Provider Incentives Program Manager

At Counterpart Health we are transforming healthcare and improving patient outcomes with our innovative primary care tool Counterpart Assistant. By empowering Primary Care Physicians (PCPs) we help deliver better patient care at a lower cost through early diagnosis and longitudinal management of chronic conditions.

The Provider Incentives Program Manager is responsible for overseeing the design calculation and execution of incentive payments to healthcare providers participating in quality and value-based programs. This role ensures providers are accurately and timely compensated for additional work performed in support of quality improvement care management and performance outcomes. The Incentive Payment Manager partners closely with Quality Finance Provider Operations and Analytics teams to ensure incentive programs are operationally sound compliant and scalable. This role is at the intersection of paying users and coordinating with our field team and working with accounts payable to make sure our processes are accurate and compliant.

This role reports into the VP of Operations and will have a dotted line into the Clover AP team for hands-on access training and alignment on AP systems.

As aProvider Incentives Program Manager you will:

• Monthly payment operations (end-to-end): Own the monthly cycle to pay practices for CA submitted visits (prepare payment pack validate secure approvals release payments reconcile).
• Onboarding & maintenance: Design system and work with Provider Success Team to drive practice onboarding into AP systems: collect/validate W-9s ACH details (ACH only for CPH-administered option) ensure IRS W-9 validation maintain vendor master data and remittance contacts.
• Payment execution across options: Execute accurate and timely payments via various payment systems depending on the practice/payment path.
• Explanation of Payment/Remittance Preparation: Produce/coordinate practice-facing Explanation of Payment (EOP) detail for each payment. Ensure EOPs are delivered with/after payment as agreed.
• Validations & controls: Run automated and manual validations (member eligibility submitted status duplicate detection). Flag and resolve exceptions prior to payment.
• Approvals & audit trail: Prepare approval package for Finance; ensure email approvals and audit evidence. Maintain complete documentation for audit (payments EOPs approvals visit extracts).
• Reconciliation & true-up: Reconcile payment files vs bank clears and the visit payables report; support quarterly true-ups with partners and prepare the internal control reports.
• Cross-functional partnership: Work closely with Data/Analytics to maintain the payables report and with Provider Success to resolve practice disputes onboarding blockers and payment holds.
• Process Improvement & Scaling:Identify opportunities to streamline and automate incentive payment processes as programs grow. Support new incentive program launches by advising on operational feasibility and payment design. Monitor program performance and recommend improvements to increase efficiency and impact

Success in this role looks like:

• Consistent and efficient payment of providers every month on time as expected
• Communication with Account Payable and Field Team to ensure payments are as expected
• Delivering on a system that works for customers and finance.
• Customers expect timely and accurate payment with robust reports that explain what has been paid and what is pending.
• Finance expects accurate processes that comply with their systems

You should get in touch if:

• You have a Bachelors degree in Healthcare Administration Finance Business a related field or equivalent experience.
• You have 5 years of experience in healthcare payment operations provider incentives value-based care or related roles.
• You have strong understanding of quality incentive programs value-based payment models or provider contracting.
• You have experience managing complex payment calculations and financial workflows.
• You have high attention to detail with strong analytical and problem-solving skills.
• You have clear proactive communicator that can coordinate across Finance Data Provider Engagement and external partners.
• You are able to manage escalations and explain technical/payment issues to non-technical audiences.

Preferred Experience

• Hands-on experience with AP automation platforms (Tipalti or similar) and bank ACH processes. Experience with Optum Pay Intacct or other provider payment platforms.
• 35 years in Accounts Payable / payments operations ideally with ownership of end-to-end pay cycles. Experience in high-volume/complex payables or programmatic provider payments is strongly preferred.
• Demonstrated ability to design and operate financial controls audit trails and 1099/W-9 compliance. Hands-on experience with vendor verification and IRS W-9 validation preferred.
• Strong Excel skills (VLOOKUP/PIVOT) familiarity with basic SQL or ability to work with data teams to query payables datasets. Comfortable validating data extracts and troubleshooting file rejections.
• Demonstrated ability to design and operate financial controls audit trails and 1099/W-9 compliance. Hands-on experience with vendor verification and IRS W-9 validation preferred.

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!

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 Clovers 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 peoples lives. Diversity not only includes race and gender identity but also age disability status veteran status sexual orientation religion and many other parts of ones identity. All of our employees points of view are key to our success and inclusion is everyones responsibility.

#LI-Remote

Pursuant to the San Francisco Fair Chance Ordinance we will consider for employment qualified applicants with arrest and conviction records.We are anE-Verifycompany.

A reasonable estimate of the base salary range for this role is $75000 to $85000. Final pay is based on several factors including but not limited to internal equity market data and the applicants education work experience certifications etc.