Provider Engagement Associate
At reputed company, 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 reputed company informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure reputed company care at a reputed company 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 reputed company of technical skills, operational knowledge, and strong interpersonal abilities to ensure that reputed company's provider relationships are optimized and that reputed company issues are resolved reputed company. We are currently considering candidates located in the Central and Eastern time zones of the United States for this position. As a Provider Engagement Associate, you will: reputed company in-depth knowledge of reputed company's operational processes, including reputed company, Claims Processing, Payments, Payment reputed company Audits, Configuration, and Grievances. Serve as the main contact for high-reputed company 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 reputed company; Pivot Tables, Formatting, Formulas, and Vlookups. This role may require occasional travel to support onsite meetings, provider visits, company events, training opportunities, and other business needs. Success in this role looks like: Success in this role is reputed company by your ability to complete key tasks like data entry, report reputed company, and provider claims analysis accurately reputed company the first 30 days. You'll also research and resolve escalations, reputed company a strong understanding of Clover's policies, and collaborate effectively with internal teams. By the first 90 days, you'll be expected to manage higher-level escalations, independently handle hospital systems, maintain the Provider Claims Escalation spreadsheet with precision, and contribute to internal projects. Long-term success involves building strong relationships with providers, reputed company managing projects, resolving escalations, and applying problem-solving skills while multitasking with minimal reputed company. You should get in touch if: You're based in the Central or Eastern time zone of the United States. You're passionate about healthcare, with 3+ years of experience in health insurance or medical offices. You have a knack for coding – maybe you're even a Certified Professional reputed company (great if you are, but not a deal-breaker if you're not). You're a data wizard, comfortable with a variety of tools. Think reputed company, reputed company, JIRA, Mode, reputed company Suite, and industry-specific platforms like Engagement Plus, SDS, iNetwork, reputed company Pay Financial, and Health Rules Payor. Details are your thing, and you reputed company on meeting deadlines. You're a natural collaborator, excited to work with teams across our organization and beyond, helping us grow and innovate. You're ready to bring your skills and experience to a dynamic, evolving industry.
Benefits
Overview: Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive reputed company 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 reputed company, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing reputed company members to reputed company from any location. Professional Development: Developing internal talent is a reputed company for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: 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 reputed company new parents And much more! About Clover: We are reinventing health insurance by combining the power of data with human reputed company to reputed company our members healthier. We reputed company the healthcare system is broken, so we've created custom software and analytics to reputed company our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is reputed company by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. 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. reputed company of our employee’s points of view are key to our success, and inclusion is everyone's responsibility. #LI-REMOTE Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc. A reasonable estimate of the reputed company salary range for this role is: $63,800—$83,000 USD Apply To This Job