[Remote] Clinical Vendor Manager at Gravie

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Active and non restricted RN license
3+ years experience managing clinical vendors (UM/CM, telehealth, care navigation, etc.) in payer or managed care settings
Demonstrated success improving vendor performance and managing complex contracts
Working for a TPA and/or Self funded insurance organizations
Working with Stop Loss and Reinsurance vendor partners
Strong organizational skills

Responsibilities

Serve as the primary point of contact for clinical vendors (including Cigna UM & CM, AHH UM & CM, Teladoc, Sword Health, Alight, and SL partners)
Maintain strong, collaborative relationships to ensure mutual accountability and continuous improvement
Partner with internal clinical, finance, and operations teams to align vendor services with Gravie’s goals
Strategize and evaluate potential clinical vendors to identify partnerships that add measurable value and align with organizational goals
Monitor vendor performance against SLAs, KPIs, and contract terms; escalate issues and track remediation plans
Manage ongoing and annual vendor evaluations, including data reviews and performance scorecards
Identify performance gaps and opportunities for cost containment and quality improvement
Support contract renewals, amendments, and performance guarantees (PGs) in partnership with Legal and Procurement
Ensure vendor compliance with contractual, regulatory, and audit requirements
Track key contract dates and coordinate renewal reviews and approvals
Define and enforce clinical vendor data reporting standards and integration requirements across systems
Prepare regular dashboards and summaries highlighting performance trends, risks, and opportunities
Translate data insights into actionable recommendations for leadership
Support decisions on insourcing vs. outsourcing functions by assessing cost, quality, and efficiency impacts
Reconcile vendor invoices and proactively forecast clinical vendor spend
Collaborate cross-functionally to resolve issues affecting member experience or clinical outcomes

Skills

Gravie

Health benefits and insurance solutions provider

About Gravie

Gravie provides health benefits by offering straightforward and affordable health plans, primarily targeting individuals and small to midsize businesses. Their main product, Comfort, stands out because it has no deductible and no copays for most common healthcare services, allowing members to access care without unexpected costs. Additionally, Comfort includes virtual care options for musculoskeletal and mental health issues. Gravie also offers a payment solution called Gravie Pay, which enables members to pay for healthcare expenses interest-free, further easing financial stress. Unlike traditional health plans, Gravie claims that Comfort members save on out-of-pocket costs, and employers switching to Gravie often see lower premium expenses. The company has a high retention rate, indicating that many employees choose to continue with the Comfort plan in subsequent years. Gravie's goal is to simplify health benefits and reduce the financial burden of healthcare for its members.

Minneapolis, MinnesotaHeadquarters

2013Year Founded

$333.3MTotal Funding

DEBTCompany Stage

Fintech, HealthcareIndustries

201-500Employees

Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Holidays

Paid Vacation

Paid Sick Leave

Flexible Work Hours

Paid Parental Leave

Wellness Program

Alternative Medicine Coverage

Cell Phone Reimbursement

Transportation Perks

Education Reimbursement

Paid Paw-ternity Leave

Risks

Potential backlash from traditional insurers could increase competition or lobbying.

Rapid ICHRA adoption may invite regulatory scrutiny or changes.

Aggressive expansion strategy could strain resources and lead to inefficiencies.

Differentiation

Gravie's Comfort plan offers zero deductibles and copays, unlike traditional health plans.

Gravie Pay provides interest-free payment solutions, reducing financial burdens for members.

Focus on virtual healthcare services enhances accessibility and member satisfaction.

Upsides

Increased ICHRA adoption since 2020 expands Gravie's market opportunities.

Comfort plan's zero-deductible model attracts cost-conscious employers and employees.

Virtual healthcare services align with rising demand, boosting member engagement.

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