Gravie

Salesforce Administrator

• Provide user support and maintain the Salesforce platform
• Build relationships with multiple technical teams including Product Engineering teams, architects, and external vendors
• Intake and triage questions from business users
• Troubleshoot production issues collaboratively with the Gravie Salesforce team
• Demonstrate standard Salesforce features and solutions built for Gravie
• Support Third Party Application and deliver new features for technologies like Pardot, ON24, Agiloft, Conga Composer, ZoomInfo, BenefitFlow, and OwnBackup
• Lead data hygiene efforts by performing data loads, data fixes, and periodically review data health
• Support User Provisioning and Licensing/Access Management
• Support Credential/Access Management for Integrated Services
• Build reports and dashboards to support production issues or business needs
• Build declarative solutions in Salesforce
• Collaborate with other technology teams to deliver cross-platform solutions
• Manage communication and deadlines to deliver solutions on time
• Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented.

Senior Salesforce Administrator

Human Resources

• Provide day-to-day compliance support for Gravie’s Individual Coverage Health Reimbursement Account (ICHRA) line of business.
• Manage and oversee regulatory filings.
• Facilitate response to regulatory complaints.
• Execute regulatory change management process.
• Provide general compliance support and expertise to operational areas.
• Perform risk-based oversight audits.
• Drive the maintenance and oversight of the enterprise-wide regulatory calendar.
• Ensure timely identification and tracking of all required state and federal regulatory filings.
• Lead the end-to-end preparation and submission of Corporate Compliance-owned regulatory reports.
• Establish and monitor internal controls to ensure accuracy and completeness of all regulatory submissions.
• Conduct thorough impact assessments of new regulations on the ICHRA line of business.
• Disseminate clear, summarized, and actionable information to senior management and internal stakeholders.
• Serve as a primary compliance subject matter expert (SME).
• Provide guidance to business partners across the organization on complex regulatory matters.
• Act as the Corporate Compliance representative in cross-functional working groups.
• Ensure compliance is built into all new processes and offerings.

ICHRA Compliance Analyst

Communications

• Support segmentation updates, manual data uploads, audience list refreshes and QA within Braze.
• Support execution of ongoing member‐engagement campaigns (launch, monitoring, optimization).
• Coordinate communications reviews with external partners (virtual-care, navigation programs, vendor support) including scheduling reviews, collecting assets, ensuring brand/tone alignment.
• Organize inbound collateral and communications requests from AM/IM, Clinical, Product, Gravie Care, Finance and other teams; maintain intake tracking, version control, prioritization, deadlines, and ensure necessary internal approvals.
• Become proficient in Gravie’s brand guidelines and tone of voice for members, employers and brokers; review/edit templated partner communications for brand and messaging alignment.
• Conduct audits of member/employer-facing communications and collateral to ensure accuracy; update when plan or product changes impact messaging.
• Provide support for member‐ and employer‐pharmacy communications as required.
• Assist in the development of new collateral as identified by Manager.

Communications Specialist

• Support ICHRA segmentation updates, manual data uploads, audience list refreshes, and QA within Braze to support communications developed by your Manager.
• Support the execution and support of ongoing ICHRA operational campaigns including payments, monitoring workflows, error messaging, and optimization of recurring communications.
• Support intake, prioritization, and organization of collateral and communication requests from Product, Operations, AM/IM, Gravie Care, Finance, Carrier Relations, and other stakeholders.
• Conduct periodic audits of ICHRA-facing communications and collateral to ensure accuracy as operations, regulatory requirements, or product features evolve, and implement updates as needed.
• Assist in the development of new collateral as identified by Manager.
• Help review and edit communications to support your Manager, as needed, for clarity, tone, and alignment with Gravie’s brand guidelines across member and employer touchpoints.
• Help support your Manager with ongoing projects that help support the overall member, employer and product marketing experience.
• Help shape the communications experience for a fast growing ICHRA benefit portfolio and ensure members and employers receive clear and helpful messaging.
• Join a team that is scaling quickly and contribute to building communications infrastructure that drives meaningful impact.

