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Achc Jobs in Indiana (NOW HIRING)

Gentiva Hospice

Patient Care Manager

Indianapolis, IN · On-site

Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid, JCAHO, ACHC) * Knowledge and compassion for terminally ill patients and their ...

Socket.dev

Utilization Review Specialist

Indianapolis, IN · On-site

$60 - $80/hr

Ensure compliance with HIPAA, Medicare, Medicaid, commercial payer regulations, URAC and ACHC accreditation standards, organizational policies, and specialty pharmacy best practices. * Identify ...

Gentiva

Hospice Registered Nurse

Muncie, IN

... ACHC, and human resource management principles). Working Conditions: * Patient's homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors ...

Deaconess

Pharmacist - Retail

Evansville, IN · On-site

$55.50 - $66.75/hr

Assures personal and departmental compliance with all regulatory and accreditation standards including ASHP, ACHC, OSHA, ISBOP, ISDOH, FDA, DEA, USP and EPA. * Contributes to the quality improvement ...

SouthernCare

Hospice Registered Nurse

Kokomo, IN · On-site

... ACHC, and human resource management principles). Working Conditions: * Patient's homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors ...

Gentiva

Hospice Registered Nurse

Mishawaka, IN

... ACHC, and human resource management principles). Working Conditions: * Patient's homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors ...

Gentiva

Hospice Registered Nurse

Bloomington, IN · On-site

... ACHC, and human resource management principles). Working Conditions: * Patient's homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors ...

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Showing results 41-60

All JobsAchc JobsAchc Jobs in Indiana

Achc information

See Indiana salary details

$14.3K

$229.6K

$368.3K

How much do achc jobs pay per year?

As of Sep 9, 2026, the average yearly pay for achc in Indiana is $229,608.00, according to ZipRecruiter salary data. Most workers in this role earn between $190,300.00 and $285,500.00 per year, depending on experience, location, and employer.

What is an ACHC?

An ACHC job typically refers to a role related to the Accreditation Commission for Health Care (ACHC), an organization that provides accreditation services for healthcare providers. Positions may include surveyors, accreditation specialists, or compliance officers who help ensure that healthcare organizations meet industry standards. Responsibilities often involve conducting audits, providing guidance on regulatory compliance, and assisting healthcare facilities in maintaining accreditation.

What are the key skills and qualifications needed to thrive as an ACHC surveyor, and why are they important?

To thrive as an ACHC Surveyor, you need in-depth knowledge of healthcare regulations, accreditation standards, and a background in clinical or administrative healthcare, often requiring a relevant degree and professional licensure. Familiarity with audit tools, electronic documentation systems, and accreditation management software is essential. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating compliance and interacting with healthcare organizations. These skills ensure thorough, accurate assessments and help maintain high standards of patient care and organizational quality.

What are some common challenges faced by ACHC surveyors during on-site evaluations?

ACHC surveyors often encounter challenges such as navigating diverse healthcare settings, adapting to varying facility protocols, and staying up-to-date with evolving accreditation standards. Surveyors must maintain objectivity and professionalism while evaluating compliance, often within tight time frames. Effective communication is crucial, as surveyors routinely collaborate with facility staff to clarify standards and provide feedback for continuous improvement.

What is the difference between Achc vs Medical Assistant?

AspectAchcMedical Assistant
CertificationsAchc accreditation for healthcare organizationsCertified Medical Assistant (CMA), Registered Medical Assistant (RMA)
Work EnvironmentHealthcare facilities, clinics, hospitalsClinics, outpatient facilities, hospitals
Employer & Industry UsageHealthcare organizations seeking accreditationMedical offices, clinics, hospitals
Search & Comparison IntentUnderstanding Achc accreditation vs Medical Assistant rolesRoles, certifications, job duties of Medical Assistants

Achc is an accreditation organization for healthcare providers, ensuring quality standards are met. Medical Assistants are healthcare professionals providing clinical and administrative support. While Achc focuses on facility accreditation, Medical Assistants are individual practitioners working within healthcare settings. Both are integral to healthcare but serve different functions.

What are popular job titles related to Achc jobs in Indiana?

For Achc jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Achc jobs in Indiana look for?

The top searched job categories for Achc jobs in Indiana are:

Achc jobs near you
Infographic showing various Achc job openings in Indiana as of August 2026, with employment types broken down into 8% As Needed, 80% Full Time, 10% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $229,608 per year, or $110.4 per hour.

