Own end-to-end operational oversight of Clover’s dental benefit, ensuring accurate and timely execution across all core functions.
Monitor and manage performance across key operational areas, including:
Eligibility and benefits configuration
Claims processing and adjudication
Call center operations and member/provider support
Billing and premium reconciliation
ID card production and distribution
Provider payments and remittance processes
Appeals & Grievances (A&G)
Prior authorizations
Establish, track, and report on service level agreements (SLAs) and key performance indicators across internal teams and external vendors.
Serve as the primary point of accountability for operational performance, identifying issues, driving root cause analysis, and ensuring timely resolution.
Partner with external vendors and internal stakeholders to ensure contractual obligations and performance standards are met.
Lead regular business reviews with vendors and cross-functional partners to assess performance and drive continuous improvement.
Identify opportunities to improve operational efficiency, accuracy, and member and provider experience.
Support implementation activities for benefits and operational changes, ensuring readiness across all operational functions.
Develop and maintain documentation, workflows, and governance structures to support scalable operations.

Bring 6–10+ years of experience in dental or healthcare operations, ideally within a dental benefit administrator, health plan, or vendor environment.
Have experience managing or overseeing end-to-end operational functions such as claims, call center, billing, or prior authorizations.
Have strong experience with vendor management and SLA oversight, including holding partners accountable to performance standards.
Possess a solid understanding of dental benefits, claims processing, and operational workflows.
Demonstrate strong analytical and problem-solving skills, with the ability to identify root causes and drive resolution.
Are highly organized and able to manage multiple complex workstreams simultaneously.
Thrive in cross-functional environments and can influence stakeholders without direct authority.
Are comfortable operating in a fast-paced, evolving environment and building structure where needed.

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.
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!

Senior Manager, Dental Operations

Key skills