Director of Health Plan Data Management and Operations at Gravie | Powderkeg

Location: Minneapolis, MN

Employment Type: Full Time

Team: Engineering

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. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.

A Little More About Us:

· We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.

· We are quickly becoming one of the fastest growing health benefits companies in the country. We have received numerous awards and accolades, including Inc. Magazine Best in Business Gold Medal award in 2021, and JMP Securities Top 50 Private Companies in Insurtech in 2022.

· We have raised money from top tier investors who share the same long- term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.

· Our customers like us. Our revenue churn is in the low single digits, in an industry where greater than 20% churn is common.

· Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast- paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve. We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self – we like you that way.

We are growing! The Director of Health Plan Data Management and Operations is a newly created role and provides leadership for Gravie’s data and for its Data platform that handles Gravie’s products and Service. The leader will provide input and operational guidance in all aspects of Data Management, Platform Development and Data Ingestion Operations. The Data Operations leader oversees the data ingestion and delivery of all relevant data operations activities.

You will:

· Play a critical role in ensuring the data integrity, accuracy, and efficiency of Gravie’s data and will be accountable for operational data management functions, including accuracy, integrity, and timeliness.

· Responsible for prioritizing Data Ops team activities; ensuring that the team meets all expected SLAs, and actively engages with Platform Development and Product teams regarding technology and processes impacting data ingestion.

· Lead and manage a team responsible for maintaining accurate data within our system, ensuring compliance with industry regulations, and meeting organizational objectives, while managing identified operational metrics with the management team, improving outcomes, implementing new strategies, and collaborating cross functionally to deliver on goals.

· Develop and implement data strategies in partnership with the data management, data science organization and other business units to ensure data integrity throughout end-to-end processes.

· Help in the creation of self-service capabilities, automations, tools to reduce manual labor, and more.

· Develop and perform ongoing quality assurance on production processes by establishing control measures, resolving discrepancies, and mitigating risks associated with production output.

· Collaborate with vendor partners to ensure effectiveness and efficiencies of processes, resolve issues proactively and maintain strong partnerships as a team.

· Manage and respond to industry standards, staying up to date with regulations impacting this domain, implementing best practices while ensuring adherence and driving improvement in outcomes.

· Lead strategy and development of automation and monitoring technologies for all data. Oversees data ingestion and downstream activities are performing as scheduled and provide regular updates on status progress.

· Evaluate technology solutions for data ingestion efficiency, processing performance and monitoring and automation.

· Support all Data Operations team members with activities surrounding incoming data and processes moving data into end state; provide training and guidance for activities.

· Collaborate with Engineering, Health Plan Operations, and other business units to ensure alignment with all platform and data ingestion development and operational activities.

· Create and update process documentation to aid in business growth and resolution of issues.

· Ensure compliance with all applicable laws and regulations.

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

You bring:

· Bachelor’s degree in computer science or a related field required.

· Work experience in the health insurance industry or related industry experience

· Management experience in technology support with a deep understanding of healthcare data including claims, eligibility, enrollment, and related data domains.

· Strong experience with health data processing and management, file management and reconciling data in multiple systems

· Coordination of all data ingestion and transformation activities using technology and resources in efficient, scalable, and predictable processes.

· Experience with automating processes and file transmission tools

· Proven leadership skills including the ability to coach and train others in solving complex tasks and lead large teams with project activity and daily management of deliverables.

· Knowledge of Health Insurance Industry, ideally working with HIPAA Protected Health Information (PHI) and EDI-transmitted data.

Extra credit:

· Previous start up company experience

· Experience with SaaS like Javelina, Salesforce Health Cloud, etc.

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.

Job Summary
  • Job Title
    Director of Health Plan Data Management and Operations
  • Company
  • Location
    Minneapolis, MN
  • Employment Type
    Full time
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