The Inpatient Coder Associate reviews medical claims for DRG-related issues and identifies overpayments to ensure accurate claims processing. They collaborate with clinical and claims teams to verify clinical rationale and maintain regulatory compliance standards.
The Director of Workforce Management will own the end-to-end workforce plan for the Clover Care Visit team, translating growth targets into actionable hiring, onboarding, and readiness goals. They will build scalable operating models and dashboards to ensure clinical performance, productivity, and quality standards are met across the organization.
Develop and execute multi-channel engagement campaigns to drive demand for home-based clinical services and improve member communication. Analyze campaign performance and audience feedback to optimize messaging, reduce friction, and increase completed visits.
The VP of Operations will own the operating strategy and performance for Clover Care Services, designing the full member journey and integrating AI into daily workflows. They are responsible for building scalable, efficient operations that improve member and clinician experiences while meeting financial and clinical outcomes.
Lead, coach, and develop utilization management nurses and clinical reviewers while overseeing daily review workloads, escalations, and the timeliness and quality of determinations. Partner with Medical Directors and cross-functional teams to manage vendors, maintain policies and workflows, support regulatory compliance, and improve member and provider experiences.
Manage members’ complex and chronic wounds from assessment through closure or transition, using clinical data and AI-supported imaging to guide individualized treatment and timely escalation. Coordinate care across providers, address broader health and social needs, oversee home-health services, and help improve the wound-care program’s workflows and standards.
The Senior Director will serve as an interim business-side leader to stabilize and scale critical initiatives while building durable operating models. They will also harness AI and emerging technology to accelerate execution and drive measurable business outcomes across the organization.
You will build and maintain production software implementing healthcare interoperability standards like FHIR and HL7. Additionally, you will collaborate with cross-functional teams to develop APIs, services, and data pipelines that improve patient health outcomes.
The Director will lead enterprise-wide change management initiatives, ensuring alignment between business priorities and employee-impacting projects. They will establish governance frameworks, manage portfolio dependencies, and drive adoption across technology, operations, and policy changes.
The Senior Recruiter will own full-cycle recruiting for People Operations and corporate roles, managing searches from intake through offer. They will also build market intelligence, map target companies, and partner with leadership to calibrate hiring strategies.
The Chairman Programs Lead will orchestrate cross-functional initiatives by translating high-level strategic goals into actionable workstreams. This role involves building systems to improve operational efficiency and serving as a force-multiplier for the Chairman and executive team.
Lead the clinical UX strategy for the Interventions Pillar, ensuring coherent design across decision support and treatment planning workflows. Mentor and develop senior design talent while partnering with cross-functional teams to integrate AI-enabled solutions into clinical practice.
The Staff UX Designer will lead impactful design initiatives and shape the user experience across the product suite by collaborating with cross-functional teams. They are responsible for solving complex design challenges, mentoring other designers, and driving a user-first mindset throughout the organization.
The Director of Engineering will own the technical strategy and execution for the Data Products roadmap, including clinical data ingestion and canonical data modeling. They will lead cross-functional teams to build scalable data capabilities while driving the adoption of AI-powered development workflows.
You will serve as the Subject Matter Expert for clinical data completeness, owning the end-to-end understanding of the clinical data lifecycle. This involves identifying data gaps, conducting deep-dive analyses across disparate sources, and guiding vendor strategy to ensure reliable clinical data flow.
The Senior Manager of Provider Success is responsible for executing the regional provider success strategy, managing provider relationships, and driving the adoption of the Counterpart Assistant tool. They lead regional teams to ensure performance goals are met while identifying and removing operational barriers within local markets.
The Specialist Navigator acts as the primary liaison between the Network Performance team and specialist providers to drive optimization initiatives and improve network outcomes. This role involves analyzing utilization data, negotiating contracts, and implementing strategies to enhance provider performance and member access.
Lead multiple concurrent customer implementations from kickoff through launch and post-launch transition, coordinating provider practices and internal teams to deliver on time and to quality standards. Improve implementation processes and tools, resolve integration risks, and relay customer feedback to product, engineering, and support teams.
You will develop and maintain a scalable infrastructure platform while automating processes to eliminate toil. Additionally, you will troubleshoot infrastructure issues and collaborate with cross-functional teams to ensure system reliability.
The Physician Advisor conducts peer-to-peer clinical discussions with providers to determine medical necessity and appropriate level of care for authorization requests. They also document clinical rationales, ensure compliance with Medicare/CMS requirements, and provide feedback to utilization management leadership.
The Pharmacy Programs Specialist supports Medicare quality metrics and medication management initiatives while ensuring compliance with CMS standards. This role involves validating claim adjudications, conducting telephonic outreach, and collaborating with cross-functional teams to improve pharmacy operational outcomes.
The Director will manage hands-on investigations of potential provider fraud while building AI-powered tools to improve investigative efficiency. They will collaborate with legal and clinical teams to ensure all processes comply with regulatory requirements and produce defensible documentation.
The Senior Manager leads the MA Plan Command Center, overseeing actuarial and financial operations to drive enterprise performance and strategic decision-making. They are responsible for managing initiative portfolios, implementing AI-enabled analytical workflows, and fostering cross-functional alignment across the organization.
The Special Projects Lead will orchestrate cross-functional initiatives from ambiguity to execution, acting as a force-multiplier for the executive team. You will architect strategic programs, deploy AI-powered tools, and build scalable systems to drive operational leverage and growth.
The Special Projects Manager will drive high-priority cross-functional initiatives by translating strategic goals into actionable workplans and operational cadences. They will own critical workstreams, manage dependencies, and utilize AI-powered tools to improve execution speed and project visibility.
Lead the enterprise actuarial function, including pricing, reserving, and bid strategy, while modernizing workflows through AI and automation. Partner with executive leadership to provide financial insights and drive strategic decision-making across the organization.
The Senior Manager will lead the annual Medicare bid development process, defining product strategy, pricing, and benefit design to ensure profitable growth. They will also oversee competitive intelligence, new market evaluation, and the execution of strategic cross-functional projects.
The Medical Director will lead utilization management processes, specifically focusing on Home Health services while reviewing acute, post-acute, and pharmacy authorization requests. They will serve as a clinical escalation point, conduct peer-to-peer discussions, and mentor nursing staff to ensure evidence-based care and regulatory compliance.
Lead large-scale data science projects from ideation to enterprise impact while mentoring team members. Collaborate with stakeholders to deliver data-driven solutions that improve patient outcomes and business performance.
Identify, engage, and enroll primary care providers into the Counterpart Health network through product demonstrations and value communication. Manage a sales pipeline and represent the brand at healthcare events to accelerate market expansion.
Lead the evolution of the compensation function by integrating AI tools to automate workflows and enhance decision-making. Manage end-to-end equity programs, annual compensation cycles, and ensure compliance with SEC and tax regulations.
The Senior Software Developer will collaborate with cross-functional teams to build scalable, efficient systems that simplify healthcare complexities and enhance human efforts. This includes defining and maintaining development practices, writing tests, documenting implementations, and conceptualizing new features with product managers.
The Senior Software Engineer will collaborate with cross-functional teams to build scalable, efficient systems that simplify healthcare complexities and enhance human efforts. Responsibilities include defining and maintaining development practices, writing tests, documenting implementations, and conceptualizing new features with product and operational teams.
