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Clover Health

Remote Job Openings at Clover Health (35)

Senior Director, Innovation and Delivery

United States $204K - $240K per year 10+ yrs exp Others

The Senior Director will own and stabilize critical business initiatives by building effective operating models and driving measurable outcomes. They will act as an interim leader to unblock stalled projects and transition them into durable parts of the company.

Sr. Manager, Medicare Strategy

United States $129K - $168K per year 10+ yrs exp Others

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.

Commercial Partnerships & Operations Director

United States $150K - $195K per year 5-10 yrs exp Others

The Commercial Partnerships & Operations Director will lead high-priority cross-functional commercial initiatives and manage strategic external partnerships. This role involves developing analytical models, preparing executive-level communications, and implementing scalable operational processes to drive growth.

Actuarial Analyst

United States $90000 - $110K per year 2-5 yrs exp Finance

The Actuarial Analyst will perform quantitative analyses to support financial forecasting, medical cost analysis, and revenue optimization within the Medicare Advantage business. They will also develop analytical models and partner with cross-functional leaders to provide data-driven insights for strategic decision-making.

Registered Nurse (RN) Lead, Home Health Utilization Management

United States $130K - $170K per year 5-10 yrs exp Healthcare

The RN Lead splits time between performing direct medical necessity reviews for home health services and providing clinical leadership to the utilization management nursing team. This role involves mentoring staff, conducting quality audits, and collaborating with cross-functional partners to ensure compliance and improve member outcomes.

Medical Director, Utilization Management (Home Health, Acute & Post-Acute)

United States $242K - $315K per year 5-10 yrs exp Healthcare

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.

Business Analyst, Clinical & Reimbursement Policy

United States $107K - $130K per year 5-10 yrs exp Software Development

The Business Analyst will manage the end-to-end lifecycle of clinical and reimbursement policies, ensuring alignment with Medicare regulations and operationalizing them within the claims environment. They will also lead AI-driven initiatives to automate policy monitoring and manage strategic vendor relationships to ensure high-precision payment accuracy.

Software Developer - Engineering Productivity

Canada 115K - 145K per year 5-10 yrs exp Software Development

You will design and champion internal quality programs while building SDLC observability pipelines to increase deployment velocity. Additionally, you will architect shift-left pipeline gates and leverage generative AI to automate infrastructure and testing frameworks.

Telesales Vendor Senior Manager

United States $107K - $140K per year 5-10 yrs exp Others

The Senior Manager will oversee the Telesales program, managing external partners, performance metrics, and staffing to meet sales and retention goals. They will also lead technology improvements, contract negotiations, and develop strategies to optimize the inbound and outbound lead funnel.

Buyer

United States $63800 - $83000 per year 2-5 yrs exp Finance

The Buyer manages the end-to-end procurement process, including sourcing, supplier selection, and commercial negotiations. They are responsible for maintaining vendor relationships and overseeing contract renewals and compliance within the CLM system.

Software Engineer - Engineering Productivity

Canada, United States $146K - $190K per year 5-10 yrs exp Software Development

Design and champion internal quality programs and reliability roadmaps to increase deployment velocity and reduce incidents. Architect shift-left pipeline gates and leverage Generative AI tooling to automate infrastructure and testing frameworks.

Senior Compensation & Stock Analyst

United States $92000 - $120K per year 5-10 yrs exp Others

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.

Principal Engineer, Cloud Infrastructure

United States $195K - $270K per year 10+ yrs exp Software Development

Own the end-to-end cloud infrastructure and SDLC surface area to enable rapid shipping and AI-native operational capabilities. Lead a small team of engineers while collaborating with SecOps and Data leaders to ensure reliability, security, and cost discipline.

Data Analyst, Value-Based Care Analytics

United States $96000 - $125K per year 5-10 yrs exp Software Development

Build and maintain core Value-Based Care performance metrics across risk, quality, utilization, and cost domains. Translate complex clinical and financial data into actionable narratives and dashboards for payer and provider partners.

Data Analyst, Clinical Data Effectiveness

United States $77000 - $100K per year 2-5 yrs exp Software Development

The role serves as the Subject Matter Expert for clinical data completeness, owning the end-to-end clinical data lifecycle and monitoring data quality across various healthcare facilities. You will analyze data gaps, evaluate integration vendors, and partner cross-functionally to ensure reliable clinical data flow for the AI-powered platform.

Head of Engineering, Data Platform

United States $223K - $270K per year 10+ yrs exp Software Development

Own the end-to-end strategy, architecture, and execution of the data platform to enable self-serve data access. Lead a high-impact engineering team while remaining hands-on in building AI-native pipelines and optimizing data warehouses.

Inpatient Coder Associate, Payment Integrity

United States $80000 - $110K per year 0-2 yrs exp Software Development

The Inpatient Coder Associate identifies provider DRG denials and upcoding to ensure accurate claims payments. They partner with clinical and claims teams to review inpatient services and recover overpayments.

Senior Strategic Configuration Analyst

United States $107K - $130K per year 5-10 yrs exp Others

The role focuses on the technical validation and rigorous testing of configuration logic to maximize first-pass claim payment accuracy. Responsibilities include architecting test plans, simulating real-world medical encounters, and utilizing AI tools to identify edge cases in reimbursement logic.

UX engineer

United States $157K - $205K per year 5-10 yrs exp Software Development

Own and evolve the design system by building reusable UI primitives and interaction patterns to ensure consistency across product teams. Act as the bridge between Design, Product, and Engineering to translate design intent into production-quality code.

Director, Strategic Finance (Medicare Advantage)

United States $150K - $225K per year 10+ yrs exp Finance

Serve as the primary financial architect for the Medicare Advantage business by defining and optimizing unit economics. Lead annual planning, quarterly forecasting, and the evaluation of high-stakes strategic projects to ensure ROI.

Special Projects Manager – Innovation & Delivery

United States $107K - $140K per year 2-5 yrs exp Others

The Special Projects Manager will drive high-priority cross-functional initiatives by translating strategic goals into structured workplans and actionable timelines. They will own critical workstreams, manage dependencies, and build operational cadences to ensure project visibility and effective execution.

Director, Governance, Risk, and Compliance (GRC)

United States $212K - $230K per year 10+ yrs exp Legal

The Director of GRC will define and execute the enterprise security governance and risk strategy while ensuring regulatory compliance for a technology-enabled healthcare company. This role involves managing third-party risk, overseeing incident response governance, and influencing cross-functional teams to maintain a robust security posture.

Senior Software Engineer

United States $185K - $230K per year 5-10 yrs exp Software Development

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.

Senior Software Developer

Canada 134K - 175K per year 5-10 yrs exp Software Development

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.

Senior Machine Learning Engineer

United States $150K - $200K per year 5-10 yrs exp Software Development

The Senior Machine Learning Engineer will design, implement, and validate high-reliability, distributed platforms for machine learning, natural language processing, and LLMs. This role involves creating, debugging, and improving production models while building tools to translate data insights into scalable action.