Senior Manager, Medicare Strategy

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the annual bid development process, ensuring alignment with strategic objectives, financial goals, and benefit structures.

• Establish a PBP-specific strategy that takes into account positioning, growth opportunities, MCR targets, and service regions.

• Propose innovative supplemental benefits offerings.

• Develop and manage Clover’s competitive intelligence capabilities across enrollment, benefit design, pricing, market strategies, and industry trends.

• Create scalable, AI-driven competitive intelligence tools and frameworks.

• Assess product portfolio performance and strategic alignment; suggest product improvements, repositioning, or new plan introductions.

• Collaborate with Actuarial and Growth teams to shape the benefit-change strategy.

• Construct and analyze multi-year membership and financial scenario models.

• Investigate new geographic markets and implement market-entry strategies through operational launches.

• Supervise the analysis and preparation for monthly business reviews with the Chief of Staff.

• Spearhead innovative partnerships and priority growth initiatives from inception to execution.

• Report directly to the Chief of Staff to the CFO while coordinating cross-functional leaders around strategies for profitable growth.

⛳️ Requirements

• Bachelor’s degree in Finance, Economics, Business, Healthcare Administration, or a related discipline; an MBA or advanced degree is highly preferred.

• 7-10+ years of experience in strategic planning, corporate development, finance, or management consulting, with a strong preference for candidates with experience in the Medicare Advantage or managed care sectors.

• Exceptional skills in quantitative analysis; capable of constructing and managing high-level multi-year financial and membership scenario models.

• Profound understanding of Medicare Advantage economics, bid mechanics, and the factors driving profitable growth.

• In-depth knowledge of Medicare benefits and pricing structures.

• Proven experience in leading market expansion or new product development initiatives from concept to implementation.

• Demonstrated ability to analyze competitor strategies and market dynamics to guide business decisions.

• Strong project management capabilities and experience in steering large-scale, cross-functional projects.

• Excellent communication and presentation skills, with the capacity to simplify complex information into clear, actionable insights for an executive audience.

• A proactive, results-driven mindset, adept at thriving in a fast-paced, dynamic work environment.

🏝️ Benefits

• Competitive base salary

• Equity opportunities

• Performance-based bonus program

• 401(k) matching

• Regular compensation reviews

• Comprehensive medical, dental, and vision coverage

• No-Meeting Fridays

• Monthly company holidays

• Mental health resources

• Generous flexible time-off policy

• Remote-first culture supporting collaboration and flexibility

• 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 & internet stipend

• Collaboration with global teams

• Paid parental leave for all new parents