
Vice President, Claims
Job Description
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 Vice President, Claims to join our Health Plan Operations team. This role is responsible for leading the teams who design, operate, and optimize our benefit configuration, claim adjudication, and provider payment functions. The Vice President, Claims will also develop and execute strategies to improve the cost, quality, and efficiency of Gravie’s health plans, such as integration of new provider networks and enhancement of payment integrity programs. You will:· Lead the teams responsible for end-to-end processing of medical and pharmacy claims from receipt through payment, including appeals and escalations.· Ensure compliance with all contractual agreements, plan documents, and applicable ...
The Real Dill ☘️
Ask most Americans - health insurance is a huge stress for day to day life. Almost 20% of the US GDP is spent on healthcare - while not a perfect comparator, it's wild to think that a fifth of household expenses are spent just on healthcare. And the payment system itself is massively complex - co-pays, covered treatment, deductibles, out-of-pocket coverage, etc. Enter Gravie, who claims its flagship health plan for small and medium businesses ("SMBs"), Comfort, offers comprehensive coverage of all essential benefits and first-dollar coverage and zero copays on the most common healthcare services like office visits, labs and imaging, prescriptions, mental health services and more. What this translates to is more services covered without out-of-pocket costs to the patient, a huge benefit as healthcare costs continue to rise. Apparently it's working - they raised nearly $180mn in 2023 alone, and are continuing to grow. (April 2024)
Jon Lee, PT, DPT, OCS, FAAOMPT, MBA
Pickle co-founder
About Gravie
Simple to understand employee health plans.
MissionTo build a health plan everyone can love
Wow FactorProvides health benefits to the employees and families of more than 1,200 companies nationwide
Company benefits
- 🏦 401K/retirement
- 🏋️♂️ Gym membership
- ✈️ Travel stipends
- 🩷 Wellness Benefits
- ✈️ Travel stipends
- 💰 Life insurance
Pickle is not affiliated with listed companies unless otherwise noted.
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