ICHRA Communications Specialist

General Counsel

• Provide timely, accurate, and practical legal advice on complex state and federal healthcare laws and regulations impacting Gravie’s health plan operations, benefit offerings, and business activities.
• Monitor and analyze new legislative, regulatory, and sub-regulatory guidance from relevant federal (e.g., HHS, DOL, IRS) and state agencies.
• Translate complex regulatory requirements into clear, actionable advice for product, operations, sales, and executive teams.
• Support compliance efforts related to licensing, market conduct, and state-specific mandates for health plan products.
• Review and advise on health plan documents, including Summary Plan Descriptions (SPDs), Certificates of Coverage (COCs), plan amendments, member contracts, and related materials to ensure regulatory compliance.
• Provide regulatory input on benefit structure, coverage limitations, medical management programs (e.g., prior authorization, utilization review), and appeals processes.
• Collaborate with the Operations team on compliance issues related to claims processing, eligibility, enrollment, and member services.
• Assist in the legal review of marketing materials and member communications related to health plan benefits.
• Serve as a key legal advisor on the development and launch of new health plan products and features.
• Identify and mitigate regulatory risks associated with new initiatives and market expansions.
• Collaborate with product and engineering teams to ensure compliance is built into the product design from the outset.
• Assist in responding to regulatory inquiries, examinations, and investigations.
• Develop and deliver internal training on relevant legal and regulatory topics.
• Manage outside counsel relationships as needed for specialized regulatory matters.

Associate General Counsel – Healthcare Product and Regulatory

Product Manager

• Own the end-to-end product lifecycle for one or more product areas, from vision and roadmap through delivery, launch, and iteration
• Define and articulate a clear product vision aligned to company strategy and measurable business outcomes
• Partner closely with Engineering, Design, Operations, Legal, Compliance, and other cross-functional stakeholders to deeply understand problems and shape scalable solutions
• Define product requirements, write clear user stories, and prioritize the team’s backlog based on business impact, user value, and technical feasibility
• Drive cross-functional alignment and execution to ensure roadmap commitments are delivered with quality and impact
• Use qualitative and quantitative insights to inform decisions, measure product performance, and continuously improve outcomes
• Communicate product strategy, trade-offs, roadmap updates, and launch plans to stakeholders and leadership
• Influence without authority across teams, fostering a collaborative, customer-focused product culture grounded in Gravie’s values
• Contribute to improving product management best practices, tools, and operating rhythms across the organization
• Perform other duties as assigned

Senior Product Manager – Comfort

Recruitment

• Lead full-cycle recruiting for senior leadership and executive roles across functions, including Technology, Product, Data, Operations, and Corporate leadership
• Partner closely with executive leaders, hiring managers and HRBPs to define role scope, success profiles, and hiring strategies
• Proactively source, engage, and build relationships with high-caliber passive talent
• Run high-touch, consultative candidate experiences from first outreach through offer and close
• Assess senior-level candidates with a strong lens on leadership capability, culture add, and long-term impact
• Serve as a trusted advisor to leadership on market dynamics, talent availability, and competitive intelligence
• Manage multiple complex searches simultaneously with strong prioritization and follow-through
• Flex to lead full-cycle recruiting for other high-priority, non-executive roles as business needs require
• Build and maintain pipelines for future senior and executive talent needsPartner with HRBP and leadership on workforce planning and succession-related hiring
• Bring structure, data, and best practices to executive recruiting processes while maintaining a white-glove experience

Senior Recruiter

Manager

• Serve as the primary pharmacy clinical lead for our PBM partnership, including oversight of utilization management, formulary and clinical programs
• Design, implement and manage clinical programs that drive affordability, quality, and member outcomes
• Provide clinical oversight of pharmacy vendors and clinical programs that improve outcomes and reduce unnecessary utilization
• Own formulary design and maintenance, including tier strategy, drug placement, therapeutic class management, and clinical edit logic
• Complete reviews of prior authorization decisions and appeals for specialty and non-specialty drugs
• Develop and maintain policies related to clinical pharmacy and both pharmacy and medical benefit drugs
• Collaborate with actuarial, finance, and product teams to inform pricing, trend modeling, pharmacy spend forecasting, and stop-loss considerations
• Partner cross-functionally with product, clinical, network, actuarial and other stakeholders to ensure integrated care approaches
• Ensure compliance with applicable regulatory, accreditation, and clinical governance standards, maintaining high ethical and quality standards

