Senior Manager, Part D Stars Strategy & Performance

Senior Manager, Part D Stars Strategy & Performance

The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers.

We are hiring for a Part D Stars Lead who will be responsible for the design, performance, and continuous improvement of Clover's Medicare Part D Stars strategy. In this role, you will lead the operational and strategic efforts across Part D measuresincluding SUPD, Poly ACH, COB, and medication adherence metrics (DM, Statin, RAS, SPC)to optimize outcomes for members and ensure Clover meets CMS Star Rating goals. This is an ideal role for a highly analytical and innovative leader who thrives on solving complex problems, managing vendor ecosystems, and developing data-driven engagement strategies to improve medication adherence, cost savings, and overall member wellbeing.

As a Senior Manager, Part D Stars Strategy & Performance, you will :

• Own the performance and continuous improvement of Part D Stars measures.
• Lead the strategic direction and execution of the Part D Stars roadmap and annual performance targets.
• Manage all vendor partnerships related to Part D to ensure accountability and impact.
• Oversee the Part D performance tracking and data review process to drive insights and operational excellence.
• Contribute to Clover's digital engagement strategy to support members' medication adherence and cost management.
• Partner with cross-functional teams to identify and leverage synergies between Part D and other clinical or operational initiatives.
• Support Clover's overall Stars performance and CMS submission processes through collaboration and execution excellence.
• Collaborate closely with CCS and MA plan leaders to align strategy, operations, and outcomes.
• Work with data and analytics teams to drive data-informed decisions and enhance performance insights.
• Stabilize and enhance existing Part D operations and vendor performance, establishing new engagement structures where needed.
• Develop and execute a sustainable Part D Stars improvement framework that drives higher member engagement and stronger Stars outcomes year over year.

Success in this role looks like :

You should get in touch if :

About Clover :

We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world : healthcare.

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 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 employees' points of view are key to our success, and inclusion is everyone's responsibility.

Benefits Overview :

Additional Perks :

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.