Senior Manager, Pharmacy

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $151.5k - $202k / year

⏰ Full Time

🟠 Senior

💊 Pharmacist

👻 Ghost score 0%

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Gravie

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2013

🏥 Healthcare

🛡️ Insurance

🤝 B2B

💰 $150M Private Equity Round - Gravie on 2025-05

Healthcare • Insurance • B2B

Gravie is a benefits and health insurance solutions company that helps small and midsize employers, brokers, and employees access and administer more flexible, affordable health benefits. Its flagship offerings include Comfort (a level-funded health plan), Gravie ICHRA (Individual Coverage Health Reimbursement Arrangement administration), Gravie Pay (support for healthcare costs), and Gravie Care; the company focuses on enabling SMBs to offer individualized, lower-cost coverage and simplifying benefits administration.

📋 Description

• Serve as the primary pharmacy clinical lead for the PBM partnership, overseeing 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 to 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 authorization decisions and appeals for specialty and non-specialty drugs • Develop and maintain policies related to clinical pharmacy and pharmacy and medical benefit drugs • Collaborate with actuarial, finance, and product teams on pricing, trend modeling, pharmacy spend forecasting, and stop-loss considerations • Partner cross-functionally with product, clinical, network, actuarial, and other stakeholders to ensure integrated care approaches • Ensure compliance with regulatory, accreditation, and clinical governance standards

🎯 Requirements

• 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 • Experience working within commercial level-funded health plans and/or innovative health insurers is a bonus • Must be currently authorized to work in the United States

🏖️ Benefits

• Alternative medicine coverage • Flexible PTO • Up to 16 weeks paid parental leave • Paid holidays • 401k program • Transportation perks • Education reimbursement • 2 days of paid paw-ternity leave • Standard health and wellness benefits