Provider Engagement Associate

Clover Health

16h•$63,800 - $83,000•Remote

About The Position

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. As a Provider Engagement Associate, you would contribute to this mission by facilitating smooth interactions between providers and Clover, ensuring that any issues are promptly resolved, and supporting initiatives aimed at improving overall provider satisfaction and patient outcomes. This role requires a blend of technical skills, operational knowledge, and strong interpersonal abilities to ensure that Clover Health's provider relationships are optimized and that complex issues are resolved efficiently. We are currently considering candidates located in the Central and Eastern time zones of the United States for this position.

Requirements

Based in the Central or Eastern time zone of the United States.
3+ years of experience in health insurance or medical offices.
Comfortable with a variety of tools. Think Excel, Salesforce, JIRA, Mode, Google Suite, and industry-specific platforms like Engagement Plus, SDS, iNetwork, Optum Pay Financial, and Health Rules Payor.
Details are your thing, and you thrive on meeting deadlines.
A natural collaborator, excited to work with teams across our organization and beyond, helping us grow and innovate.
Ready to bring your skills and experience to a dynamic, evolving industry.

Nice To Haves

Coding skills – maybe you're even a Certified Professional Coder (great if you are, but not a deal-breaker if you're not).
Passionate about healthcare.

Responsibilities

Gain in-depth knowledge of Clover Health's operational processes, including Contracts, Claims Processing, Payments, Payment Integrity Audits, Configuration, and Grievances.
Serve as the main contact for high-priority providers and maintain positive on-going relationships, leading external meetings regularly.
Manage internal projects to enhance the provider experience, such as provider education on best practices and new policies.
Ensure timely investigation and resolution of escalated provider issues or inquiries, both internally and externally.
Work with internal and external teams to research and resolve provider escalations.
Identify and implement opportunities to reduce provider abrasion through root cause analysis and collaboration with management.
Utilize Excel; Pivot Tables, Formatting, Formulas, and Vlookups.