Sr. Manager, Medicare Strategy

Clover Health

3d•$129,200 - $168,000•Remote

About The Position

The Finance organization owns product strategy and bid development, long term profitable growth strategy and new market evaluation and execution, and strategic projects. In this role, you will report to the Chief of Staff to the CFO. Clover Health is seeking a dynamic, strategic, and highly analytical leader to join our team as the Senior Manager, Medicare Strategy. This pivotal role is responsible for long-term profitable growth strategy, bid strategy and pricing, AEP planning, and execution of strategic projects. Reporting to the Chief of Staff to the CFO, this role will lead the development and execution of Medicare growth, product, and bid strategies, bringing together financial, market, operational, and competitive insights to influence enterprise decisions. The Senior Manager will frame strategic options, recommend tradeoffs, and align cross-functional leaders around plans that support profitable growth. This is an ideal opportunity for a strategic thinker who excels at complex problem-solving and can translate data into actionable, market-specific plans, and execution.

Requirements

Bachelor’s degree in Finance, Economics, Business, Healthcare Administration, or a related field; MBA or other advanced degree highly preferred.
7-10+ years of experience in strategic planning, corporate development, finance, or management consulting, with a strong preference for experience within the Medicare Advantage or managed care industry.
Exceptional quantitative analysis skills; ability to build and manage high level multi-year financial and membership scenario models.
Deep understanding of Medicare Advantage economics, bid mechanics, and the drivers of profitable growth. Deep understanding of Medicare benefits and pricing.
Demonstrated experience leading market expansion or new product development projects from concept to execution.
Proven ability to analyze competitor strategies and market trends to inform business decisions.
Excellent project management skills and experience leading large-scale, cross-functional initiatives.
Outstanding communication and presentation skills, with the ability to distill complex information into clear, actionable insights for an executive audience.
A proactive, results-oriented mindset with the ability to thrive in a fast-paced, dynamic environment.

Responsibilities

Lead the annual bid development process, ensuring alignment between strategic goals, financial targets, and benefit design. Define the PBP-specific strategy considering positioning, growth potential, MCR targets, and service area. Recommend innovative supplemental benefit offerings.
Build and lead Clover’s competitive intelligence capability, integrating competitor enrollment, benefit design, pricing, market strategy, and broader industry trends into recommendations that shape product, bid, and market decisions. Develop scalable, AI-enabled tools and frameworks that enable ongoing use across the organization.
Evaluate the performance and strategic fit of the product portfolio. Develop and present data-driven recommendations for product enhancements, repositioning, or new plan launches to achieve profitable growth.
Shape detailed strategy for benefit changes, partner with Actuarial on financial impact and Growth team on sales impact and competitive positioning.
Develop and interpret multi-year scenario models to forecast membership growth and financial performance and inform long-term strategic decisions.
Drive evaluation of new geographic markets. Develop and execute the playbook for market entry, defining resource needs, key milestones, and cross-functional ownership from initial analysis to operational launch (network adequacy, bid strategy, growth execution).
Oversee analysis and preparation for monthly business reviews in partnership with the Chief of Staff.
Lead the evaluation and strategy development for innovative partnerships and other priority growth initiatives. Execute and own projects end to end, from recommendation through implementation.