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.

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

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:

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.