MSO 运营专员
MSO Operations Associate
在Counterpart Health，我们通过创新的初级护理工具Counterpart Assistant，正在改变医疗保健并改善患者护理。通过支持初级护理医生（PCPs），我们能够通过早期诊断和慢性病的纵向护理管理，以更低的成本为患者提供更好的结果。
MSO运营专员在确保团队高效运行方面发挥基础作用。该职位负责一组明确的运营职责——包括**理赔跟踪、供应商激活支持和报告**——从而使现场团队能够专注于高价值的供应商关系和Clover Assistant的采用。
**作为MSO运营专员，您将：**
- 为团队成员在操作流程中提供资源和支持。
- 监控和跟踪支付异常状态，及时了解未决事项，包括PE、UST/config和三级问题。
- 参加定期的理赔状态会议，并确保对行动项进行及时跟进。
- 执行合同签署流程，包括药物依从性（Docusign/双方签署、CAQH检查和网络运营交接准备）
- 对通过各种渠道（网站、直接、Salesforce等）收到的增长线索进行资格审核
- 监控和跟踪合同签署到激活的流程，及时了解未决事项，包括网络运营认证团队、UST/config和三级问题。
- 将现场团队的升级请求转交给适当的内部利益相关者。
- 支持供应商激活流程，包括需求收集跟踪、文件准备和上线步骤的协调。
- 监控Clover Home Care（CHC）转介和其他入职里程碑的进展，主动标记延误。
- 按照定期节奏更新MSO报告来源，确保在截止日期前准确且及时完成。
- 维护仪表板和跟踪工具，以支持团队绩效的可见性。
- 按要求参加常规和临时的运营会议；其他职责由分配决定。
- 协助文档管理、存储和维护。
**如果您具备以下条件，请联系我们：**
- 有行政或运营支持岗位的经验，最好是在医疗保健或管理护理领域。
- 高度有条理，具备良好的时间管理技能，并能同时处理多个活跃的工作流程。
- 具有出色的关注细节能力——特别是对于理赔跟踪方面。
查看英文原文
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.
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**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!
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**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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#LI-REMOTE
_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_](https://e-verify.uscis.gov/esp/media/resourcesContents/E-Verify_Participation_Poster.pdf) _company._
Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.
A reasonable estimate of the base salary range for this role is:
$63,800—$83,000 USD