Gravie is a health benefits platform that offers insurance services. Their software products include Comfort and ICHRA. Gravie designed health benefits to help employers control costs. Backed by AXA Venture Partners.
About the role
Serve as the primary pharmacy clinical lead for our PBM partnership, including oversight of utilization management, formulary and clinical programs Design, implement and manage clinical programs that drive affordability, quality, and member outcomes
What they're looking for
- PharmD degree and active, unrestricted pharmacist license required
- 5+ years of pharmacy experience in clinical operations, utilization management, or formulary leadership
- Demonstrated experience in contracting oversight or performance evaluation with PBMs or pharmacy vendors
- (Bonus) Experience working within commercial level-funded health plans and/or innovative health insurers (e.g., startup or growth-stage plans)
More about this role
Hi, we’re Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions 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.
We’re seeking a strategic, hands-on pharmacy leader to own clinical oversight of our PBM and pharmacy vendors, drive formulary and UM strategy, and provide clinical expertise to shape our pharmacy affordability programs. This role bridges clinical expertise and operational execution to drive sustainable pharmacy spend and strong member outcomes.
Serve as the primary pharmacy clinical lead for our PBM partnership, including oversight of utilization management, formulary and clinical programs
Design, implement and manage clinical programs that drive affordability, quality, and member outcomes
Provide clinical oversight of pharmacy vendors and clinical programs that improve outcomes and reduce unnecessary utilization
Own formulary design and maintenance, including tier strategy, drug placement, therapeutic class management, and clinical edit logic
Complete reviews of prior...
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