Senior Manager, Pharmacy Stars Strategy & Performance

Clover Health • Jersey City, NJ

1d • Remote

About The Position

The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers. We are hiring for a Pharmacy Stars Lead who will be responsible for the design, performance, and continuous improvement of Clover’s Medicare Pharmacy Stars strategy. In this role you will lead the operational and strategic efforts across Pharmacy measures—including SUPD, Poly ACH, COB, and medication adherence metrics (DM, Statin, RAS, SPC)—to optimize outcomes for members and ensure Clover meets CMS Star Rating goals. This is an ideal role for a highly analytical and innovative leader who thrives on solving complex problems, managing vendor ecosystems, and developing data-driven engagement strategies to improve medication adherence, cost savings, and overall member wellbeing.

Requirements

• You have a high level of competence in managing and improving Stars Pharmacy measures.
• You have 5-10 years of proven operational leadership experience.
• You are comfortable and fluent with data-driven decision making.
• You are passionate about innovation and improving member outcomes.

Nice To Haves

• You have demonstrated experience in healthcare operations, Stars programs, or pharmacy management (preferred but not required).

Responsibilities

• Own the performance and continuous improvement of Pharmacy Stars measures.
• Manage the total P&L for the Part D domain, overseeing vendor spend, internal operating costs, and incentive models to optimize financial performance and maximize return on investment.
• Lead the strategic direction and execution of the Part D Stars roadmap and annual performance targets.
• Manage all vendor partnerships related to pharmacy to ensure accountability and impact.
• Oversee the Part D performance tracking and data review process to drive insights and operational excellence.
• Contribute to Clover’s digital engagement strategy to support members’ medication adherence and cost management.
• Partner with cross-functional teams to identify and leverage synergies between pharmacy and other clinical or operational initiatives.
• Support Clover’s overall Stars performance and CMS submission processes through collaboration and execution excellence.
• Collaborate closely with CCS and MA plan leaders to align strategy, operations, and outcomes.
• Work with data and analytics teams to drive data-informed decisions and enhance performance insights.
• Stabilize and enhance existing pharmacy operations and vendor performance, establishing new engagement structures where needed.
• Develop and execute a sustainable Pharmacy Stars improvement framework that drives higher member engagement and stronger Stars outcomes year over year.

Benefits

• 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.
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees