Medicare Advantage Program Management & Operations Manager

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most.

The Product Management Team at Clover Health is a passionate group dedicated to improving the health and well-being of seniors. They focus on designing and enhancing Medicare Advantage plans for comprehensive coverage and exceptional care experiences. With empathy, innovation, and collaboration, they ensure seniors have access to high-quality healthcare tailored to their needs. The team plays a crucial role in refining existing products, exploring innovation, and delivering value to members, driving the success of our Medicare Advantage offerings.

As the Medicare Advantage Program Management & Operations Manager, you will contribute to the development and implementation of innovative MA products, programs and initiatives to meet the needs of our members and exceed business goals. Your role will involve planning, cross-functional collaboration, execution and performance management to deliver exceptional MA products that align with regulatory requirements, business needs and market demands. You will work closely with internal and external stakeholders to ensure the success of MA products and operations to maintain a member-centric approach to design and program execution.

As the Medicare Advantage Program Management & Operations Manager, you will:

• Partner with the Director, MA Products on the development and implementation of existing and future MA products, initiatives and programs that align with the organization's strategic goals and market opportunities.
• Collaborate with internal teams, such as operations, network, finance, clinical, sales, and marketing, to ensure seamless product execution, performance, and effective communication of MA products to members and providers.
• Monitor and analyze the performance of MA products and programs, identifying opportunities for improvement and ensuring products meet or exceed performance benchmarks.
• Conduct market research and competitor analysis to identify emerging trends and opportunities for product and operations innovation and differentiation.
• Focus on enhancing the member experience through effective program design, implementation and proactive engagement initiatives. 
• Support budgets and financial performance for MA products,  programs and initiatives, ensuring profitability and sustainable growth.
• Lead the planning, execution, and evaluation of projects related to MA products and operational initiatives, ensuring milestones, documentation, and deliverables are met on time and within budget.
• Develop and present reports to senior leadership on product performance, including data-driven insights and strategic recommendations.

Success in this role looks like:

• Within the first 90 days, you will gain a thorough understanding of current MA products and programs, build key partnerships, review performance data, explore improvement opportunities, and begin developing plans and execute programs, initiatives and product enhancements.
• By the end of your first 6 months, you will advance product development, programs and execution to present recommendations and outcomes to leadership, and implement changes based on feedback.
• Success in this role will be defined by your capability to evaluate the outcomes of implemented initiatives on both product performance and key indicators. Your adeptness in adjusting strategies and initiatives based on these evaluations and your proficiency in delivering a comprehensive plan alongside detailed performance reports to leadership will be key indicators of your success.

You should get in touch if:

• You have proven expertise (minimum of 5-7 years of experience) in Program Management and Operations, showcasing successful execution of strategic initiatives and program management.
• You have advanced Analytical skills for translating complex data into actionable insights, guiding strategic decisions, and optimizing performance. SQL knowledge is a plus. 
• You have proficiency in crafting compelling decks and documentation to support strategic initiatives, product launches, and stakeholder engagement.
• You have excellent interpersonal and communication skills, facilitating effective collaboration across teams and with external partners, and adept at presenting complex data to non-technical audiences.
• You have strong project management abilities, managing multiple projects simultaneously to ensure timely and successful completion.
• You have strategic vision and can align business operations with broader organizational goals.
• You have strong business acumen to drive growth and success through data-driven decisions.
• You have a member-centric mindset, dedicated to delivering exceptional customer experiences and understanding diverse stakeholder needs.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

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.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. 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.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. 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. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range
$104,800 - $144,000 USD

California/New Jersey/New York Pay Range
$104,800 - $160,000 USD