Senior Provider Network Operations Analyst @ Gravie

Gravie; United States; On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health benefits

401k program

Paid parental leave

Paid holidays

PTO

Job summary

Gravie is seeking a Provider Network Operations Analyst to manage Gravie’s provider networks, document processes, and turn data into actionable insights. You’ll own day-to-day operational cadence, monitor SLAs, and build scorecards while coordinating with Contracting, Customer Service, and Claims teams to improve data flow across systems.

The role emphasizes building repeatable processes, identifying gaps, and delivering practical solutions in a fast-growing health plan environment.

Qualifications

• Bachelor's degree or equivalent experience and 2+ years in network/health plan operations.
• 2+ years building or improving operational processes in healthcare.
• 2+ years managing ongoing performance of a provider network or similar function.
• 2+ years working with provider, claims, or network data to build reporting or track performance.

Responsibilities

• Manage day-to-day operations of Gravie's provider networks, tracking open issues, renewals, and attention items.
• Document network operations processes and keep workflows current as they evolve.
• Administer the provider network inquiry intake system: apply triage rules, monitor SLAs, and report on volume and trends.
• Build and maintain network scorecards to show performance at a glance.
• Investigate deviations in provider reporting, find root causes, and suggest fixes to leadership.
• Turn network data into actionable insights for Network leadership decisions.
• Coordinate with Contracting, Customer Service, Claims and Networks to close data flow gaps.
• Identify manual work to replace with repeatable processes or tools.
• Partner with Network leadership to flag risks and propose fixes before issues grow.

Skills

Network operations

Process improvement

Data analysis

Cross-functional collaboration

Reporting

Education

Bachelor's degree or equivalent experience

Tools

SQL

Excel

BI tools

Job description

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 looking for a Provider Network Operations Analyst to help build the day-to-day engine behind Gravie's provider networks. We're growing fast, and a lot of our network processes still need to be built, documented, or tightened up. You'll partner closely with the Provider Network team to stand up the processes, workflows, and reporting that keep our networks running smoothly - from how we track network health to how we catch and fix problems before they affect members. This is a hands-on, builder role: you'll own the day-to-day operational cadence of the network today, and help shape how we operate as we grow into new markets.

YOU WILL:

• Manage the day-to-day operations of Gravie's existing provider networks, staying on top of open issues, renewals, and anything that needs attention

• Document network operations processes and keep them current as workflows evolve

• Administer the provider network inquiry intake system day to day — apply triage rules and prioritization criteria, monitor SLAs and queue aging, and report on volume and resolution trends across all channels

• Build and maintain network scorecards that give the team a simple, reliable view of how the network is performing

• Dig into deviations or inconsistencies in provider reporting, run them down to root cause, and recommend process fixes to Network leadership

• Turn network data into practical insights that the Network leadership team can use to make decisions

• Partner with Contracting, Customer Service, Claims and our Networks to close gaps in how provider data flows between teams and systems

• Identify where manual, ad hoc work can be replaced with a repeatable process, checklist, or lightweight tool

• Act as a key operational partner to Provider Network leadership, flagging risks and recommending fixes before they become bigger issues

YOU BRING:

• Bachelor's degree, or equivalent experience, and 2+ years of experience in network operations, health plan operations, or provider network management

• 2+ years of experience building or improving operational processes in a healthcare or health plan setting

• 2+ years of experience managing the ongoing performance of a provider network or similar operational function

• 2+ years of experience working with provider, claims, or network data to build reporting or track performance

EXTRA CREDIT:

• Experience standing up network operations for a new market or new provider network

• Familiarity with network adequacy requirements or CMS/state reporting standards

• Experience with SQL, Excel, or BI tools (e.g., Tableau, Looker, Power BI)

• Background at a small or fast-growing health plan where you had to build as you went

• Project or program management experience

A Little More About Us:

• We know healthcare. Our company was founded and is still led by industry veterans who have started and grew several market-leading companies in the space.

• We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.

• Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% – nearly 40 points above the industry average.

• Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve.

Benefits

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, transportation perks, education reimbursement, and 2 days of paid paw-ternity leave.