Full-Time

Business Operations and Strategy Manager

Posted on 10/31/2025

Clover Health

Clover Health

501-1,000 employees

Medicare Advantage insurer with personalized care

Compensation Overview

$160k - $180k/yr

+ Base salary range provided

Remote in USA

Remote

Category
Business & Strategy (3)
, ,
Required Skills
Data Analysis
Requirements
  • 3-8 years of experience at a consulting firm, in BizOps at a tech company, or in a high-trust internal strategy/Chief of Staff-type role
  • Understand value-based care and healthcare operations in payor and provider organizations
  • Think in structured logic, write with precision, speak in synthesized insights, and distill complex problems into actionable plans
  • You’re a system builder who wants to see the impact of your thinking play out in operations
  • You’ve driven complex, multi-org initiatives to the finish line – not just advised on them
  • You’re energized by ambiguity, interested in building processes from the ground up, and thrive in a fast-paced environment
  • You are comfortable with shifting priorities and able to pivot quickly based on business needs
  • You don’t need positional authority to lead. You earn trust and create alignment through clarity, quality, and velocity
Responsibilities
  • Lead cross-functional strategic initiatives: Identify and program manage high-leverage projects across CPH, including large customer implementations, commercial and operational scale-up efforts, and other emerging initiatives
  • Architect scalable systems: Build and refine the operational infrastructure to enable sustainable growth – processes, tools, playbooks, dashboards
  • Drive analytical rigor: Collect and analyze business data, generate insights, and present recommendations to leadership to inform strategic decisions
  • Build executional rigor: Translate high-level goals into clear plans with workstreams, owners, deliverables, and timelines. Keep the team focused on outcomes
  • Align stakeholders across functions: Coordinate with internal teams and external stakeholders to ensure successful execution and deliver results without relying on formal authority
  • Translate ambiguity into action: When no playbook exists, build one. When priorities are unclear, force rank them. When coordination breaks down, rebuild the system
  • Be a thought partner to leadership: Proactively surface insights, risks, and opportunities; act as an internal consultant to the CEO and leadership team
  • First 90 days: Develop a deep understanding of CPH’s business and customer needs, build strong cross-functional relationships, and implement a structured framework for large customer implementations
  • First 6 months: Identify a portfolio of high-priority initiatives, establish a framework for tracking strategic efforts, lead 1-2 additional cross-functional projects to completion, and introduce systems or processes that enhance operational clarity and execution
  • First year: Reduce organizational friction points, generate measurable improvements across multiple initiatives, and become a trusted advisor to leadership

Clover Health provides Medicare Advantage plans for seniors in the United States, offering coverage that goes beyond traditional Medicare. Its services include personalized care, fitness memberships, home checkups, drug coverage, and Medigap insurance, with revenue coming from member premiums and Medicare reimbursements. The product works by enrolling members in Medicare Advantage and delivering added benefits through a network of healthcare providers and fitness centers, plus home visits and proactive support to manage health. The company differentiates itself with a focus on tailored, attentive care and a growing provider network to enhance member benefits, aiming to improve health outcomes. Its primary goal is to help seniors stay healthier and reduce out-of-pocket costs by combining comprehensive coverage with personalized services.

Company Size

501-1,000

Company Stage

IPO

Headquarters

Nashville, Tennessee

Founded

2014

Simplify Jobs

Simplify's Take

What believers are saying

  • Q1 2026 revenue hit $749M, up 62% year-over-year with GAAP profit.
  • Membership surged 38% to 155,773, guiding $2.87B revenue in 2026.
  • CMS interoperability rules align with live Kno2 and HealthEx integrations.

What critics are saying

  • 3.51-star CMS rating lags competitors, slashing enrollment in 2026 open period.
  • UnitedHealth and Humana undercut $0 PPO plans in Georgia and Texas markets.
  • $320M cash burns out in 21 months without sustained GAAP profits.

