Compliance Manager

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:

Are you passionate about navigating complex regulations to drive positive impact? The Compliance Manager plays a vital role in supporting Gravie's commitment to understanding and adhering to the intricate regulatory landscape governing health benefits. This individual will be a key contributor in shaping our compliance operations, providing essential guidance on cutting-edge plan designs, and actively fostering a culture of integrity that underpins our mission to transform healthcare. This is an opportunity to make a tangible difference in how our members experience their benefits.

You Will:

●      Regulatory Monitoring & Analysis:

○      Monitor changes in federal and state healthcare laws and regulations, including the Affordable Care Act (ACA), Employee Retirement Income Security Act (ERISA), and related guidance.

○      Analyze the impact of new or revised regulations on Gravie's operations, products, and services, and help communicate findings to relevant stakeholders.

○      Support the project management and implementation of new regulatory requirements, helping to ensure end-to-end documentation of successful implementation and ongoing compliance.

●      Plan Document & SPD Compliance:

○      Support the review, development, and maintenance of Summary Plan Descriptions (SPDs) and other member-facing regulatory materials to ensure accuracy, clarity, and compliance with all applicable laws (e.g., ERISA disclosure requirements, ACA mandates).

○      Assist with SPD and SBC amendments and updates.

○      Assist with compliance efforts for Gravie's non-ERISA book of business, including conducting state research and supporting the development of compliant plan documents.

●      Benefit Design & Administration Compliance:

○      Provide compliance assistance on health plan design, eligibility, benefits, and administration.

○      Contribute to the review and advise on proposed plan variations, exceptions, and unique benefit requests, assessing compliance implications.

●      State Regulatory Filings & Reporting Support:

○      Facilitate and track state regulatory filings, including TPA licensing, Secretary of State qualifications, and annual reports.

●      Regulatory Inquiry & Complaint Response Support:

○      Support the response efforts to regulatory inquiries and complaints from agencies (e.g., DOL, State Insurance Departments, Attorney General) in a timely and comprehensive manner.

●      Compliance Program Operations & Documentation:

○      Assist in building and refining processes to document all compliance activities and decisions. This includes managing the end-to-end compliance investigation process when gaps or potential issues are identified, ensuring thorough documentation of findings and resolutions, and ongoing monitoring.

○      Help develop and support the oversight of the intake processes for new compliance requests and inquiries from internal stakeholders.

You Bring:

●      Bachelor's degree in a relevant field (e.g., Business Administration, Healthcare Administration, Legal Studies).

●      3-5 years of progressive experience in healthcare compliance, specifically with group health plans.

●      Demonstrated knowledge of ERISA, the Affordable Care Act (ACA) and other regulatory frameworks applicable to self-funded commercial health plans is required.

●      Experience with plan documents, SPDs, and benefit administration processes.

●      Excellent analytical, problem-solving, and critical thinking skills, with the ability to interpret complex regulations.

●      Exceptional written and verbal communication skills, capable of translating legal requirements into practical business guidance.

●      Proven ability to collaborate cross-functionally and influence stakeholders.

●      High level of integrity, attention to detail, and ethical conduct.

Extra Credit:

●      Previous start up company experience

●      Project management skills/experience

●      Government reporting experience related to healthcare and/or benefits

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 $90,000 - $150,000 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:

●  We know healthcare. Our company was founded and is still led by industry veterans who have started and grown 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 customers like us. Our revenue churn is in the low single digits, in an industry where greater than 20% churn is common.

● 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. We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self – we like you that way.