Director of Pharmacy Operations

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. A Little More About The role: The Director of Pharmacy Operations will oversee Gravie’s PBM relationships and work closely with our operations, implementation and GravieCare teams. This position will build the structures and processes to manage the PBM, establishing KPIs and dashboards to ensure its meetings Gravie’s unparalleled standard for service and value for our members. You will: Be responsible for the overall direction and management of pharmacy operations to enhance the member experience and improve operational effectiveness. Manage vendor relationships for Gravie’s PBM and any downstream vendor(s) including: onboarding, billing, management of KPI’s, dashboards for performance (ingredient cost, rebates, customer service, utilization management, mail order, specialty), Performance Guarantees, and member satisfaction metrics. Develop and manage project plans for Pharmacy initiatives to ensure accurate, timely and coordinated implementation. Develop and implement a benefit build and benefit testing process for new and renewing groups. Develop and implement a benefit inquiry process to help support customer service, GravieCare, Account Management, and Sales. Work with compliance to ensure the PBM and vendors are compliant with all State and federal laws as well as any national accreditation standards. Support State or Federal inquiries as needed. Work closely with business operations team to support claims system implementation and maintenance and serve as subject matter expert. Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented. You bring: 8+ years of experience at a PBM or pharmacy department of a health plan 5+ years of relationship management experience 3+ years of experience with Medical Pharmacy claims (J-Codes, S-Codes, C-Codes, etc) 3+ years of experience in building analytics programs and dashboards Demonstrated ability to work independently, and to effectively manage time-critical issues Ability to deal with ambiguity, shift gears comfortably, and take action without having the total picture Proven ability to make decisions, positively influence others, and work well in a fast-moving environment Strong organizational, time management and prioritization skills Extra credit: Previous start up company experience 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.