Claims Manager - Indianapolis, IN - Hybrid

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.

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.

Pay

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.

Benefits

• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.

Qualifications

• 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.

Skills

• 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.

Benefits

• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.

Pay

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.

Schedule

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.

Job Type

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.

Company

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.

Equal Opportunity Employer

We are 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.