Top 411 Healthcare administration Jobs in Indiana

RN Readmission Manager, Payment Integrity
Centene Corporation —Indiana
- $87,700 - $157,800 a year
- Full-time
- Remote
- Nursing
- RN License
- 3 years
- Paid holidays
- Health insurance
10d
Health Center Coordinator - Grassy Creek
Eskenazi Health —Indianapolis, IN
- Full-time
- RN License
- Mid-level
- Bachelor's degree
11d
Operations Director Physician Practice
Franciscan Health —Munster, IN
- Full-time
- Bachelor of Science
- Master's degree
- Bachelor's degree
Clinical Operations Manager- OR
Indiana University Health —Fort Wayne, IN
- Weekends as needed
- Nursing
- RN License
- BLS Certification
Ambulatory Pharmacist Clinical Manager
Parkview Health —Fort Wayne, IN
- Full-time
- Outpatient experience
- 3 years
- Outpatient
14d
Manager Nursing (RN) | NICU | South
Community Health Network —Indianapolis, IN
- Full-time
- Nursing
- RN License
- 3 years
EMS Operations Manager
Lynx EMS —Newburgh, IN
- Full-time
- Computer literacy
- Mid-level
- Case management
Quick Apply
Facility Chief Financial Officer
Neuropsychiatric Hospitals —Crown Point, IN
- Full-time
- CPA
- 5 years
- Master's degree
- Health insurance
- Dental insurance
Executive Director of Hospice
FORTIS HEALTH —Carmel, IN
- Nursing
- Management
- OSHA
Quick Apply
Director Nursing Svcs-Park Ctr
Parkview Health —Fort Wayne, IN
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
14d
Vice President of Clinical Services
Prevounce Health —Indianapolis, IN
- $115,000 - $150,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- RN License
- Health savings account
- Paid holidays
Quick Apply
Occupational Health & Safety Specialist | Temporary Full-Time
CareATC, Inc —Jasper, IN
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
Quick Apply
ICU Manager
Northwest Health - Porter —Valparaiso, IN
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Facility Chief Financial Officer
Neuropsychiatric Hospitals —Indianapolis, IN
- Full-time
- CPA
- 5 years
- Master's degree
- Health insurance
- Dental insurance
Director-Clinical Talent Pipelines
Indiana University Health —Indianapolis, IN
- Full-time
- Management
- Senior level
- 4 years
11d
Executive Director (Licensed HFA)
LeaderStat —Franklin, IN
- $185,000 a year
- Skilled nursing facility
- 5 years
- Residential
Quick Apply
OBGYN Manager Physician Practice Operations (RN License Preferred)
Riverview Health —Noblesville, IN
- Nursing
- RN License
- HIPAA
Quick Apply
Practice Manager - Bedford
Indiana Health Centers, Inc. —Bedford, IN
- $90,846.00 - $101,747.52 a year
- Full-time
- Spanish
- Mid-level
- Administrative experience
- Wellness program
- 403(b) matching
Quick Apply
2d
Pharmacy Manager Supervisor
CompHealth —Indiana
- $114,000 - $170,000 a year
- Full-time
- Management
- Mid-level
- Outpatient experience
- Relocation assistance
Business Development and Marketing Manager
DAVIESS COMMUNITY HOSPITAL —Washington, IN
- Full-time
- Marketing
- English
- Mid-level
- Health savings account
- Health insurance
Quick Apply

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RN Readmission Manager, Payment Integrity

Centene Corporation -
Indiana

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year
10 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical claims processing software
Healthcare team management
Healthcare reimbursement methods
Healthcare coding investigations
Documentation reviews
DRG

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

A Licensed RN paired with a Coding Credential is the candidate this team is seeking for this position that will lead and oversee PI initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy. You will lead a team focused on expanded readmission reviews allowing CNC to ensure payment accuracy as well as alignment with internal policies and regulatory requirements. Experience Required for all RN's with Coding Credentials applying:

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.

Position Purpose:
Manages a team of auditors and clinical professionals and is accountable for audit quality, consistency, and overall program performance for potentially preventable readmissions. Oversees payer readmission review programs to ensure accurate, compliant determinations and achievement of payment integrity objectives. This role directs the identification and validation of potentially preventable readmissions while supporting appropriate reimbursement under MS-DRG and APR-DRG methodologies. Responsible for driving program results through audit oversight, trend analysis, and the development of standardized review criteria and best practices.

Lead and oversee Payment Integrity initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy, ensuring alignment with established objectives, internal policies, and regulatory requirements.
Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal, Provider Relations, and Technology teams to support the design, execution, and ongoing monitoring of readmission and DRG-related Payment Integrity strategies.
Monitor program performance against defined metrics, financial targets, and operational benchmarks, using trend analysis to identify risks, variances, and opportunities for improvement.
Provide leadership and operational oversight to teams performing readmission, MS-DRG, and APR-DRG reviews, ensuring accuracy, consistency, timeliness, and adherence to established review standards.
Ensure compliance with federal and state regulations, managed care organization requirements, contractual obligations, and internal policies governing Payment Integrity and audit activities.
Prepare and present reports, analyses, and performance summaries to leadership and key stakeholders, highlighting audit outcomes, trends, and actionable recommendations.
Identify process gaps, operational risks, and control weaknesses, and implement or recommend corrective actions to improve quality, efficiency, and program effectiveness.
Lead, coach, and develop team members by setting clear expectations, promoting accountability, and fostering a culture of collaboration, quality, and continuous improvement.
Serve as a subject matter expert for Payment Integrity practices within assigned scope, providing guidance on readmission review methodology, audit standards, and reimbursement considerations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor’s degree in Healthcare Administration, Business, Public Health, Health Information Management, Nursing, or a related field required; an additional four (4) years of directly related experience may be considered in lieu of a degree.

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.
Experience working with payer claims systems preferred.
Demonstrated experience supporting government programs, regulatory compliance, or audit activities preferred.
Project management experience preferred.
Experience partnering with external vendors supporting Payment Integrity audit, recovery, or edit programs preferred.
Inpatient hospital documentation improvement experience preferred.

Master’s degree preferred.

License/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

healthcare administration jobs in indiana

RN Readmission Manager, Payment Integrity

Health Center Coordinator - Grassy Creek

Operations Director Physician Practice

Clinical Operations Manager- OR

Ambulatory Pharmacist Clinical Manager

Manager Nursing (RN) | NICU | South

EMS Operations Manager

Facility Chief Financial Officer

Executive Director of Hospice

Director Nursing Svcs-Park Ctr

Vice President of Clinical Services

Occupational Health & Safety Specialist | Temporary Full-Time

ICU Manager

Facility Chief Financial Officer

Director-Clinical Talent Pipelines

Executive Director (Licensed HFA)

OBGYN Manager Physician Practice Operations (RN License Preferred)

Practice Manager - Bedford

Pharmacy Manager Supervisor

Business Development and Marketing Manager

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