Note: The job is a remote job and is open to candidates in USA. Clover Health provides healthcare plans for America’s seniors by combining data, technology, and physician-focused tools to improve care and affordability. The Senior Manager, Medicare Strategy will lead Medicare growth, product, bid, pricing, market expansion, and strategic project initiatives by integrating financial, market, operational, and competitive insights to support profitable growth.
Responsibilities
- Bid Strategy & Program Management: 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
- Competitive Intelligence: 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
- Product Strategy: 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
- Benefit Strategy: Shape detailed strategy for benefit changes, partner with Actuarial on financial impact and Growth team on sales impact and competitive positioning
- P&L Modeling: Develop and interpret multi-year scenario models to forecast membership growth and financial performance and inform long-term strategic decisions
- New Market Evaluation and Execution: 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)
- Performance Reporting: Oversee analysis and preparation for monthly business reviews in partnership with the Chief of Staff
- Special Projects: 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
Skills
- 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
- 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
Benefits
- Equity opportunities
- A performance-based bonus program
- 401k matching
- Regular compensation reviews
- Comprehensive medical, dental, and vision coverage for employees and their families
- No-Meeting Fridays
- Monthly company holidays
- Access to mental health resources
- A generous flexible time-off policy
- Remote-first culture that supports collaboration and flexibility, allowing team members to thrive from any location
- Learning programs
- Mentorship
- Professional development funding
- Regular performance feedback and reviews
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone and internet stipend
- Remote-first culture, enabling collaboration with global teams
- Paid parental leave for all new parents
Company Overview