[Hiring] MSO Operations Associate @Clover Health

Role Description

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.

• 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.

Qualifications

• 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.).
• A general understanding of healthcare concepts, including HEDIS, claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare/Medicare Advantage (preferred).
• Proactive, self-motivated team player who follows through with minimal supervision.
• Clear communicator who collaborates well across internal teams.

Benefits

• Financial Well-Being: Competitive base salary and equity opportunities, performance-based bonus program, 401k matching, and regular compensation reviews.
• Physical Well-Being: Comprehensive medical, dental, and vision coverage.
• Mental Well-Being: Initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy.
• Professional Development: Learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
• Additional Perks: Employee Stock Purchase Plan (ESPP), reimbursement for office setup expenses, monthly cell phone & internet stipend, remote-first culture, paid parental leave for all new parents.

Company Description

In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions. Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software. Counterpart Health is a subsidiary of Clover Health. 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, perspectives, opinions, 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.