Prepayment Review Team Lead

BCforward is currently seeking a highly motivated Prepayment Review Team Lead, Indianapolis, IN - Remote Job

Position Title: Prepayment Review Team Lead

Location: Remote Job

Anticipated Start Date: 2/10/2026
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 12 months contract stong possibility of extension

Job Type: (40+ HOURS WEEKLY], [CONTRACT], [REMOTE]

Pay Range: $45.00/hr - $55.00/hr
Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Job Description:

• Experienced healthcare prepayment review team leader/utilization review manager that will supervise prepayment review of Indiana Medicaid claims of providers (or claim types) placed on prepayment review

  Minimum Work Experience Required

• 5 years conducting healthcare prepayment review
• 2 years as a prepayment review team leader
• Medicaid prepayment review strongly preferred
• Indiana Medicaid experience a plus

Degrees

• Bachelors required (or equivalent work experience)

Certifications

• AHFI, CFE, RHIA, CPC and/or other certifications relative to healthcare prepayment review/utilization review, medical records review, and healthcare billing preferred; clinical background a plus

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 248975 when responding to this ad.