MSO Operations Associate

Clover Health

13h•$63,800 - $83,000•Remote

About The Position

The MSO Operations Associate plays a foundational role in keeping the team running efficiently. This role owns a defined set of operational responsibilities — including claims tracking, provider activation support, and reporting — so that field based teams can stay focused on high-value provider relationships and Clover Assistant adoption. At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.

Requirements

Experience in an administrative or operational support role, preferably within a healthcare or managed care setting.
Highly organized with strong time-management skills and the ability to manage multiple active workflows simultaneously.
Excellent attention to detail — particularly for claims tracking, reporting accuracy, and documentation completeness.
Proficient with tools for updating metrics and generating reports (Google Sheets, SharePoint, CRM systems, etc.).
Proactive, self-motivated team player who follows through with minimal supervision.
Communicate clearly and collaborate well across internal teams.

Nice To Haves

A general understanding of healthcare concepts, including HEDIS, claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare/Medicare Advantage (preferred)

Responsibilities

Serve as a resource and support for team members navigating operational workflows.
Monitor and track Payment Exception status, staying current on open items including PE, UST/config, and Tier 3 matters.
Attend recurring claims status meetings and ensure timely follow-up on action items.
Execute Contract Signature Workflow, including Medication Adherence (Docusign/bilateral, CAQH checks and preparation for Network Operations handoff)
Qualify Growth Leads received through various channels (website, direct, Salesforce, etc.)
Monitor and track Contract Signature-to-Activation workflows, staying current on open items including Network Operations Credentialing Team, UST/config, and Tier 3 matters.
Route and triage escalations from field teams to the appropriate internal stakeholders.
Support provider activation workflows, including intake tracking, documentation readiness, and coordination of go-live steps.
Monitor the progress of Clover Home Care (CHC) referrals and other onboarding milestones, flagging delays proactively.
Update MSO reporting sources on a regular cadence, ensuring accuracy and timely completion by deadlines.
Maintain dashboards and tracking tools that support visibility into team performance.
Attend routine and ad-hoc operational meetings as required; other duties as assigned.
Facilitate document management, storage and maintenance.