Operations Associate Payment Integrity

Description

Job Overview

• Role: Operations Associate Payment Integrity
• Company: RemoteOK Company
• Location: Remote
• Salary: Competitive / Not Disclosed — confirm during interview
• Listing Source: Remote OK

Job Description

Clover is reinventing health insurance by working to keep people healthier.

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America's seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member's complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most.

The Payment Integrity team is a motivated, collaborative team sitting at the intersection of Clover's provider relationship operations, data infrastructure, and software. The Payment Integrity team ensures that Clover pays claims in a fair, transparent, compliant, and medically justified manner. Come join us as we discover new opportunities to improve the financial health of Clover while strengthening provider relationships and building a better healthcare system.

As an Operations Associate for Payment Integrity at Clover Health, you will play a key role in facilitating the underlying processes that support various cost containment work streams. You will help drive value for every member by ensuring that Clover's medical claims are paid accurately and be responsible for facilitating recoveries on a growing membership base while supporting coordination between internal and external stakeholders.

As an Operations Associate, Payment Integrity, you will:

• Execute Claim Reprocessing Cycles: Facilitate the aggregation of high-volume claim batches for reprocessing. Utilize advanced data management and spreadsheeting techniques to merge, review, and validate cycles of claim adjustments, ensuring precision prior to final submission.
• Perform Reprocessing Reconciliations: Facilitate backend controls to audit the accuracy of batch-reprocessed claims. Conduct comprehensive reconciliations to ensure that all expected adjustments are

  Salary & Compensation

  The salary for this role is not publicly disclosed. Based on industry benchmarks, roles of this type in India or remote-first companies typically offer compensation in line with market rates for the experience level required. We recommend researching platforms like Glassdoor, Levels.fyi, or AmbitionBox to gauge expected ranges before your offer discussion.

  In addition to base salary, many employers in this sector offer a comprehensive benefits package that may include:

  • Annual or performance-based bonuses
  • Health, dental, and vision insurance
  • Provident Fund (PF) and Gratuity contributions (India)
  • Paid Time Off (PTO), sick leave, and public holidays
  • Professional development budget and learning allowances
  • Stock options or Employee Stock Ownership Plans (ESOPs) at select companies
  • Flexible or remote working allowances
  • Parental leave and family health coverage

  Note: The specific benefits offered by this employer should be confirmed during the offer stage. Not all benefits listed above may apply to every organisation or role type.

  Work Arrangement

  Type: Fully Remote

  This role is designed for a fully remote work arrangement. You will have the flexibility to work from any location, provided you have a stable internet connection and can align with the team's core collaboration hours. The company supports remote employees with the necessary tools, virtual team-building activities, and regular check-ins to ensure productivity and a strong sense of belonging. Equipment and home-office stipends may be provided — check the job listing or confirm during the offer stage.

  Typical Interview Process

  While each organisation structures its hiring differently, candidates for this type of role typically go through the following stages:

  1. Resume and application screening
  2. Introductory phone or video call with HR
  3. Role-specific skill or competency interview
  4. Final interview with the hiring manager or panel
  5. Reference checks and offer discussion

  Tip: Research the company's products, culture, and recent news thoroughly before each interview round.

  About the Employer

  RemoteOK Company is the organisation posting this opportunity. While full company details are available on the original job listing, here is what you should research before applying:

  • Company size and culture: Review the company's LinkedIn profile, Glassdoor reviews, and their official website to understand team size, work culture, and employee satisfaction.
  • Products and services: Familiarise yourself with what the company builds, sells, or delivers. Being knowledgeable about their offerings will set you apart during interviews.
  • Recent news: Search for any recent fundraising, acquisitions, product launches, or leadership changes — these often come up in interviews and signal company health.
  • Location and offices: The role is based in or around Remote. Confirm office address, remote policy details, and travel requirements during the process.
  • Where this listing was found: This job was sourced from Remote OK.

  How to Apply & Preparation Tips

  To apply for the Operations Associate Payment Integrity position, follow these steps:

  1. Tailor your resume: Customise your CV to match the specific requirements listed in the job description. Use keywords from the posting to pass Applicant Tracking System (ATS) filters.
  2. Write a compelling cover letter: Even if not mandatory, a concise cover letter demonstrating your enthusiasm and fit for the role significantly improves your chances.
  3. Apply via the original listing: Use the apply link on the original job post to submit your application. Avoid applying through third-party channels that may delay or lose your submission.
  4. Prepare for phone screening: Be ready for an initial call within 3–7 business days of applying. Have your resume and a quiet space ready.
  5. Follow up professionally: If you haven't heard back in 7–10 business days, a brief, polite follow-up email to the recruiter is acceptable and often appreciated.

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  Disclaimer: This listing is aggregated from a public job board for informational purposes. JobSetuu does not guarantee the accuracy or current availability of this position. Always verify the details on the employer's official careers page before applying.