Gravie

Operations

• Maintain efficient and accurate processes for claims payments and payment integrity that meet Gravie’s obligations for payment timeliness.
• Implement processes, technologies and potentially vendor relationships to increase the timeliness and completeness of Gravie’s recoupment of balances owed by providers.
• Ensure the claims payment, payment integrity, and balance recoupment processes meet all regulatory standards and contractual requirements.
• Manage relationships with third-party vendors and partners, ensuring performance standards and contractual obligations are consistently met.
• Work closely with claims operations, optimization, clinical, and finance teams to implement innovative solutions and resolve complex issues.
• Implement and maintain robust risk management strategies to protect the organization from fraud and other risks.
• Lead, mentor, and develop a team, fostering a culture of accountability and continuous improvement.

Director of Claims Payment – Payment Integrity Operations

Product Designer

• Lead the end-to-end design and architecture for complex systems
• Apply deep Information Architecture principles to structure complex data
• Apply task-centered analysis to optimize existing administrative workflows
• Create elegant design solutions to resolve user/customer/stakeholder challenges
• Collaborate across design, engineering, and product teams
• Determine success metrics (UX KPIs) and measure them post-launch
• Design user flows, detailed wireframes, mockups, and prototypes

Senior UX Designer

Account Manager

• Manage ongoing administrative tasks for Gravie employer clients to ensure they’re thrilled with our service. You’ll take care of things like employee eligibility, maintenance and researching issues as they arise.
• Make sure all our client forms are complete and the right information has been gathered.
• Request and/or produce quote and rate renewals using online software as requested by the Account Management team.
• Engage in various financial issues and resolutions such as non-sufficient fund follow-up and resolution.
• Provide accurate and timely answers to employer clients’ questions.
• Work with the team to ensure all employer facing document updates have been made, track progress and all follow-up on issues related to the changes that have occurred.
• File e-contracts and other business documents.
• Work to ensure process guides and checklists are current and organized.
• Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented.

Account Coordinator – Channel

Security Engineer

• Assist the Chief Information Security Officer with all aspects of Gravie’s Information Security Program (Governance, Education & Awareness, Vulnerability Management, Incident Response, Security Engineering, Security Operations, etc.)
• Develop your expertise and own entire verticals within our Information Security Program
• Build a comprehensive Application Security Program and/or Vulnerability Management Program with a high degree of autonomy and creativity
• Provide strategic input and be a stakeholder in how the security program evolves
• Conduct outreach efforts and present on security topics internally at Gravie
• Build relationships and collaborate with system owners to identify, track and remediate system and/or software vulnerabilities
• Contribute to incident response efforts and support the evolution of our Security Incident Response Plan (SIRP)

Principal Information Security Engineer

Insurance

• Lead product strategy, development and management for Gravie’s insurance products, including new product innovation and product portfolio optimization, aligned with Gravie’s enterprise strategy.
• Develop and own the end-to-end process for managing the insurance product portfolio, including ideation, business case development, product design and development, implementation and performance monitoring.
• Lead ongoing assessment of market trends, customer needs and competitor offerings to inform Gravie’s product strategy and new offerings.
• Drive innovation in Gravie’s products, including new network strategies and alternative benefit designs.
• Clearly articulate the supporting capabilities needed to execute on Gravie’s product strategy (e.g., new networks, member experience, digital solutions, etc.) and partner cross-functionally to ensure successful implementation.
• Provide visibility into product portfolio performance including financial, growth, member experience, customer and internal feedback, etc.
• Develop and manage product portfolio strategy for channel partnerships.
• Partner with sales and marketing to communicate the value proposition of Gravie’s products to brokers and employers.
• Ensure regulatory compliance of all of Gravie’s insurance products.
• Partner closely with network, actuarial, underwriting, sales, technology, operations, marketing and other teams across Gravie.
• Hire, develop and lead a high-performing insurance product team.

Vice President, Insurance Product

Manager

• Oversee the day-to-day operations of the Care Navigation team, ensuring consistent delivery of high-quality service and support.
• Monitor team performance, providing coaching, feedback, and professional development to drive continuous improvement.
• Foster a collaborative, supportive, and high-performing team culture aligned with Gravie’s values.
• Oversee policy development and management within Care Navigation to ensure consistent processes and standards.
• Lead outreach efforts that reduce barriers to care and improve access to essential services.
• Enhance member satisfaction through proactive communication, education, and advocacy.
• Ensure members receive coordinated, personalized care navigation that supports positive health outcomes.
• Maintain compliance with all regulatory, accreditation, and internal policy standards.
• Track, analyze, and report measurable outcomes to demonstrate program value and identify opportunities for improvement.
• Collaborate with leadership to design, implement, and refine workflows, policies, and quality assurance processes.
• Partner with Stop Loss, Underwriting, Utilization Management, and Vendor Management teams to align clinical strategy with financial risk mitigation.
• Support the proactive identification and management of High Cost Claimants (HCCs) through claims analysis, predictive modeling, and clinical data review.
• Track and report HCC management outcomes including cost savings, member experience, and clinical quality.
• Build and maintain strong relationships with internal and external stakeholders to ensure alignment and optimize program effectiveness.
• Identify trends, gaps, and process inefficiencies; recommend and implement solutions to enhance operational performance and care quality.
• Leverage data and analytics to inform strategic decisions and evaluate program impact.
• Drive innovation within Care Navigation to improve outcomes, satisfaction, and cost control

