Pharmacy Member Specialist

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 are seeking a dedicated and detail-oriented Pharmacy Member Specialist to join our growing Pharmacy Operations team. This role is crucial in ensuring that our members receive optimal support for their medication needs. The ideal candidate will have a deep understanding of pharmacy benefit management and a commitment to providing exceptional service to our members.

 You will:

·       Provide support to Gravie’s Clinical team in relation to pharmacy needs including Home Infusion, Musculoskeletal program support, specialty savings programs, and more.

·       Help facilitate both provider and member outreach campaigns.

·       Address inquiries related to coverage, medication management, prior authorizations, specialty savings programs, pharmacy networks, and more.

·       Investigate and resolve pharmacy claims issues by working with the claims team and Gravie’s PBM to ensure accurate processing and payments.

·       Provide education to members about their pharmacy benefits and covered formulary options, as well as cost saving opportunities and medication adherence strategies.

·       Identify areas for process improvement and contribute to the development of the department to enhance pharmacy benefit services.

·       Support internal teams, including operations, sales, brokers, account management, customer care, clinical operations with questions and issues related to pharmacy care to deliver a seamless member experience.

·       Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented.

·       Other duties as assigned.

You bring:

·       3 + years of Retail, Mail Order, or specialty pharmacy experience, preferably with patient escalation issues, or equivalent experience in a similar setting.

·       Experience working with cross functional teams to understand business strategy and implement defined processes.

·       Fact-based problem solver with the ability to evaluate alternative courses of action and make sound engagement decisions.

·       Ability to multitask and deal with ambiguity.

·       Relentless focus on the member experience.

Extra credit:

·       Certified Pharmacy Tech

·       Previous Health Insurance and/or PBM experience, specifically with client and/or customer care.

·       Prior knowledge of clinical programs as they relate to pharmacy.

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 $45,000 - $63,700 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:

·       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 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.