Senior Manager, Clinical Pharmacy

Director

• Own the end-to-end claims configuration function, including benefits and plan design, pricing logic, accumulator logic, provider data, edits, networks, and adjudication rules
• Establish configuration standards, including maintenance of standard codes, naming conventions, and benefit category architecture
• Create and maintain a user-friendly configuration documentation library in Gravie’s knowledge management system
• Maintain a well-organized configuration task management system
• Implement appropriate controls and governance to ensure configuration changes are quality assured
• Translate product, regulatory, and contractual requirements into scalable and repeatable configuration solutions
• Serve as the subject matter expert on claims configuration capabilities and limitations
• Ensure timely and accurate configuration for new products, clients, renewals, and benefit changes
• Drive continuous improvement in configuration quality, turnaround time, and defect reduction
• Partner with Claims Operations to minimize configuration-driven claim errors
• Support root cause analysis of claims issues tied to configuration and implement corrective actions
• Collaborate closely with Product, Optimization, Network, Finance, Compliance, Eligibility & Enrollment, and Technology
• Create and maintain a balanced scorecard of cost, quality and time metrics with goals
• Support product innovation by enabling new benefit designs and network offerings
• Partner with Technology on enhancements, automation, testing frameworks, and release management related to systems used for claims processing
• Lead, coach, and develop a team of claims configuration professionals
• Define roles, workflows, and capacity models to support scale and growth
• Support training efforts to ensure configuration knowledge is institutionalized
• Ensure configurations comply with regulatory requirements, contractual obligations, and internal policies
• Support audits, quality reviews, and regulatory inquiries related to claims configuration
• Maintain strong documentation and change management practices to support transparency and traceability

Director, Claims Configuration

IT Support

• Coordinate and lead all internal and external audits, including SOC 1, SOC 2, and critical healthcare regulatory audits (e.g., CMS, HIPAA, state Department of Insurance)
• Facilitate timely and effective fulfillment of complex audit requests, acting as the primary liaison between auditors and internal stakeholders
• Oversee the development, implementation, and rigorous execution of remediation and corrective action plans to address audit findings
• Report audit progress, findings, and outcomes to senior leadership and relevant committees
• Develop and execute a risk-based internal audit plan with a strong focus on core health plan operations such as claims processing, provider data management, member enrollment/eligibility, and payment integrity
• Ensure adherence to state and federal healthcare regulations (including the Affordable Care Act, CMS requirements, DOL requirements, and specific state mandates) across all audited functions
• Conduct operational audits to evaluate the design and operating effectiveness of key business processes within the health plan
• Facilitate the annual enterprise risk assessment and subsequent quarterly updates, focusing on risks unique to the highly-regulated healthcare industry
• Drive accountability for the development and execution of corrective action plans stemming from risk assessments
• Maintain detailed, organized documentation on audit outcomes, risk mitigation activities, and follow-up actions
• Provide regular, insightful progress reports to leadership on risk exposure and audit status

Audit Manager

• Own all eligibility and enrollment operations for employer groups administered by Gravie, including onboarding, open enrollment, life event changes, terminations, COBRA transitions, and ongoing eligibility maintenance.
• Ensure accurate and timely eligibility setup and updates to support downstream claims adjudication, billing, stop-loss reporting, and vendor feeds.
• Establish operational standards, SLAs, and controls to ensure eligibility accuracy across all level-funded plan designs.
• Serve as the escalation point for complex eligibility issues impacting claims payment or member access to care.
• Own eligibility data governance, ensuring consistency across enrollment platforms, claims systems, billing, and external vendors.
• Partner with Configuration, Product and Technology to define eligibility configuration standards, file feeds, and system enhancements.
• Lead testing, validation, and go-live readiness for new groups, plan years, and system changes.
• Drive automation and reduction of manual work to improve speed, accuracy, and scalability.
• Partner closely with Claims Operations to ensure eligibility rules and effective dates support accurate claims adjudication.
• Collaborate with Accounting and Finance to ensure eligibility aligns to premium billing.
• Monitor and mitigate eligibility-related financial risk, including retroactivity, late adds, and termination timing issues.
• Support reconciliation efforts and root cause analysis for eligibility-driven claims or billing discrepancies.
• Ensure eligibility and enrollment processes comply with all regulations and contractual client requirements.
• Create and maintain a balanced scorecard of cost, quality, and time metrics with goals, including implementation, enrollment, eligibility updates, billing, and escalation handling.
• Maintain audit-ready documentation, controls, and reporting.
• Support internal and external audits, client reviews, and regulatory inquiries related to eligibility and enrollment.
• Partner with Legal and Compliance on policy development and risk mitigation.
• Partner with Account Management and Implementation teams to deliver a high-quality employer and member onboarding experience.
• Lead and develop a high-performing eligibility and enrollment team, including managers and individual contributors.
• Define clear roles, workflows, and performance metrics aligned to accuracy, timeliness, and service quality.
• Build training programs and documentation to support consistency and scalability.
• Foster a culture of accountability, ownership, and continuous improvement.

