MSO Operations Associate

1 hour, 57 minutes ago
Full-time
Entry Level
Business Intelligence
Clover Health

Clover Health

Clover Health is a data-focused health insurance company that is revolutionizing the Medicare Advantage space by integrating innovative technology into its plans. With a focus on optimizing medical outcomes and reducing costs, Clover Health uses analyt...

Insurance
251-1K
Founded 2014
$925M raised

Description

  • Support team members navigating operational workflows.
  • Monitor Payment Exception items, including PE, UST/configuration, and Tier 3 matters.
  • Attend claims status meetings and follow up on action items.
  • Execute contract signature workflows, including Medication Adherence documentation, DocuSign, bilateral processes, CAQH checks, and Network Operations handoff.
  • Qualify growth leads from website, direct, Salesforce, and other channels.
  • Track contract-signature-to-activation workflows and coordinate with credentialing and Network Operations teams.
  • Triage field-team escalations to appropriate internal stakeholders.
  • Support provider activation, including intake tracking, documentation readiness, and go-live coordination.
  • Track Clover Home Care referrals and onboarding milestones, proactively flagging delays.
  • Maintain reporting sources, dashboards, tracking tools, and operational documentation.
  • Attend routine and ad hoc meetings and perform other assigned duties.

Requirements

  • Experience in an administrative or operational support role, preferably in healthcare or managed care.
  • Strong organizational and time-management skills with the ability to manage multiple workflows.
  • Excellent attention to detail in claims tracking, reporting, and documentation.
  • Proficiency with Google Sheets, SharePoint, CRM systems, and similar reporting tools.
  • General understanding of HEDIS, claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare or Medicare Advantage preferred.
  • Proactive, self-motivated, and able to follow through with minimal supervision.
  • Clear communication and effective cross-functional collaboration skills.

Benefits

  • Base salary range of $63,800–$83,000 USD.
  • Equity opportunities, performance-based bonus, 401(k) matching, compensation reviews, and an employee stock purchase plan.
  • Medical, dental, and vision coverage.
  • Remote-first work culture with flexible time off, monthly company holidays, and No-Meeting Fridays.
  • Mental health resources and professional development funding, mentorship, and learning programs.
  • Paid parental leave, office setup reimbursement, and monthly cell phone and internet stipends.

Interested in this position?

Apply directly on the company website

Apply Now

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