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Sr. Manager, Medicare Strategy

1 month, 4 weeks ago
United States
Full-time
Senior
Financial Analyst
Project and Program Management
Apply Now
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
View All Jobs 23

Description

  • Lead the annual Medicare bid development process, aligning strategy, financial targets, and benefit design.
  • Define plan-specific bid strategy based on positioning, growth potential, MCR targets, and service area.
  • Build and lead competitive intelligence efforts using enrollment, benefit, pricing, and market trends.
  • Develop scalable, AI-enabled tools and frameworks for ongoing competitive analysis across the organization.
  • Evaluate the product portfolio and recommend enhancements, repositioning, or new plan launches.
  • Shape benefit strategy and partner with Actuarial and Growth on financial and sales impacts.
  • Develop multi-year scenario models to forecast membership growth and financial performance.
  • Drive new market evaluation and execution, including entry playbooks, milestones, and cross-functional ownership.
  • Oversee monthly business review analysis and preparation with the Chief of Staff.
  • Lead special projects and strategic partnership evaluations end to end, from recommendation through implementation.

Requirements

  • Bachelor’s degree in Finance, Economics, Business, Healthcare Administration, or a related field.
  • MBA or other advanced degree highly preferred.
  • 7-10+ years of experience in strategic planning, corporate development, finance, or management consulting.
  • Experience in Medicare Advantage or managed care preferred.
  • Strong quantitative analysis skills and experience building multi-year financial and membership scenario models.
  • Deep understanding of Medicare Advantage economics, bid mechanics, Medicare benefits, and pricing.
  • Experience leading market expansion or new product development projects from concept to execution.
  • Proven ability to analyze competitor strategies and market trends.
  • Excellent project management skills and experience leading large-scale, cross-functional initiatives.
  • Outstanding communication and presentation skills for executive audiences.

Benefits

  • Competitive base salary of $129,200-$168,000 USD.
  • Equity opportunities, including an Employee Stock Purchase Plan (ESPP).
  • Performance-based bonus program.
  • 401(k) matching.
  • Comprehensive medical, dental, and vision coverage.
  • Generous flexible time-off policy and monthly company holidays.
  • Remote-first work culture with collaboration and flexibility.
  • Learning programs, mentorship, professional development funding, and regular performance feedback.
  • Paid parental leave for all new parents.
  • Monthly cell phone and internet stipend and office setup reimbursement.

Interested in this position?

Apply directly on the company website

Apply Now

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