Care Navigation Nurse Manager

• Serve as the primary point of contact for clinical vendors (including Cigna UM & CM, AHH UM & CM, Teladoc, Sword Health, Alight, and SL partners).
• Maintain strong, collaborative relationships to ensure mutual accountability and continuous improvement.
• Partner with internal clinical, finance, and operations teams to align vendor services with Gravie’s goals.
• Strategize and evaluate potential clinical vendors to identify partnerships that add measurable value and align with organizational goals.
• Monitor vendor performance against SLAs, KPIs, and contract terms; escalate issues and track remediation plans.
• Manage ongoing and annual vendor evaluations, including data reviews and performance scorecards.
• Identify performance gaps and opportunities for cost containment and quality improvement.
• Support contract renewals, amendments, and performance guarantees (PGs) in partnership with Legal and Procurement.
• Ensure vendor compliance with contractual, regulatory, and audit requirements.
• Track key contract dates and coordinate renewal reviews and approvals.
• Define and enforce clinical vendor data reporting standards and integration requirements across systems.
• Prepare regular dashboards and summaries highlighting performance trends, risks, and opportunities.
• Translate data insights into actionable recommendations for leadership.
• Support decisions on insourcing vs. outsourcing functions by assessing cost, quality, and efficiency impacts.
• Reconcile vendor invoices and proactively forecast clinical vendor spend.
• Collaborate cross-functionally to resolve issues affecting member experience or clinical outcomes.

Clinical Vendor Manager

Human Resources

• Design, build, test, and deploy reliable, scalable software for our products and internal systems
• Collaborate with team members to break down and estimate work, write clean and maintainable code, and participate in code reviews
• Work across the stack on backend services, APIs, data layers, and/or frontend experiences based on your skill set
• Participate in Agile ceremonies and contribute to a culture of continuous improvement
• Investigate, troubleshoot, and resolve software issues or bugs in production environments
• Follow security and compliance standards relevant to our healthcare and payment domains
• Learn our technical architecture and contribute to evolving platform capabilities
• Demonstrate commitment to Gravie’s core competencies of being authentic, curious, creative, empathetic, and outcome-oriented

Software Engineer, ICHRA

Vice President

• Conduct comprehensive evaluations of current-state processes, systems, performance, and market position.
• Collaborate with business leaders, subject matter experts and stakeholders to identify pain points, inefficiencies, or gaps in competitiveness.
• Use data and metrics to assess both internal effectiveness and external opportunities to translate business objectives into practical, future-ready strategies that address root cause issues and unlock growth.
• Manage cross-functional initiatives from planning through execution.
• Build business cases to align on ROI, accountability and measurable impact.
• Ensure solutions—whether internally focused or market-facing—are embedded sustainably into operations.
• Identify opportunities to leverage automation, advanced analytics, and AI to improve efficiency and enhance stakeholder experience.
• Partner with IT, product, and data teams to design and implement scalable, tech-enabled solutions.
• Develop and execute communication and change management plans to ensure stakeholder alignment and adoption.
• Ensure all projects comply with regulatory standards and internal risk controls.
• Contribute to ongoing team and enterprise initiatives that extend beyond assigned projects. Other duties, as assigned.

Vice President, Transformation

Full-stack Engineer

• Build, design, develop, test, and deploy complex payment and financial systems ensuring high performance, scalability, and reliability.
• Focus on payment and financial systems within Gravie’s healthcare benefits platform to drive financial operations and ensure seamless transactions.
• Collaborate with managers, business analysts, and other engineering teams to translate business requirements into technical specifications and solutions.
• Implement secure, compliant solutions that adhere to healthcare industry regulations (e.g., HIPAA, PCI-DSS) and financial standards.
• Drive technical excellence through code reviews and the promotion of best practices in software development.
• Troubleshoot and resolve complex technical issues related to payment processing, financial reconciliation, and data integrity.
• Identify and implement opportunities for system optimization, automation, and efficiency gains.
• Demonstrate commitment to Gravie’s core competencies: authentic, curious, creative, empathetic and outcome oriented.

