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Posted 8 months ago
Requirements and responsibilities
A Little More About The role:The Pharmacy Member Specialist Supervisor leads and oversees pharmacy benefit administration within member services, ensuring timely and accurate issue resolution for members, employers, and brokers. This role involves tracking performance metrics, developing quality assurance frameworks, and implementing new member and provider initiatives. The supervisor is also responsible for developing and maintaining training programs for internal teams and translating pharmacy program changes into effective operational processes to achieve optimal member and plan outcomes.You will:Oversee performance for pharmacy benefit administration within member services, ensuring smooth, timely, and accurate resolution for issues raised by members, employers, and brokers.Track performance metrics and trends related to member interactions and issue resolution.Develop, maintain, and report on key performance indicators focused on efficiency and member satisfaction.Lead operational implementation of new outbound member and provider initiatives. Including: Programs designed to achieve cost savings for members and plansEducating members and providers on pharmacy programs; offer proactive assistance with prescription fulfillmentDevelop and implement a quality assurance framework, focusing on audits of case documentation, correspondence, and call recordings to ensure high-quality performance. This includes monitoring vendor customer service quality and managing performance scorecards.Develop and maintain training programs, materials, and regular learning sessions for internal teams to ensure strong understanding of pharmacy benefit design, programs, policies, procedures, and escalation pathways.Serve as the eyes and ears of the member to evaluate upcoming pharmacy program changes and benefit enhancements. Translate impacts into operational processes that deliver the best possible member and plan outcomes.You bring:3+ years experience in pharmacy operations, PBM, health plan, or member services roles2+ years leadership experienceStrong understanding of pharmacy benefit design and specialty drug programsExcellent partnership and communication skills with both internal teams and external stakeholdersAbility to build structure in fast-paced or scaling environmentsExtra 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 $66,112 - $110,187 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:At Gravie, we're on a mission to reinvent health benefits for small and midsize businesses—making high-quality, affordable healthcare accessible to employers and their employees. We believe better benefits lead to better lives, and we’re building the future of health benefits to reflect just that.We’re proud to be the only company offering both innovative level-funded health plans and a market-leading ICHRA solution, giving employers more choice and flexibility than ever before.And guess what? Our customers love us. With member and employer satisfaction rates consistently trending above 80%, we know our health plans are working the way they should. Backed by some of the most sought-after investors in the country, we have the resources and long-term support to build something truly transformative—and we’re just getting started.At Gravie, we do things differently. We’ll challenge you, and we’ll welcome you challenging us. Good ideas are everyone's job here. You’ll join a team that’s smart, mission-driven, and unafraid to push boundaries if it means making a bigger impact for the people we serve.If you're energized by a high-performance, high-trust environment where your voice matters, Gravie might be just the place for you.We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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