Jobs at Clover Health

Lead the evolution of claims payment accuracy by optimizing strategic configurations, managing a small team, and implementing automated solutions to enhance operational efficiency in healthcare plans.

The Senior Strategic Configuration Analyst will validate and test configuration logic for Medicare Advantage claims, ensuring payment accuracy and compliance with CMS regulations. Responsibilities include designing test plans, analyzing defects, managing testing environments, and supporting AI-enabled testing frameworks.

The Senior Claims Researcher audits claims accuracy, conducts root cause analysis, compiles reports, and collaborates with internal teams to ensure correct payment processing.

The role involves developing and executing network development and provider contracting strategies, addressing provider concerns, and collaborating with teams to drive performance in Medicare Advantage and value-based initiatives.

The Senior Product Manager will oversee customer integrations, ensuring data quality and facilitating technical partnerships with enterprise clients in healthcare settings. Responsibilities include building scalable integration infrastructure and leveraging AI for operational efficiency.

The Senior Data Analyst will manage data flows for CMS submissions, resolve errors, enhance reporting dashboards, and support risk adjustment initiatives.

The Cloud Infrastructure Engineer will design, build, maintain infrastructure systems, automate processes, manage Kubernetes clusters, and enhance operational stability, collaborating across teams.

Responsible for HEDIS measure performance, medical record abstraction, gap identification, and driving improvement initiatives, ensuring optimal healthcare outcomes.

The Operations Associate for Payment Integrity handles claim processing, reconciliations, and audits, ensuring accuracy and financial integrity in healthcare claims.

As a Senior Software Engineer, you will develop efficient systems to enhance healthcare delivery and collaborate with various teams to innovate features for patient care tools.

As a Senior Machine Learning Engineer, you will design and implement systems for ML and NLP, optimizing models and tools for Clover's healthcare solutions.

Support and maintain CMS HCC/RxHCC models, produce risk-adjusted revenue accruals, build automated actuarial tools and dashboards, analyze claims and EDS data, and collaborate across teams to inform pricing, forecasting, and risk adjustment strategy.

The UX Engineer will enhance the design system and UI patterns, ensuring design intent translates into production through building reusable components and managing frontend UX-related technical debt.

The Sales Operations Analyst is responsible for maintaining sales reporting and dashboards, driving process optimization, and supporting the sales team with structured workflows and actionable insights.

As a Senior Software Engineer, you will collaborate with teams to build tools enhancing healthcare, drive business outcomes, and adopt AI in development.

The Principal Technologist handles immediate business problems, ships practical software solutions, and collaborates with CTO and CEO, focusing on interim solutions without creating technical debt.

As an AI Tools Engineer at Counterpart Health, you will evaluate and deploy AI-powered tools, optimize workflows, ensure security compliance, and promote tool adoption across teams.

The Engineering Manager will lead a team of engineers, fostering productivity, driving team impact, and collaborating with product managers to shape the technical roadmap.

The Business Operations and Strategy Manager will lead critical initiatives, drive strategy and operations, and improve systems design while collaborating with leadership and cross-functional teams.

As a Senior Data Scientist, you'll lead projects leveraging data to enhance healthcare outcomes, mentor team members, and align data efforts with business goals.