MSO Operations Associate

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.

The MSO Operations Associate plays a foundational role in keeping the team running efficiently. This role owns a defined set of operational responsibilities — including claims tracking, provider activation support, and reporting — so that field based teams can stay focused on high-value provider relationships and Clover Assistant adoption.

As an MSO Operations Associate, you will:

• Serve as a resource and support for team members navigating operational workflows. 
• Monitor and track Payment Exception status, staying current on open items including PE, UST/config, and Tier 3 matters. 
• Attend recurring claims status meetings and ensure timely follow-up on action items. 
• Execute Contract Signature Workflow, including Medication Adherence (Docusign/bilateral, CAQH checks and preparation for Network Operations handoff)
•  Qualify Growth Leads received through various channels (website, direct, Salesforce, etc.)
• Monitor and track Contract Signature-to-Activation workflows, staying current on open items including Network Operations Credentialing Team, UST/config, and Tier 3 matters.
• Route and triage escalations from field teams to the appropriate internal stakeholders. 
• Support provider activation workflows, including intake tracking, documentation readiness, and coordination of go-live steps. 
• Monitor the progress of Clover Home Care (CHC) referrals and other onboarding milestones, flagging delays proactively. 
• Update MSO reporting sources on a regular cadence, ensuring accuracy and timely completion by deadlines. 
• Maintain dashboards and tracking tools that support visibility into team performance. 
• Attend routine and ad-hoc operational meetings as required; other duties as assigned. 
• Facilitate document management, storage and maintenance.

You should get in touch if:

• You have experience in an administrative or operational support role, preferably within a healthcare or managed care setting.
• You are highly organized with strong time-management skills and the ability to manage multiple active workflows simultaneously.
• You have excellent attention to detail — particularly for claims tracking, reporting accuracy, and documentation completeness.
• You are proficient with tools for updating metrics and generating reports (Google Sheets, SharePoint, CRM systems, etc.).
• A general understanding of healthcare concepts, including HEDIS, claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare/Medicare Advantage (preferred)
• You are a proactive, self-motivated team player who follows through with minimal supervision.
• You communicate clearly and collaborate well across internal teams.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

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Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.