Medicare Advantage Enrollment Senior Associate ID-12406

About the position

At Clover Health, 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 make informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most. The Membership team is dedicated and enthusiastic individuals working at the heart of Medicare Advantage operations. This team maintains the business function of our Enrollment and Billing activities, including ensuring accuracy and timeliness of enrollment applications, maintaining compliance with the Centers for Medicare & Medicaid Services (CMS), researching and resolving escalated issues, and ensuring accurate member data throughout the member's journey with Clover.

Data Entry, $50/hr, Remote, Evening Job, College Student Phone Job, $45/hr, Remote, Night Shift, No Degree Customer Support, $35/hr, Remote, Evening/Night Job, No Degree Remote Data Entry, No Experience, $40/hr, Part-Time Virtual Assistant, Remote, $42/hr, Weekend, No Experience Phone Support, Remote, $40/hr, Evening/Night Shift Remote Customer Support, $50/hr, Night Shift, No Degree Virtual Assistant, No Experience, $40/hr, Remote, Part-Time Data Entry, $35/hr, Night Shift, No Degree,?Remote?Job Phone Job, $45/hr, Remote, Night Shift, No Degree Remote Phone Job, $40/hr, Part-Time, No Degree Required Remote Moderator, No Degree, $50/hr, Evening, Weekend Job Phone Support, $35/hr, Weekend, Remote, No Experience Customer Support, $50/hr, Night Job, Remote, No Experience Virtual Assistant, $50/hr, Part-Time, Remote, Weekend Job Data Entry, $40/hr, Remote, Night Job, No Degree Remote Phone Job, $42/hr, Part-Time, College Student Friendly Virtual Assistant, $40/hr, Remote, No Experience, Evening Remote Live Chat, $50/hr, College Student, No Experience Phone Job, $50/hr, Remote, No Degree, Part-Time, Weekend Data Entry, $50/hr, Night Job, No Degree, Remote Remote Customer Support, $45/hr, No Degree, Evening Job Remote Moderator, $40/hr, College Student, Weekend Job Remote Phone Job, $40/hr, Part-Time, No Experience Required Remote Data Entry, $40/hr, Part-Time, No Degree Required Remote Data Entry, $35/hr, No Experience, Evening/Night Job Live Chat Support, $40/hr, Weekend, Remote, No Degree Virtual Assistant, Remote, $40/hr, Weekend, No Experience Entry Level Phone Job, $40/hr, Remote, No Degree Required Remote Data Entry, $42/hr, Evening/Night Job, No Experience Live Chat Support, $40/hr, Weekend, Remote, No Degree Remote Live Chat, $35/hr, College Student, No Experience Live Chat Support, $45/hr, Weekend, Remote, College Student Phone Job, $50/hr, Remote, Part-Time, College Student Virtual Assistant, $35/hr, Weekend, No Degree, Remote Entry-Level Remote Data Entry, $50/hr, Evening Job Remote Phone Job, $42/hr, Night Shift, College Student Friendly Remote Live Chat, $40/hr, Weekend, No Degree, Part-Time Remote Phone Support, $45/hr, Night Job, College Student Remote Data Entry, $40/hr, College Student Friendly, Part-Time Entry-Level Remote Data Entry, $50/hr, Evening Job Data Entry, $45/hr, Remote, Night Shift, College Student Job Virtual Assistant, Remote, $45/hr, Evening, No Experience Data Entry, $40/hr, Evening Job, No Experience, Remote Remote Customer Support, $45/hr, Part-Time, College Student Virtual Assistant, $45/hr, Remote, No Experience, Night Job Phone Support, Remote, $40/hr, Evening/Night Shift Virtual Assistant, $50/hr, Weekend, No Degree, Remote Virtual Assistant, $35/hr, Part-Time, Remote, Weekend Job Live Chat Support, $45/hr, Part-Time, Remote, No Degree Remote Moderator, $50/hr, No Degree, Weekend, Part-Time Virtual Assistant, $40/hr, Remote, Weekend, Entry Level Virtual Assistant, $35/hr, Part-Time, Remote, Weekend Job Phone Support, Remote, $42/hr, Evening/Night Shift Remote Phone Support, $40/hr, Night Job, College Student Remote Data Entry, $40/hr, Evening/Night Job, No Experience Remote Phone Job, $42/hr, Part-Time, College Student Friendly Remote Moderator, No Degree, $50/hr, Evening, Weekend Job Data Entry, $50/hr, Night Shift, No Degree, Remote Job Remote Data Entry, $40/hr, Evening/Night Job, No Experience Live Chat Support, $50/hr, Remote, Night Shift, No Degree Remote Live Chat, $45/hr, College Student, No Experience Data Entry, $45/hr, Remote, Evening, No Experience Required Virtual Assistant, $40/hr, Remote, Weekend, No Degree Data Entry, $50/hr, Night Job, No Degree, Remote Data Entry, $50/hr, Night Shift, No Degree, Remote Job Virtual Assistant, No Degree, $45/hr, Remote, Part-Time Data Entry, No Experience, $35/hr, Remote, College Student Customer Support, $40/hr, Weekend Job, Remote, No Degree Remote Phone Job, $42/hr, Night Shift, College Student Friendly Remote Phone Job, $40/hr, Night Shift, College Student Friendly Remote Moderator, $40/hr, Part-Time, Weekend, No Degree Live Chat Support, $40/hr, Part-Time, Remote, No Degree Remote Live Chat, $50/hr, Part-Time, Evening/Night Job Remote Data Entry, $42/hr, Evening/Night Job, No Experience Evening Virtual Assistant, Remote, $45/hr, No Experience Remote Customer Support, $45/hr, No Experience, Part-Time Phone Support, Remote, $35/hr, No Experience, Part-Time Customer Support, $42/hr, Remote, Evening, No Experience Remote Data Entry, No Experience, $40/hr, Part-Time Virtual Assistant, $42/hr, Remote, No Experience, Evening Customer Support, $42/hr, Weekend Job, Remote, No Degree Remote Customer Support, $35/hr, Night Shift, No Degree Remote Moderator, $45/hr, No Degree, Weekend Job, Part-Time Remote Data Entry, $45/hr, No Degree, Weekend, Night Job Virtual Assistant, $40/hr, Evening, Remote, No Degree Weekend Data Entry, $45/hr, Remote, No Experience Remote Phone Support, $40/hr, Evening, No Experience Required Virtual Assistant, Remote, $40/hr, Evening, No Experience Remote Data Entry, $40/hr, Part-Time, No Degree Required Virtual Assistant, $35/hr, Remote, Part-Time, Evening Job Phone Support, Remote, $35/hr, No Experience, Night Shift Virtual Assistant, $42/hr, Remote, Weekend, No Degree Phone Support, $35/hr, Weekend, Remote, No Experience Remote Live Chat, $40/hr, College Student, No Experience Entry-Level Remote Data Entry, $35/hr, Evening Job Virtual Assistant, No Degree, $40/hr, Remote, Part-Time Remote Data Entry, $42/hr, Evening/Night Job, No Experience Customer Support, $42/hr, Remote, Evening, No Experience Data Entry, $35/hr, Night Shift, No Degree,?Remote?Job Remote Data Entry, $35/hr, No Experience, Evening/Night Job Data Entry, No Degree, $45/hr, Part-Time, Remote Job Entry Level Phone Job, $42/hr, Remote, No Degree Required Virtual Assistant, $50/hr, Part-Time, Remote, Weekend Job Remote Live Chat, $45/hr, College Student, No Experience Virtual Assistant, Remote, $40/hr, Weekend, No Experience Virtual Assistant, $40/hr, Remote, Night Shift, No Experience

