Clover Health · 2 hours ago
Provider Incentives Program Manager
United States
Full-time
Remote
Mid, Senior Level
$75K/yr - $85K/yr
5+ years expClover Health is transforming healthcare with its innovative primary care tool, Counterpart Assistant. The Provider Incentives Program Manager will oversee the design, calculation, and execution of incentive payments to healthcare providers, ensuring timely compensation for quality improvement efforts and collaborating closely with various teams to maintain operational efficiency.
Health CareHealth InsuranceHospitalMedical
Responsibilities
Own the monthly cycle to pay practices for CA submitted visits (prepare payment pack → validate → secure approvals → release payments → reconcile)
Design system and work with Provider Success Team to drive practice onboarding into AP systems: collect/validate W-9s, ACH details (ACH only for CPH-administered option), ensure IRS W-9 validation, maintain vendor master data and remittance contacts
Execute accurate and timely payments via various payment systems depending on the practice/payment path
Produce/coordinate practice-facing Explanation of Payment (EOP) detail for each payment. Ensure EOPs are delivered with/after payment as agreed
Run automated and manual validations (member eligibility, submitted status, duplicate detection). Flag and resolve exceptions prior to payment
Prepare approval package for Finance; ensure email approvals and audit evidence. Maintain complete documentation for audit (payments, EOPs, approvals, visit extracts)
Reconcile payment files vs bank clears and the visit payables report; support quarterly true-ups with partners and prepare the internal control reports
Work closely with Data/Analytics to maintain the payables report and with Provider Success to resolve practice disputes, onboarding blockers, and payment holds
Identify opportunities to streamline and automate incentive payment processes as programs grow. Support new incentive program launches by advising on operational feasibility and payment design. Monitor program performance and recommend improvements to increase efficiency and impact
Qualification
Required
You have a Bachelor's degree in Healthcare Administration, Finance, Business, a related field, or equivalent experience
You have 5+ years of experience in healthcare payment operations, provider incentives, value-based care, or related roles
You have strong understanding of quality incentive programs, value-based payment models, or provider contracting
You have experience managing complex payment calculations and financial workflows
You have high attention to detail with strong analytical and problem-solving skills
You have clear, proactive communicator that can coordinate across Finance, Data, Provider Engagement and external partners
You are able to manage escalations and explain technical/payment issues to non-technical audiences
Preferred
Hands-on experience with AP automation platforms (Tipalti, Bill.com, or similar) and bank ACH processes. Experience with Optum Pay, Intacct, or other provider payment platforms
3–5+ years in Accounts Payable / payments operations, ideally with ownership of end-to-end pay cycles. Experience in high-volume/complex payables or programmatic provider payments is strongly preferred
Demonstrated ability to design and operate financial controls, audit trails, and 1099/W-9 compliance. Hands-on experience with vendor verification and IRS W-9 validation preferred
Strong Excel skills (VLOOKUP/PIVOT), familiarity with basic SQL or ability to work with data teams to query payables datasets. Comfortable validating data extracts and troubleshooting file rejections
Demonstrated ability to design and operate financial controls, audit trails, and 1099/W-9 compliance. Hands-on experience with vendor verification and IRS W-9 validation preferred
Benefits
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.
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.
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
Company
Clover Health
Clover is a healthcare technology company helping members live their healthiest lives with its Medicare Advantage plans.
501-1000 employees
Funding
Current Stage
Public CompanyTotal Funding
$1.62BKey Investors
GreenoaksSequoia CapitalFirst Round Capital
2021-11-17Post Ipo Equity· $300M
2021-01-08Post Ipo Equity· $400M
2021-01-08IPO
Leadership Team
Andrew Toy
Chief Executive Officer and Board Member (NASDAQ : CLOV)
Jamie Reynoso
Chief Executive Officer
Recent News
Fierce Healthcare
2026-01-19
2026-01-16
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