The posting
Hi, we’re Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions 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.
We're looking for a Provider Network Operations Analyst to help build the day-to-day engine behind Gravie's commercial provider networks - the networks that support the small and midsize employer plan we build. We're growing fast, and a lot of our network processes still need to be built, documented, or tightened up. You'll partner closely with the Provider Network team to stand up the processes, workflows, and reporting that keep our networks running smoothly - from how we track network health to how we catch and fix problems before they affect members. This is a hands-on, builder role: you'll own the day-to-day operational cadence of the network today, and help shape how we operate as we grow into new markets.
YOU WILL:
- Manage the day-to-day operations of Gravie's existing commercial provider networks, staying on top of open issues, renewals, and anything that needs attention
- Document network operations processes and keep them current as workflows evolve
- Administer the provider network inquiry intake system day to day — apply triage rules and prioritization criteria, monitor SLAs and queue aging, and report on volume and track volume and resolution trends across all channels
- Build and maintain network scorecards that give the team a simple, reliable view of how the network is performing
- Dig into deviations or inconsistencies in provider reporting, run them down to root cause, and recommend process fixes to Network leadership
- Turn data and reporting already produced by our analytics team into practical insights and recommendations for Network leadership
- Partner with Contracting, Customer Service, Claims and our Networks to close gaps in how provider data flows between teams and systems
- Identify where manual, ad hoc work can be replaced with a repeatable process, checklist, or lightweight tool
- Act as a key operational partner to Provider Network leadership, flagging risks and recommending fixes before they become bigger issues
YOU BRING:
- Bachelor's degree, or equivalent experience, and 2+ years of experience in network operations, health plan operations, or provider network management within the commercial (employer-sponsored) health insurance market.
- 2+ years of experience building or improving operational processes in a commercial or health plan setting
- 2+ years of experience managing the ongoing performance of a provider network or similar operational function
- 2+ years of experience working with provider, claims, or network data to build reporting or track performance
EXTRA CREDIT:
- Experience standing up network operations for a new market or new provider network
- Background at a small or fast-growing commercial health plan where you had to build as you went
- Project or program management experience
- Comfortable reading and acting on dashboards or reports built by the analytic team (Excel, Salesforce, Tableau)
- Experience or familiarity using AI tools (such as Claude) for process automation or operational efficiency
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 clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% – nearly 40 points above the industry average.
- 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.
BENEFITS
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, transportation perks, education reimbursement, and 2 days of paid paw-ternity leave.
JOB APPLICANTS
If you apply for employment with Gravie, personal information collected via our applicant tracking vendor is subject to our standalone California Job Applicant Notice at Collection, accessible directly within the application workflow and separate from this Policy.
