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 Medical Claims Supervisor. The Supervisor manages and oversees the operational and day-to-day performance of department staff. They help lead, manage, champion, and improve the Gravie member experience and ensure overall performance of direct reports, aligns with operational metrics and service standards.
You will:
· Oversee, mentor and evaluate claims examiners at all levels, including inventory assignment, KPI monitoring and performance management.
· Lead claims processing and inventory management to ensure timely, accurate and compliant adjudication of claims.
· Analyze quality review findings from the auditing department to identify root causes of financial, payment and procedural errors at the examiner level
· Identify operational gaps and provide recommendations, implement continuous improvements related to claims processing, system configuration, and quality outcomes.
· Act as the escalation point for complex claims, leading investigation, resolution, and implementation of both short-term and long-term corrective solutions.
· Prepare and analyze claims processing reports, leveraging claim data to deliver insights that drive operational efficiency. Partner closely with Data Analytics to identify reporting gaps and ensure consistent achievement of KPI’s and Network SLA’s.
· Compile and present key operational and performance data in a clear, organized, and concise format. Highlighting trends, risks and actionable insights for leadership and key stakeholders.
· Collaborate cross-functionally with internal departments such as Clinical, Configuration, Compliance and other departments to develop, refine and improve policies and procedures.
· Serve as a backup to the Claims Manager as needed to support business and departmental needs of the business.
· Oversee, maintain, and enhance workflows to improve departmental effectiveness, scalability, and efficiency
· Lead through change in a fast-paced, evolving environment; demonstrate agility, effectively prioritize shifting demands and communicate urgent issues effectively.
· Be willing to maintain a flexible work schedule, based upon the needs of the business and Claims department.
· Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and result-driven mindset.
You bring:
· Dedication and passion around helping people navigate the world of health insurance and benefits.
· Strong understanding of medical terminology, CPT/ICD codes, benefit plans, and claims adjudication systems.
· Familiarity with state/federal healthcare laws and regulations.
· Demonstrated ability to motivate, train, and evaluate staff with a strong focus on achieving departmental goals and meeting SLAs.
· Previous experience leading and managing claims examiners, providing direct feedback, and overseeing processes development
· Demonstrated success leading special projects and providing impactful results.
· Ability to foster positive and trusting rapport with direct reports and meet with team members in 1:1, small group, and large group settings.
· Excellent written and verbal skills for team and external interactions.
· Ability to meet deadlines and manage multiple priorities simultaneously.
· Ability to navigate ambiguity, shift gears comfortably, and decide and act without having the total picture.
Extra credit:
· Previous experience at a high growth company.
· Previous experience using Javelina.
· Previous experience managing dynamic inventory.
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 $59,250 - $98,750 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, generous PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and 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.
