<p>Location: Remote</p><br/><p>Employment Type: Full Time</p><br/><p>Team: Health Plan Administration</p><br/><div><span style="font-size: 16px">Hi, we’re Gravie, and we are building the health plan of the future. For the past few decades, the health insurance industry has evolved to serve the needs of employers, insurance companies, brokers, and (sometimes) doctors and hospitals. The needs of the consumer, however, have largely been left out of the equation. We’re changing that. We are rebuilding the entire health insurance stack, with the consumer as the central focus. Our goal is to create a health plan that people can love. &nbsp;</span></div><div><span style="font-size: 16px">&nbsp;</span></div><div><span style="font-size: 16px">At Gravie, you’ll get to do things every single day to support making health benefits easy to understand and simple to navigate. You’ll work at a startup that has demonstrated amazing growth and our future is only getting brighter. We're past the risky early stage, but have only put a dent in the incredible innovations to come. And you’ll join a hugely talented and passionate team. After all, you are our competitive advantage. Our industry-changing products and services couldn’t exist without our talented people thinking about how to make healthcare benefits better every single day. It takes unique people on diverse teams to deliver the kinds of results we deliver. We encourage you to be your authentic self - we like you that way.</span></div><div><span style="font-size: 16px">&nbsp;</span></div><div><span style="font-size: 16px">We’re looking for a </span><b style="font-size: 16px">Senior Configuration Analyst</b><span style="font-size: 16px"> to join our configuration team. As Gravie looks to continue its Member-centric approach to healthcare, we need a specialist to create and maintain the benefit categories and logic that power our health plans. Gravie offers a great environment for individuals looking to build a career in health plan configuration and claim processing. Qualified applicants should have an understanding of benefit plans, the coding systems used to document medical services, and the way these codes are organized into benefit categories and used in claim processing logic.</span></div><div><span style="font-size: 16px">&nbsp;</span></div><div><b style="font-size: 16px">You will:</b></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Be a Subject Matter Expert in benefit categories and the adjudication logic used to process claims.</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Be a leader on the configuration team by supporting training, process development, and peer review / QA.&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Support cross-functional teams during implementations/renewals and develop solutions for plan variations.&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Provide support to team members for escalations and complex configuration requests.&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Provide troubleshooting support for claim adjudication processes.&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Create and update policies and procedures and other documentation of our accumulators and plan configurations.</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented.</span></div><div><span style="font-size: 16px">&nbsp;</span></div><div><b style="font-size: 16px">You bring:</b></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3+ years configuring accumulators and benefit plans or other related experience in payer business logic.&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 5+ years of experience as a claims examiner, coder, or other related experience working with medical claims data.&nbsp;&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Experience with adjudication processes, analyzing plan designs, and health plan information systems and applications.&nbsp;&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Knowledge/experience with self-funded plan designs.&nbsp;</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ability to set priorities, manage time, and work independently.</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Demonstrated success getting results through collaboration.</span></div><div><span style="font-size: 16px">&nbsp;</span></div><div><b style="font-size: 16px">Extra credit:&nbsp;</b></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Familiarity with the mPhasis Eldorado Javelina claims processing software.</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Working knowledge of EDI formats (837/835 claims, 270/271 eligibility) and coding systems (CPT/HCPCS, ICD, DRG).</span></div><div><span style="font-size: 16px">·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Experience in rapidly-growing start-up business environments.</span></div><div><span style="font-size: 16px">&nbsp;</span></div><div><br></div><div><span style="font-size: 16px">Competitive pay is standard. Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, 16 weeks paid parental leave, paid holidays, cell phone reimbursement, education reimbursement, and 1 week of paid paw-ternity leave just to name a few.</span></div><div><br></div><div><br></div><div><span style="font-size: 16px">&nbsp;</span></div>

Location: Remote

  

Employment Type: Full Time

  

Team: Health Plan Administration

  

Hi, we’re Gravie, and we are building the health plan of the future. For the
past few decades, the health insurance industry has evolved to serve the needs
of employers, insurance companies, brokers, and (sometimes) doctors and
hospitals. The needs of the consumer, however, have largely been left out of
the equation. We’re changing that. We are rebuilding the entire health
insurance stack, with the consumer as the central focus. Our goal is to create
a health plan that people can love.  



At Gravie, you’ll get to do things every single day to support making health
benefits easy to understand and simple to navigate. You’ll work at a startup
that has demonstrated amazing growth and our future is only getting brighter.
We're past the risky early stage, but have only put a dent in the incredible
innovations to come. And you’ll join a hugely talented and passionate team.
After all, you are our competitive advantage. Our industry-changing products
and services couldn’t exist without our talented people thinking about how to
make healthcare benefits better every single day. It takes unique people on
diverse teams to deliver the kinds of results we deliver. We encourage you to
be your authentic self - we like you that way.



We’re looking for a **Senior Configuration Analyst** to join our configuration
team. As Gravie looks to continue its Member-centric approach to healthcare,
we need a specialist to create and maintain the benefit categories and logic
that power our health plans. Gravie offers a great environment for individuals
looking to build a career in health plan configuration and claim processing.
Qualified applicants should have an understanding of benefit plans, the coding
systems used to document medical services, and the way these codes are
organized into benefit categories and used in claim processing logic.



 **You will:**

·       Be a Subject Matter Expert in benefit categories and the adjudication
logic used to process claims.

·       Be a leader on the configuration team by supporting training, process
development, and peer review / QA.

·       Support cross-functional teams during implementations/renewals and
develop solutions for plan variations.

·       Provide support to team members for escalations and complex
configuration requests.

·       Provide troubleshooting support for claim adjudication processes.

·       Create and update policies and procedures and other documentation of
our accumulators and plan configurations.

·       Demonstrate commitment to our core competencies of being authentic,
curious, creative, empathetic and outcome oriented.



 **You bring:**

·       3+ years configuring accumulators and benefit plans or other related
experience in payer business logic.

·       5+ years of experience as a claims examiner, coder, or other related
experience working with medical claims data.  

·       Experience with adjudication processes, analyzing plan designs, and
health plan information systems and applications.  

·       Knowledge/experience with self-funded plan designs.

·       Ability to set priorities, manage time, and work independently.

·       Demonstrated success getting results through collaboration.



 **Extra credit:  **

·       Familiarity with the mPhasis Eldorado Javelina claims processing
software.

·       Working knowledge of EDI formats (837/835 claims, 270/271 eligibility)
and coding systems (CPT/HCPCS, ICD, DRG).

·       Experience in rapidly-growing start-up business environments.



  

Competitive pay is standard. Our unique benefits program is the gravy, i.e.,
the special sauce that sets our compensation package apart. In addition to
standard benefits, Gravie’s package includes alternative medicine coverage,
flexible PTO, 16 weeks paid parental leave, paid holidays, cell phone
reimbursement, education reimbursement, and 1 week of paid paw-ternity leave
just to name a few.

  

  



