Clover Health - Operations Associate, Payment Integrity

• By the end of your initial 90-day period, you have seamlessly integrated into the Payment Integrity Team and established strong relationships with key internal partners. You have developed a foundational knowledge of the audit software and the end-to-end recovery workflows, successfully executing your first cycles of claim batch aggregation and audit letter distributions. • By 6 months, you will be independently managing the recovery posting process and performing complex reprocessing reconciliations. You will be recognized as a subject matter expert in status reconciliation, effectively reducing the volume of aging audits and ensuring the accuracy of all recovery data reported by the department. • Future success in this role requires strong data management and spreadsheet skills combined with innovative thinking and a results-centric approach to drive tangible outcomes. You should be comfortable managing large datasets, confidently taking on technical challenges, and identifying opportunities for process optimization and automation. • You should get in touch if: • You have 3+ years of experience working with large datasets, including reconciliations, data validation, and transfers in a high-volume environment. • You’re technically savvy and comfortable learning new systems, tools, and workflows quickly. • You have a strong attention to detail and a track record of catching discrepancies and ensuring data accuracy. • You’ve supported financial audits within a healthcare setting, with exposure to claims data, payments, or audit workflows. • You’re confident in Excel or Google Sheet, specifically in processing and cleaning extensive data volumes to ensure accuracy, completeness, and integrity. (e.g., pivots, lookups). • Bonus: You have experience with SQL or healthcare audit/analytics tools.