Job description
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:
The Clinical Vendor Manager is responsible for managing Gravie’s portfolio of clinical vendor partnerships to ensure cost-effective, high-quality, and compliant delivery of clinical programs and services. This role is hands-on and execution-focused—building relationships with vendors, monitoring performance, and ensuring alignment with Gravie’s operational, financial, and member experience goals.
The Manager will serve as the day-to-day point of contact for clinical vendor performance, driving accountability through data, metrics, and collaboration. This role plays a key part in helping Gravie control medical costs, improve utilization outcomes, and deliver an exceptional member experience.
You will:
· 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.
You bring:
· 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 and project management skills.
· Excellent relationship-building and communication abilities.
· Proficiency in data analysis and vendor performance dashboards.
· Knowledge of healthcare quality, utilization management, and medical cost containment.
· Comfortable working in a fast-paced, evolving environment.
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 $113,800 - $189,600 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.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
