Claims Systems Delivery Manager - Indianapolis, IN

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Claims Systems Delivery Manager at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

• Outstanding service delivery is one of Gainwell’s great strengths. Play a vital role in achieving that as we deliver better health and human services outcomes.
• Manage and oversee claim operations to ensure Gainwell meets contractual obligations and client expectations.
• Navigate complex relationships between delivery and client groups to ensure stronger client relationships
• Create more satisfied clients by identifying service improvements
• Implement Federal and State regulations related to claim/encounter processing
• Support proposal teams to integrate new, enhanced and existing service offerings
• Bolster our workforce by selecting and hiring employees to support your team; train them to enhance their performance, development and work products
  
  

What we're looking for

• Substantial experience in all facets of the claims payment lifecycle, including manual adjudication, system configuration and maintenance, quality, research and resolution, reporting, and coding.
• A solid understanding of Claims systems, payment regulations, and Medicaid (with a strong preference to Indiana Medicaid)
• Previous leadership experience in a healthcare claims environment
• Familiarity with claim/encounter submissions from a Managed Care Organization
• Strong executive presence and excellent written and oral communication skills to build relationships and interact with clients and team member
• Skilled at managing a large, diverse portfolio of claims system enhancements and updates alongside an engaged regulatory client
• Ability to lead and motivate diverse teams to deliver high-quality results to clients, helping to quickly problem-solve roadblocks to ensure on-time delivery of projects
• Familiarity with HIPAA compliant Electronic Data Interchange claim transactions
  
  

What you should expect in this role

• Must be in Indianapolis, IN area
• This is a full-time permanent regular salaried (W-2) employee position.
• Monday through Friday work schedule (40 hours per week).
• Health (medical, dental, vision) benefits start on day 1 of employment.
• Company match 401K and other benefits available within months of starting.
• Employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment. Any exception requires manager approval prior to employee's Gainwell start date.
• Company provided computer for work use.
• Hybrid position employees' Broadband Internet connections at home, should have a minimum speed of 24MBS download and 8 MBS upload . Greater speeds will of course provide better performance.
• To Test your internet download and upload speed:
• Go to Google.
• Search for Internet Speed Test
• Video cameras must be used during all interviews, as well as during the initial week of orientation if hired.
• We will accept applications on an ongoing basis util it is filled or March 1, 2025, whichever comes first.
  
  

The pay range for this position is $93,400.00 - $133,400.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.