Financial Operations Analyst

Summary

Join Clover Health's MA Finance Operations Team as a Financial Operations Analyst and contribute to the financial performance analysis of Clover Health’s Insurance Segment. This role involves using SQL and other data analysis tools to monitor and refine data models, developing and maintaining financial models, preparing reports and presentations for management, supporting budgeting and forecasting processes, and collaborating with cross-functional teams. You will act as a liaison between the Finance and Clinical teams, measuring past performance and relaying expected changes. Success in this role includes becoming a subject matter expert in clinical program data models, collaborating with clinical process owners, alerting forecasters of clinical process changes, and demonstrating the financial impact of clinical programs. The position requires proficiency in financial modeling, data visualization, and reporting tools, as well as a Bachelor's degree in a related field and extensive experience in financial analysis, preferably in healthcare or insurance. Clover Health offers a competitive salary, equity opportunities, performance-based bonuses, 401k matching, comprehensive medical, dental, and vision coverage, mental health resources, flexible time off, a remote-first culture, professional development funding, and additional perks.

Requirements

• You are proficient in financial modeling, data visualization, and reporting tools, including advanced Excel, SQL, and data analytics platforms (e.g., Tableau, Power BI, Mode Analytics, R)
• You have a Bachelor's degree in Finance, Accounting, Data Science, Healthcare Administration, or a related field
• You have extensive experience in financial analysis, preferably in the healthcare or insurance industry, with a strong background in data analytics
• You have advanced analytical and problem-solving skills, with expertise in data manipulation and interpretation
• You have excellent communication and interpersonal skills, with the ability to present complex data findings to diverse audiences

Responsibilities

• Use SQL and other data analysis tools to monitor, refine and combine multiple data models centered around Medical Prior Authorizations, Step Therapy reviews and Pharmacy/Medical Claims
• Develop and maintain complex financial models to project the costs and savings associated with various clinical programs and interventions
• Prepare detailed reports and presentations for management, highlighting financial performance, clinical program outcomes, and key metrics related to data analysis
• Support the budgeting and forecasting processes for Medicare Advantage, integrating data-driven insights from clinical program performance to inform financial projections
• Collaborate with cross-functional teams, including actuarial, claims, clinical, and data science, to address financial issues, support strategic initiatives, and evaluate clinical outcomes
• Develop and maintain documentation for financial processes and procedures, including detailed protocols for data analysis and clinical program evaluation
• Provide data-driven analyses on current and prospective vendor return on investment scores
• Becoming subject matter expert in all clinical program data models
• Collaborating with clinical process owners to develop insightful reports used in business decision making
• Alerting actuarial forecasters of clinical process changes and the expected financial impact
• Demonstrating financial impact of clinical programs to process owners and executive leadership

Benefits

• 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
• We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage
• 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
• 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