system readiness. Opportunities to support process improvements, operational initiatives, team development, technical training, and workflow optimization. Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.