Utilization Review Specialist

Indianapolis, IN • On-site

Innovative Hematology, Inc.
See more jobs at Innovative Hematology, Inc.external

Full-time

Posted 26 days ago

Job description

About IHTC
At the Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.
What You Will Do
As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications. This role works collaboratively with prescribers, pharmacists, clinic staff, and payers to facilitate timely access to medications while ensuring compliance with insurance guidelines, regulatory requirements, and organizational policies. The Utilization Review Specialist serves as a key resource in minimizing prescription delays, supporting reimbursement efforts, optimizing patient outcomes, and minimizing claim denials.
The Opportunity
  • Review incoming specialty medication referrals to identify insurance requirements, prior authorization needs, benefit limitations, coverage exclusions, and payer-specific criteria.
  • Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements.
  • Initiate, prepare, submit, and track prior authorization requests for specialty medications through electronic portals, fax submissions, and verbal payer reviews.
  • Gather, analyze, and validate clinical documentation including chart notes, laboratory results, diagnostic testing, treatment history, and provider assessments to support authorization requests.
  • Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical information and ensure complete and accurate submissions.
  • Monitor authorization status and proactively follow up with insurance carriers, pharmacy benefit managers (PBMs), and third-party administrators to expedite approvals and minimize delays in therapy initiation.
  • Review payer-specific coverage criteria and determine documentation requirements for specialty therapies used in the treatment of hemophilia, von Willebrand disease, sickle cell disease, and other rare hematologic and bleeding disorders.
  • Evaluate denials and identify opportunities for appeal by reviewing payer rationale, medical records, and applicable clinical guidelines.
  • Prepare and submit first-level, second-level, and external appeal requests, including letters of medical necessity and supporting clinical documentation.
  • Maintain detailed records of authorization activities, payer communications, approval dates, denial reasons, appeal outcomes, and reauthorization requirements within pharmacy and electronic health record systems.
  • Track authorization expiration dates and proactively initiate renewal activities to ensure uninterrupted patient access to therapy.
  • Coordinate with clinical pharmacists and providers to address step therapy requirements, quantity limitations, formulary alternatives, and non-covered medication issues.
  • Serve as a liaison between providers, nurses, pharmacists, insurance carriers, manufacturer representatives, and pharmacy staff to facilitate timely access to specialty medications and ensure continuity of care.
  • Assist in identifying patients who may benefit from manufacturer copay assistance programs, patient assistance programs, grants, or alternate funding resources.
  • Monitor turnaround time benchmarks and productivity metrics to ensure timely completion of authorization requests and reauthorizations.
  • Communicate authorization determinations, coverage changes, and appeal outcomes to providers, pharmacy staff, and nursing in a timely and professional manner.
  • Participate in payer audits, accreditation reviews, and internal quality assurance initiatives by maintaining accurate and compliant documentation.
  • Ensure compliance with HIPAA, Medicare, Medicaid, commercial payer regulations, URAC and ACHC accreditation standards, organizational policies, and specialty pharmacy best practices.
  • Identify trends related to payer denials, authorization delays, and documentation deficiencies and provide recommendations for process improvement.
  • Analyze reports related to authorization volumes, approval rates, denial rates, appeal success rates, reimbursement outcomes, accounts receivable performance, and financial impact to support departmental and organizational goals.
  • Maintain a high level of customer service while managing sensitive patient information and complex reimbursement issues in a fast-paced specialty pharmacy environment.
  • Monitor pharmacy accounts receivable related to specialty medication claims, authorizations, and reimbursement activities. Investigate outstanding balances, payer underpayments, claim denials, payment variances, and reimbursement delays. Collaborate with billing, revenue cycle, pharmacy, providers, and payer representatives to resolve claim discrepancies, facilitate payment recovery, reduce aged receivables, and optimize reimbursement performance.

Knowledge:
  • Strong knowledge of utilization review, prior authorization, reauthorization, and appeals processes for specialty medications.
  • Strong understanding of specialty pharmacy reimbursement, claims adjudication, denial management, and revenue cycle processes.
  • Knowledge of commercial insurance, Medicare, Medicaid, managed care organizations, pharmacy benefit managers (PBMs), and medical benefit coverage policies.
  • Knowledge of specialty medication authorization, reauthorization, and appeals processes, including medical necessity reviews and payer-specific clinical criteria.
  • Knowledge of medical terminology, pharmaceutical terminology, disease state management, and clinical documentation requirements.
  • Knowledge of denial management processes, appeals strategies, reimbursement methodologies, and revenue cycle principles.
  • Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and other healthcare technology platforms used to support utilization review and reimbursement activities.

Skills:
  • Proficiency in reviewing and interpreting clinical documentation, laboratory results, payer policies, and medical necessity criteria.
  • Excellent verbal and written communication skills with the ability to effectively communicate with providers, pharmacists, nurses, payers, patients, and manufacturer representatives.
  • Strong organizational and time management skills with the ability to prioritize multiple assignments and meet deadlines in a fast-paced environment.
  • Demonstrated attention to detail and accuracy in reviewing clinical documentation, authorization submissions, and payer communications.
  • Proficiency in electronic health records (EHR), pharmacy management systems, payer portals, and Microsoft Office applications, including Excel, Word, Outlook, and Teams.

Abilities:
  • Ability to adapt to changing payer requirements, technology platforms, accreditation standards, and healthcare regulations.
  • Ability to analyze coverage determinations, denial rationales, and reimbursement issues and develop effective resolution strategies.
  • Ability to exercise sound judgment and critical thinking when evaluating payer requirements, authorization requests, and reimbursement challenges.
  • Ability to navigate complex commercial, Medicare, Medicaid, and managed care insurance requirements.
  • Ability to work independently while collaborating effectively within a multidisciplinary healthcare team.

Requirements
  • High school diploma or GED
  • 3-5 years of related experience
  • All IHI employees are expected to enable multi-factor authentication via their personal smart phone/smart device in order to access IHI systems as a requirement of the role.

Benefits
IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.
IHI is the only ederally designated comprehensive hemophilia program in Indiana, and serves the entire state through services available in Indianapolis and at outreach clinics.
IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.
IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHTC research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.
The Indiana Hemophilia and Thrombosis Center is an Equal Opportunity Employer.

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