What makes Clover Health unique

  • Clover Assistant aggregates patient data to enable early chronic disease management.
  • Counterpart Health extends AI platform to non-member providers nationwide.
  • HealthEx partnership empowers members to control clinical and claims data sharing.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Company Match

Performance Bonus

Unlimited Paid Time Off

Remote Work Options

Parental Leave

Professional Development Budget

Phone/Internet Stipend

Growth & Insights and Company News

Headcount

6 month growth

-1%

1 year growth

0%

2 year growth

-1%
Yahoo Finance
Apr 14th, 2026
Clover Health posts 45% revenue growth to $488M in Q4, tops health insurers

Clover Health reported fourth-quarter revenues of $487.7 million, up 44.7% year on year and exceeding analysts' expectations by 4.4%. The Medicare Advantage provider delivered the strongest performance among 12 tracked health insurance providers, posting the biggest analyst beat and fastest revenue growth in the group. The company added 4,577 customers during the quarter, bringing its total to 113,803. Clover uses proprietary software called Clover Assistant to help physicians manage patient care for seniors. Despite the strong results, shares fell 5.3% following the announcement and currently trade at $2.04, suggesting investor expectations may have been higher than Wall Street's published projections. CEO Andrew Toy said the results validated the company's business model despite headwinds during the year.

Yahoo Finance
Apr 7th, 2026
Clover Health partners with HealthEx to give Medicare members secure access to clinical and claims data

Clover Health has partnered with HealthEx to enable Medicare Advantage members to securely access and share their clinical records and claims data. Built on Counterpart Health infrastructure, the collaboration allows members to connect health information to digital tools like Claude for better care navigation. The partnership addresses healthcare data fragmentation by letting members verify their identity, authorise access and retrieve records through a single streamlined experience, eliminating multiple portal logins. Members can share data with providers, health applications and AI platforms, with each entity governed by its own privacy policy. Counterpart Health powers the underlying interoperability infrastructure, creating a scalable foundation for other health plans. The capability extends Clover's recent interoperability work with Kno2 and supports federal interoperability efforts promoting patient data access rights.

Yahoo Finance
Mar 24th, 2026
Clover Health falls 42% in 6 months as $69M cash burn raises dilution concerns

Clover Health shares have fallen 42.4% over six months to $1.86, prompting concerns about the company's viability. With just $1.92 billion in trailing 12-month revenue, the health insurer struggles with scale disadvantages in an industry where size matters for operational efficiency and customer trust. The company's financial position remains precarious. Clover Health has posted an average free cash flow margin of negative 6.8% over five years, burning $68.98 million in cash last year. With $120.3 million in cash and no debt, it has approximately 21 months of runway remaining. Analysts warn shareholders face potential dilution if the company must raise capital to continue operations, making it a stock to avoid until it demonstrates consistent free cash flow generation.

Yahoo Finance
Feb 27th, 2026
Clover Health guides to first GAAP profit with $2.8B revenue as Medicare members surge 38%

Clover Health Investments has achieved full-year adjusted EBITDA profitability in 2025 and guided to its first year of GAAP net income profitability in 2026, with projected net income of $0–20 million and revenue of $2.81–2.92 billion. The Medicare Advantage insurer grew membership 38% year-over-year to approximately 114,000 members, driven by its risk-bearing model and Clover Assistant platform. Management reported underlying medical cost trends remained well controlled at around 5% annually, excluding pharmacy costs. CEO Andrew Toy said Clover sustained profitability whilst rapidly expanding membership through a model retaining full underwriting risk. The company introduced consolidated gross profit as its primary operating metric, reaching $356 million in 2025 with guidance of $470–510 million for 2026. Clover ended the quarter with $320 million in cash.

Yahoo Finance
Feb 27th, 2026
Clover Health achieves full-year adjusted EBITDA profitability with 38% membership growth

Clover Health has achieved full-year adjusted EBITDA profitability in 2025 whilst delivering 38% membership growth and controlled medical cost trends, despite elevated industry-wide utilisation. CEO Andrew Toy noted the company absorbed first-year dilution from Medicare Advantage membership growth whilst retaining full underwriting risk. The company expects to achieve its first full year of GAAP net income and earnings per share profitability in 2026. Toy emphasised that regulatory pressures weakening competitors have strengthened Clover's positioning, as incumbents reduced benefits and exited markets. Since 2021, Clover has focused on clinical value rather than coding intensity, a strategy now proving advantageous as the broader Medicare Advantage market faces challenges. The company believes its cohort economics are amongst the strongest in the industry.

INACTIVE