<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. 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.</span></div><div><span style="font-size: 16px;">&nbsp;</span></div><div><b style="font-size: 16px;">A Little More About the Role:</b></div><div><span style="font-size: 16px;">We’re looking for a </span><b style="font-size: 16px;">Supervisor, Stop Loss Claims</b><span style="font-size: 16px;"> to join our team.&nbsp; The primary responsibility for this position is leading the team of Claims Examiners responsible for reviewing submissions of stop loss-eligible claims from Gravie’s health plans.</span></div><div><br></div><div><b style="font-size: 16px;">You will:</b></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Supervise Gravie’s Stop Loss Team to ensure timely and accurate processing of stop loss claims generated by Gravie’s level and self-funded health plans ensuring necessary team, department and network goals are met</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Oversee Stop Loss&nbsp; inventory, daily work assignment and adjudication of stop loss claims</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that claims are paid correctly under the terms of the Stop Loss Policy and all applicable Plan Documents</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Regularly review audit and quality data performed by Stop Loss Claims Examiners to ensure that internal standards for quality are being met</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Maintain productivity standards for key volume-driven tasks (i.e </span><i style="font-size: 16px;">Stop Loss Submissions completed per hour.) </i><span style="font-size: 16px;">to ensure SLA’s and department goals are consistently met</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Track productivity by task to ensure budgeted capacity is adequate to meet supply and demand</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Participate in the administration and oversight of Gravie’s stop loss administration software system and work together with configuration to assist with system enhancements</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Serve as a stop loss subject matter expert and act as a go-to resource for the team</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Support team members in reaching their full potential by providing coaching, sharing expertise, best practices, offering constructive feedback for improvement, and celebrating accomplishments.</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Collaborate with other departments, management, and external partners</span></div><div><span style="font-size: 16px;">●&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;&nbsp;&nbsp;&nbsp;&nbsp; Play a key role in the development of departmental workflows and improvements to existing processes</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Facilitate department-specific training, new hire training and ongoing education to support team development and knowledge retention</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; Bachelor’s Degree or equivalent work experience</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3 to 5 years of Stop Loss Claims experience</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Demonstrated problem-solving, organizational, and analytical skills</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Excellent communication skills</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Technological fluency and ability to quickly learn new systems and technologies</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ability to work independently, prioritize workloads, and multi-task</span></div><div><span style="font-size: 16px;">&nbsp;</span></div><div><b style="font-size: 16px;">Extra credit:</b></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Previous experience at a high growth company</span></div><div><span style="font-size: 16px;">&nbsp;</span></div><div><b style="font-size: 16px;">Gravie:&nbsp;</b></div><div><span style="font-size: 16px;">In order to transform health insurance and build a health plan everyone can love, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career growth, meaningful mission-driven work, and an above average total rewards package.</span></div><div><span style="font-size: 16px;">&nbsp;</span></div><div><span style="font-size: 16px;">The salary range for this position is $69,150 - $115,250&nbsp; annually. Numerous factors including, but not limited to, educations, skills, work experience, certifications, etc. will be considered when determining compensation.</span></div><div><span style="font-size: 16px;">&nbsp;</span></div><div><span style="font-size: 16px;">Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, cell phone reimbursement, transportation perks, education reimbursement, and 1 week of paid paw-ternity leave.&nbsp;</span></div><div><span style="font-size: 16px;">&nbsp;</span></div><div><b style="font-size: 16px;">A Little More About Us:</b></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 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.</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 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.</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Our customers like us. Our revenue churn is in the low single digits, in an industry where greater than 20% churn is common.</span></div><div><span style="font-size: 16px;">●&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 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.</span></div>

Location: Remote

  

Employment Type: Full Time

  

Team: Health Plan Administration

  

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 the Role:**

We’re looking for a **Supervisor, Stop Loss Claims** to join our team.  The
primary responsibility for this position is leading the team of Claims
Examiners responsible for reviewing submissions of stop loss-eligible claims
from Gravie’s health plans.

  

 **You will:**

●      Supervise Gravie’s Stop Loss Team to ensure timely and accurate
processing of stop loss claims generated by Gravie’s level and self-funded
health plans ensuring necessary team, department and network goals are met

●      Oversee Stop Loss  inventory, daily work assignment and adjudication of
stop loss claims

●      Ensure that claims are paid correctly under the terms of the Stop Loss
Policy and all applicable Plan Documents

●      Regularly review audit and quality data performed by Stop Loss Claims
Examiners to ensure that internal standards for quality are being met

●      Maintain productivity standards for key volume-driven tasks (i.e _Stop
Loss Submissions completed per hour.)_ to ensure SLA’s and department goals
are consistently met

●      Track productivity by task to ensure budgeted capacity is adequate to
meet supply and demand

●      Participate in the administration and oversight of Gravie’s stop loss
administration software system and work together with configuration to assist
with system enhancements

●      Serve as a stop loss subject matter expert and act as a go-to resource
for the team

●      Support team members in reaching their full potential by providing
coaching, sharing expertise, best practices, offering constructive feedback
for improvement, and celebrating accomplishments.

●      Collaborate with other departments, management, and external partners

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

●      Play a key role in the development of departmental workflows and
improvements to existing processes

●      Facilitate department-specific training, new hire training and ongoing
education to support team development and knowledge retention



 **You bring:**

●      Bachelor’s Degree or equivalent work experience

●      3 to 5 years of Stop Loss Claims experience

●      Demonstrated problem-solving, organizational, and analytical skills

●      Excellent communication skills

●      Technological fluency and ability to quickly learn new systems and
technologies

●      Ability to work independently, prioritize workloads, and multi-task



 **Extra credit:**

●      Previous experience at a high growth company



 **Gravie:  **

In order to transform health insurance and build a health plan everyone can
love, we need talented people doing amazing work. In exchange, we offer a
great overall employee experience with opportunities for career growth,
meaningful mission-driven work, and an above average total rewards package.



The salary range for this position is $69,150 - $115,250  annually. Numerous
factors including, but not limited to, educations, skills, work experience,
certifications, etc. will be considered when determining compensation.



Our unique benefits program is the gravy, i.e., the special sauce that sets
our compensation package apart. In addition to standard health and wellness
benefits, Gravie’s package includes alternative medicine coverage, flexible
PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, cell
phone reimbursement, transportation perks, education reimbursement, and 1 week
of paid paw-ternity leave.



 **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 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.