Senior Software Engineer

Financial Planning and Analysis

• Calculate and analyze funding for specific and aggregate stop loss claims from RSIC to the employer level-funded accounts
• Provide timely and accurate tracking of employer level-funded account balances by plan year on a monthly basis
• Calculate and analyze end-of-runout funding positions for employer level-funded accounts and make payment of any surpluses on a timely basis
• Provide timely and accurate tracking of all miscellaneous charges
• Oversee incoming mail and deposit checks on a regular basis
• Partner with Accounting to ensure alignment of cash payments with journal entries and general ledger balances
• Create weekly claims invoices for self-funded and Health Reimbursement Account customers and ensure timely and accurate funding of the invoices
• Assist on financial operations projects and initiatives as necessary
• Assist on accounting department projects and initiatives as necessary
• Report to the Manager, Insurance Financial Operations and demonstrate core competencies of being authentic, curious, creative, empathetic and outcome oriented

Insurance Financial Operations Analyst

Consultant

• Use your knowledge to better understand the care journeys of complex members, often piecing together a puzzle from various sources of information.
• Evaluate complex member cases to develop accurate cost projections, drawing from claims data, prior authorizations, industry trends, and other sources.
• Provide clinical insights into likely treatment pathways (e.g., oncology, transplant, critical care, specialty drugs) to anticipate costs and inform underwriting decisions.
• Collaborate with underwriting, stop-loss, clinical services, and actuarial teams to ensure projections align with both financial and clinical realities.
• Identify early intervention opportunities (e.g., site-of-care optimization, alternative medications, post-acute care settings) to mitigate future high costs.
• Interpret plan language and coverage details to anticipate financial impact and reduce avoidable member and group abrasion.
• Synthesize findings into clear summaries and reporting for underwriters, actuaries, and leadership.
• Work cross-functionally to improve processes for high-cost claimant identification, case flagging, and cost containment.
• Combine your experience of evidenced based practice with being innovative to drive new solutions for the best member experience.
• Create effective relationships, listen, communicate and be a helpful team member across the organization.

Stop-Loss Nurse Consultant

• Review paid and rejected pharmacy claims daily to identify eligibility issues, benefit setup errors, or potential fraud, waste, and abuse (FW&A)
• Monitor PBM FW&A reporting and coordinate findings with internal stakeholders for resolution or escalation
• Track and support the PBM audit program, including documentation management and audit follow-ups
• Manage day-to-day activities related to pharmacy vendor oversight, including billing reconciliation and performance guarantee tracking for pharmacy vendors
• Oversee pharmacy benefit and formulary configuration, testing, and validation of related reporting and output accuracy
• Collaborate with the Marketing team to ensure member communications reflect timely and accurate pharmacy benefit and formulary updates
• Perform quality reviews of Utilization Management (UM) and Prior Authorization (PA) cases and review reports to understand impacts to Gravie and our members
• Support internal stakeholders such as GravieCare, Sales, and Account Management by helping to troubleshoot and respond to pharmacy benefit inquiries
• Work closely with the Director to continuously improve PBM processes, tools, and reporting
• Demonstrate commitment to Gravie’s core values: being authentic, curious, creative, empathetic, and outcome-oriented

Manager, Pharmacy Operations

Recruitment

• Design and build Gravie’s Talent Acquisition (TA) function and modernize TA processes
• Build, lead, and coach a high-performing, scalable TA team
• Partner with senior leaders on leadership hiring strategies and directly manage select senior-level searches
• Oversee and manage external search firm partnerships for high-level roles
• Provide market insights, candidate assessments, and hiring strategies to the CHRO and leadership team
• Define TA team structure, roles, and responsibilities to support hiring across all levels
• Design and implement TA processes, tools, and systems to ensure efficiency, compliance, and scalability
• Establish and track recruiting metrics (time to fill, cost per hire, source mix, DEI representation)
• Partner with HR leadership to align hiring strategies with workforce planning, compensation philosophy, and total rewards
• Reduce dependency on agencies for leadership hiring through a strong in-house search capability
• Partner with Communications and HR to enhance Gravie’s employer brand and recruitment marketing efforts
• Ensure an exceptional candidate experience across all touchpoints, from outreach through onboarding

Head of Talent Acquisition

QA Automation Engineer

Hi, we’re Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use.
A Little More About the Role: We are seeking a highly skilled Copado Robotic Testing (CRT) Automation Engineer to support test automation across our Salesforce platform using. The ideal candidate will be well-versed in CRT architecture and have hands-on experience developing scalable automation test frameworks tailored to the Salesforce ecosystem. Additionally, the candidate will be familiar with Salesforce architecture, configuration, and security models to ensure valid test users and test data are used for new features and regression tests.
This role will focus on ensuring end-to-end quality of Salesforce implementations by developing, executing, and maintaining robust automated tests across Industry Clouds, Omniscript user experience, and standard clouds (Sales, Service, etc.).
You will: Design and develop automated test cases using Copado Robotic Testing (CRT) for Salesforce applications.
Build and optimize CRT test suites to attain 80% automation coverage of delivered business solutions.
Collaborate closely with developers, product managers and other team members to understand workflows and design effective test coverage.
Design automation test to include security access, user experience, and data population
Analyze failed test results and troubleshoot issues to improve test stability.
Ensure adherence to CRT Framework at Gravie
Ensure adherence to Salesforce best practices and modular test design.
Maintain test users and test data