Director of Enrollment and Eligibility

• Design and implement Gravie’s HR risk, compliance, and employee relations operating model
• Establish foundational HR policies, procedures, and standards
• Create governance frameworks that ensure consistency, fairness, and legal compliance
• Partner closely with Legal to ensure policies and practices align with federal, state, and local employment laws
• Develop scalable documentation, playbooks, and decision frameworks for leaders and HR partners
• Serve as the primary owner of employee relations matters, including:
• Workplace concerns and complaints
• Conduct and performance-related issues
• Investigations involving harassment, discrimination, retaliation, or policy violations
• Lead or oversee investigations with objectivity, rigor, and appropriate documentation
• Provide risk-informed recommendations to the VP, HR and business leaders regarding outcomes
• Ensure consistent application of policy and appropriate resolution of cases
• Design and implement standardized ER intake and escalation processes
• Clearly define roles between HRBPs, HR Risk & ER, Legal, and leaders
• Own ER case tracking, documentation standards, and audit-ready records
• Identify trends and systemic risks and recommend proactive mitigation strategies
• Act as a trusted advisor to HRBPs
• Support HRBPs with ER expertise while maintaining clear ownership boundaries
• Lead the rollout and adoption of new HR policies and procedures
• Create practical guidance, FAQs, and leader toolkits for HR policies
• Partner with HRBP on change management efforts
• Surface insights and risks to the VP, HR
• Continuously evolve policies and processes to meet business and regulatory needs

Manager, HR Risk, Compliance – Employee Relations

Data Analyst

• Collaborate with the product management and engineering teams to get answers and triage requests.
• Utilize knowledge in data warehouse tables and Tableau reports to provide insights to business partners.
• Assist the engineering team in creating Tableau dashboards and updates.
• Validate and thoroughly test Tableau or report updates before sharing with the business, ensuring accuracy and reliability.
• Develop and maintain strong working relationships with cross-functional teams to ensure alignment on reporting needs and priorities.
• Participate in meetings and discussions to gather requirements, communicate updates, and address challenges effectively.
• Proactively identify opportunities for reporting improvement and contribute to the enhancement of reporting capabilities.

Business Reporting & Analytics Analyst

Analyst

• Conduct rigorous quantitative and qualitative analysis of our pharmacy offering, including utilization trends, clinical outcomes and cost drivers; synthesize findings into clear insights and recommendations.
• Develop and maintain dashboards and reporting that translates complex pharmacy data into actionable insights for leadership, ensuring accuracy and transparency.
• Monitor PBM performance against contractual guarantees, including rebates, administrative fees, pricing and discount guarantees, network access, and operational service levels; identify variances and support issue resolution.
• Provide analytical oversight of additional pharmacy vendors, ensuring performance aligns with service agreements, clinical standards, and financial expectations.
• Analyze overall pharmacy spend and conduct deep dives into utilization and trend drivers, including specialty drug impact, to identify clinical optimization and cost-containment opportunities.
• Support cost projections, forecasting, and ROI analysis for strategic pharmacy initiatives, benefit design changes, coverage updates and other program changes; partner closely with Actuarial and Finance on budgeting and financial oversight.
• Serve as the primary subject-matter expert for PBM data, reporting, and data validation, ensuring the integrity and reliability of vendor-provided information.
• Lead pharmacy regulatory reporting processes and support compliance with all applicable federal and state requirements.
• Partner with cross-functional teams including Finance, Medical Economics, Clinical, Account Management, Compliance and others.