Clover Health

Manager

• Drive Day-to-Day Execution: Support high-priority initiatives by turning strategic direction into clear workplans, timelines, decisions, and follow-through.
• Run Critical Workstreams: Own discrete parts of major cross-functional efforts, ensuring milestones are met, dependencies are managed, and progress stays visible.
• Create Operational Clarity: Build the trackers, meeting cadences, project documents, and communication rhythms that help teams execute effectively.
• Support Structured Problem Solving: Break down complex problems, synthesize inputs, and help translate high-level goals into executable next steps.
• Coordinate Across Teams: Work across functions and stakeholders to surface risks early, resolve blockers, and keep projects aligned.
• Use AI & Emerging Technology: Apply AI-powered tools and other technologies to improve execution speed, quality, and leverage across your work.

Special Projects Manager – Innovation, Delivery

Director

• Partner directly with MSO and CCS leadership to drive “North Star” operations initiatives.
• Own ambiguous, cross-functional problems end-to-end—from diagnosis to execution.
• Build and run the operating system for provider growth and CA adoption, including metrics, reporting, and accountability mechanisms.
• Identify what’s broken (or missing), design solutions, and push them through to results.
• Diagnose and fix breakdowns in provider activation, onboarding, and ongoing utilization of Clover Assistant.
• Lead high-stakes projects, executive reporting, and board-level narratives.
• Own execution across Product, Analytics, Growth, and Provider Success—ensuring priorities translate into delivered outcomes, not stalled initiatives.

Director, MSO Operations

Recruitment

• Own full-cycle recruiting for technical roles (eng, IT, data) and corporate functions (strategy, finance, legal, operations), partnering with senior leadership to design strategic hiring plans and effective job descriptions.
• Develop distinct sourcing strategies for passive talent - adapting your pitch for engineers motivated by craft and mission as well as ex-consulting professionals weighing impact against structured career paths.
• Build and maintain creative yet structured interview frameworks appropriate for each hiring track, including coordination with technical assessment platforms and case-based interview design for corporate roles.
• Be a strategic advisor to hiring managers: help them scope roles, set the quality bar, and hold teams accountable to an equitable, rigorous interview process.
• Master the data by leveraging Greenhouse to identify pipeline bottlenecks, build performance dashboards, and drive meaningful process improvements.
• Enhance the Clover talent brand to attract mission-aligned candidates across both technical and corporate audiences.
• Collaborate across People Operations on large-scale projects, mentor junior team members, and help evolve our talent acquisition strategy.

Recruiter – Technical, Corporate Recruiting

Data Analyst

• Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors.
• Own the claim and supplemental submission workflow for Centers for Medicare & Medicaid Services (CMS) Encounter Data System (EDS) submissions.
• Develop data pipeline tracking reports and analyze, research, and resolve encounter data errors.
• Support the claim and supplemental submission workflow for CMS EDS submissions.
• Collaborate closely between the Engineering and Risk Adjustment teams.
• Assist with, track, and implement risk adjustment related initiatives and strategies.
• Maintain, update, and create policies, procedures, and other documentation around the encounter process.

Senior Data Analyst, Risk Adjustment

Operations

• Execute Claim Reprocessing Cycles: Facilitate the aggregation of high-volume claim batches for reprocessing. Utilize advanced data management and spreadsheeting techniques to merge, review, and validate cycles of claim adjustments, ensuring precision prior to final submission.
• Perform Reprocessing Reconciliations: Facilitate backend controls to audit the accuracy of batch-reprocessed claims. Conduct comprehensive reconciliations to ensure that all expected adjustments are captured and processed without discrepancy.
• Manage Recovery Posting & Resolution: Reconcile claims data to determine the accuracy and completeness of reprocessed claims. Oversee the audit software environment to control resolution tracking and ensure official recovery recognition aligns with Payment Integrity standards.
• Optimize Audit Letter Workflows: Manage the end-to-end administration of audit communications, including the extraction of data, secure SFTP transfers, rigorous proofing of member/provider letters, and the successful upload of files to external systems and vendors.
• Maintain Status Reconciliation: Perform ongoing monitoring and maintenance of audit software to validate the integrity of the audit population. Proactively research and resolve aging audits to minimize inventory lag and ensure timely recovery.
• Collaborate Across Functions: Partner with the Claims Adjustment Team, Provider Services, and key internal stakeholders to resolve escalated payment issues and optimize recovery outcomes while preserving strong provider partnerships.
• Drive Process Excellence: Develop and refine process documentation, workflows, and standard operating procedures (SOPs) to strengthen team capabilities and maximize operational efficiency.

Operations Associate, Payment Integrity

Sales Operations Manager

• Own and maintain sales reporting, dashboards, and operational playbooks as the source of truth for performance and processes.
• Ensure data accuracy, consistency, and actionable insights to support sales performance and decision-making.
• Drive process optimization and enablement initiatives, including onboarding, training materials, and SOPs.
• Provide day-to-day operational support to the sales team and troubleshoot reporting or workflow challenges.
• Partner with Sales leadership and collaborate cross-functionally to align systems, processes, and reporting across the sales lifecycle.
• Build scalable systems and processes that improve visibility, reduce operational friction, and support long-term growth.

Sales Operations Analyst

Compliance

• Define and evolve Clover Health’s security governance and risk management strategy, aligning function-level priorities with enterprise objectives and the security roadmap.
• Establish a risk-driven approach to governance aligned with HIPAA Security and Privacy Rules, NIST Cybersecurity Framework (CSF) v2, and NIST AI Risk Management Framework (AI RMF), where applicable.
• Anticipate security and regulatory risks 12+ months out, using business, product, regulatory, and market signals to inform strategy and tradeoffs.
• Ensure security risk decisions are clearly framed, documented, and communicated in business terms for executive and board-level audiences.
• Assist the CISO in setting security risk priorities, framing tradeoffs, and communicating risk posture and progress to executive leadership and the Board.
• Own Clover Health’s security compliance posture as a public healthcare company, including federal and state regulatory obligations.
• Lead security-related audits, assessments, and regulatory inquiries in partnership with Legal, Compliance, Privacy, and Internal Audit.
• Drive clarity, consistency, and maturity in security policies, standards, and procedures.
• Ensure compliance efforts are proactive, scalable, integrated into how Clover Health builds and operates products, and maintained over time to support ongoing audit readiness and regulatory expectations.
• Own high-stakes outcomes for the GRC function, ensuring accountability across internal partners and third-party providers.
• Lead Clover Health’s third-party security risk management program end-to-end.

Director, Governance, Risk, and Compliance – GRC

Actuary

• Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
• Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
• Build reports to track ROI on various risk adjustment initiatives.
• Support actuarial teams in the development of risk scores for forecast and bidding purposes.
• Provide actuarial support on a wide variety of topics including risk adjustment, pricing, forecasting, reserving, trend analysis, and value-based care.
• Communicate analysis, findings, and supporting data meaningfully to leadership and partnering teams.
• Build automated actuarial tools and data pipelines.
• Support compliance under Sarbanes Oxley, including through process and tool design, peer review and control testing.
• Be accountable for key work products under the supervision of experienced actuaries.
• Collaborate with internal departments, including but not limited to, Data Science, Finance, Actuarial, Operations, Provider Network Management, Engineering, and external vendors on risk adjustment activities.
• Be eligible to participate in Clover's Actuarial Student Program.