Clover Health

Senior Manager, Strategic Configuration

Remote - USA · Senior

Sponsorship not specified$129k-$168kDetected 20 days ago

Project ManagementProcess ImprovementLeadershipCommunicationCollaborationProblem SolvingMentoring

About the role

As a Medicare Advantage plan, we aim to empower our members by helping them navigate the complexities of healthcare and live healthier lives.
While our core configuration team handles daily "business as usual" workflows, this role is a highly specialized, strategic position focused on ensuring claims are paid correctly and precisely the first time.
By championing automated solutions and predictive modeling, you will ensure our payment ecosystem is one of the most accurate and technologically advanced in the Medicare Advantage space.

Lead the technical design and implementation of strategic configuration logic to ensure flawless first-pass adjudication.
Develop best practices and documentation for advanced configuration procedures.
During this time, you will have established a refined "accuracy-by-design" workflow that ensures claims are adjudicated correctly during the initial pass.

Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
Reimbursement for office setup expenses
Monthly cell phone & internet stipend
Paid parental leave for all new parents
About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier.
We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity.
Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
At Clover Health, we're focused on improving the health of our members by leveraging technology and data-driven insights to provide personalized, high-quality care.

We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives.

This listing is sourced directly from Clover Health's careers page and normalized into a canonical job model.