Full-Time

Head of ICHRA Operations

Posted on 8/16/2024

Gravie

Gravie

201-500 employees

Health benefits and insurance solutions provider

Fintech
Healthcare

Senior

Remote in USA

Category
Supply Chain Management
Transportation & Distribution
Operations & Logistics
Required Skills
Customer Service
Data Analysis
Requirements
  • Strongly prefer operating experience in the individual health insurance market but will consider relevant experience in adjacent industries.
  • Experience creating automated enrollment processes.
  • Proven experience developing business partnerships.
  • A high degree of comfort and familiarity with tools and technology.
  • Proven ability to inspire a team, develop leaders and hold teams to a high standard of performance.
  • Previous success establishing processes and tools and scaling teams in a high growth environment.
  • Excellent analytical capabilities and previous experiences using data and information to inform decisions.
  • Ability to track and report on Call Center Metrics.
  • Ability to deal with ambiguity, shift gears comfortably, and decide and act without having the total picture.
Responsibilities
  • Build out and oversee a Carrier Relations team responsible for establishing and maintaining relationships with carriers in order to enroll members, facilitate payments for their selected plans, and build a foundation for potential integrations.
  • Own the creation and maintenance of a Carrier knowledge management resource that operational teams can leverage as they are helping members shop for a plan, enroll in a plan, and pay for a plan.
  • Develop a system for tracking commissions owed to Gravie by carriers.
  • Work with Marketing to educate carriers on ICHRA and why they need to invest in ICHRA related capabilities.
  • Oversee the Application Coordinator team and build processes to streamline and improve the efficiency of the enrollment process.
  • Build out and oversee a Payments team responsible for ensuring member payments have been successfully made to the carrier, and working with the Gravie Care Advisor team to reconcile any outstanding or incorrect payments.
  • Develop, roll out, and improve as needed the cross-functional processes between all ICHRA teams to ensure a seamless experience for ICHRA employers, members, and brokers.
  • Work with cross-functional partners to design and evolve our ICHRA operational playbook, including manual processes and workflows to optimize the member experience, remove redundancies, and complement the automated functions of Gravie’s technical solution.
  • Support the development and delivery of the onboarding, training, and support materials for the Gravie Care Advisor team, our licensed agents who help our members select the best health plan for them.
  • Manage and maintain the license status of the Gravie Care Advisor team to ensure we meet state and carrier requirements.
  • Support Gravie Care leadership in the development of KPIs and performance standards for the Gravie Care Advisor team.
  • Work with Compliance to ensure our ICHRA service meets regulatory requirements.
  • Work with Sales and growth partners to ensure prospective clients are set up for success.
  • Partner with Product leadership to inform product strategy, roadmap, and carrier integration opportunities.
  • Work with Product to roll out or test any Product initiatives.
  • Build systems to collect data to identify trends, inform process and tool development, make business decisions, develop performance metrics and continuously work to improve them.
  • Develop and implement quality assurance and training strategy that ensures the highest standard of customer service is delivered and maintained in all aspects of ICHRA delivery, including implementation, account management, and operations.
  • Design metrics to measure performance and ensure attainment of all performance measures including quality, service levels, and customer satisfaction.
  • Partner with Technology leadership to identify technologies and systems needed to deliver on the ICHRA experience.
  • Demonstrate commitment to core Gravie competencies of being authentic, curious, creative, empathetic and outcome oriented.

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 Gravie Pay, a payment solution that enables members to pay for healthcare expenses interest-free, easing the financial strain of medical costs. Unlike traditional health plans, Gravie claims that Comfort members save on out-of-pocket expenses, and employers switching to Gravie often see lower premium costs. 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.

Company Stage

Debt Financing

Total Funding

$333.3M

Headquarters

Minneapolis, Minnesota

Founded

2013

Growth & Insights
Headcount

6 month growth

9%

1 year growth

19%

2 year growth

101%
Simplify Jobs

Simplify's Take

What believers are saying

  • 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.

What critics are saying

  • 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.

What makes Gravie unique

  • 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.

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