Responsibilities

  • Serve as the Subject-Matter Expert (SME) in daily operational and AEP readiness, as well as quality assurance activities.
  • Improve the productivity of Clover's enrollment function through strong organizational skills and operational oversight of the delegated Business Process as a Service (BPaaS) vendor.
  • Oversee and maximize the relationship with our BPaaS vendor through driving day-to-day interactions.
  • Ensure adherence to Service Level Agreements (SLAs) and compliance with CMS regulations and Clover's internal policies and procedures.
  • Work autonomously and be motivated to meet and exceed expectations.
  • Develop relationships, own communications, and drive day-to-day interactions with the BPaaS team.
  • Actively participate in routine calls with the BPaaS and maximize team efficiency by gathering all updates prior to calls and meetings.
  • Manage the end-to-end annual readiness activities to include Annual Enrollment Period (AEP) and MA Open Enrollment Period (OEP).
  • Partner with team members to develop and execute audit and oversight plans, to include SOX controls.
  • Hold BPaaS and/or internal resources accountable to deadlines, deliverables and remediation plans.
  • Research and address issues with the BPaaS. Track and trend incidents, change requests and other tickets across multiple platforms.
  • Analyze processes and provide recommendations for improvement or remediation of issues.
  • Analyze vendor performance in comparison with SLAs and CMS requirements. Develop and maintain vendor performance dashboards.
  • Develop and track work plans and assist in establishing operational objectives.

Requirements

  • 3–5 years of Medicare Advantage enrollment and billing experience.
  • Thorough understanding of the Medicare Lifecycle and deep knowledge of Medicare enrollment guidelines.
  • 1–3 years of delegated vendor oversight experience.
  • Ability to effectively multitask and create and decipher reports/dashboards.
  • Advanced Excel/G Sheet user with knowledge of formulas and functions such as vlookup, concatenate, countif, conditional formatting, and data validation.
  • Self-motivated with a desire to learn and resolve issues.
  • Curious and inquisitive, seeking to root out details and nuance when analyzing issues or data.
  • Comfortable working autonomously as well as cross-functionally.
  • Strong communicator with proven experience developing and maintaining professional relationships.

Benefits

  • Competitive base salary and equity opportunities.
  • Performance-based bonus program.
  • 401k matching.
  • Comprehensive medical, dental, and vision coverage.
  • Mental health resources and initiatives such as No-Meeting Fridays.
  • Flexible time-off policy.
  • Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities.
  • Reimbursement for office setup expenses.
  • Monthly cell phone & internet stipend.
  • Remote-first culture.
  • Paid parental leave for all new parents.
Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

Related Posts

Data Entry Question and Answer

$150 $49

Remote Question and Answer

$150 $49

Virtual Assistant Question and Answer

$150 $49

Content Moderator Question and Answer

$150 $49

Customer Service Question and Answer

$150 $49

Video Game Tester Question and Answer

$150 $49