Lead and grow a global team of SREs to ensure infrastructure reliability, scalability, and cost-efficiency. Transition the SRE model from reactive support to proactive collaboration with product engineering through platform engineering and self-service capabilities.
Clover Health
35 Remote Job Openings at Clover Health
Lead the technical strategy and execution for the Interventions pillar to improve early diagnosis and longitudinal care management of chronic conditions. Oversee the scaling of clinical data infrastructure and drive the adoption of AI-powered development workflows to increase engineering productivity.
Facilitate smooth interactions between healthcare providers and Clover Health to resolve complex operational issues and improve provider satisfaction. Manage internal projects and lead external meetings to optimize provider relationships and patient outcomes.
Develop and execute network development and provider contracting strategies for the New Jersey market. Collaborate with internal teams to manage value-based care initiatives and improve provider participation in Medicare Advantage.
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 RN Care Manager provides telephonic care coordination and management for identified patient populations to improve health outcomes. Responsibilities include creating personalized care plans, facilitating assessments, and collaborating with interdisciplinary clinical teams.
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.
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.
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.
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.
Evaluate, configure, and deploy AI-powered tools to enhance operational efficiency across various business teams. Collaborate with cross-functional stakeholders to identify high-leverage AI opportunities and ensure secure, compliant implementation in a healthcare environment.
Lead end-to-end technical onboarding for new customers, focusing on data integrations and EHR configurations. Serve as the primary technical partner for enterprise accounts to resolve issues and influence product development based on customer needs.
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.
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.
Lead the technical design and implementation of strategic configuration logic to maximize first-pass claim payment accuracy. Manage a lean team of specialists to optimize edit logic and integrate automated solutions while bridging gaps between configuration, payment integrity, and compliance.
Lead the strategic roadmap for claim payment precision by designing audit frameworks and maintaining clinical and reimbursement policies. Act as the bridge between technical logic and clinical intent while leveraging AI to automate monitoring and optimize vendor performance.
Execute technical audits and deep-dive research to ensure Medicare Advantage claims are paid accurately according to provider contracts and benefit designs. Collaborate with BPaaS and configuration teams to resolve systemic payment errors and leverage AI tools for oversight.
Own the end-to-end lifecycle of customer data integrations to ensure completeness and reliability for clinical workflows. Build scalable integration infrastructure and AI-augmented operations to accelerate onboarding and data validation.
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)
Clover Health
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Full Time
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2 months ago
Clover Health
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.
Develop dashboards and complex SQL queries to provide actionable insights on provider performance and population health management. Partner with clinical and operational teams to optimize resource utilization and ensure data-driven decision-making.
Special Projects Manager β Innovation & Delivery
Clover Health
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Full Time
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2 months ago
Clover Health
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.
Lead large-scale data science projects from ideation to enterprise impact while delivering data-driven solutions that improve patient outcomes. Collaborate with stakeholders and mentor peers to ensure technical execution aligns with business objectives.
The Senior Actuarial Analyst will maintain CMS HCC/RxHCC models, support monthly revenue accruals, and develop automated tools to improve actuarial efficiency. They will also collaborate with cross-functional teams to provide strategic insights on risk adjustment, pricing, and long-term growth.
Director, Governance, Risk, and Compliance (GRC)
Clover Health
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Full Time
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2 months ago
Clover Health
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.
You will collaborate with clinicians and product managers to build and scale healthcare systems using AI-native development practices. You are expected to take full ownership of technical solutions from problem conceptualization through delivery and measurement.
The Senior Director will serve as an interim leader for critical strategic initiatives, building operating models and accountability mechanisms to drive business outcomes. They will also leverage AI and emerging technologies to solve complex healthcare problems and stabilize underbuilt areas of the business.
Head of Financial Planning & Analysis (Clover Care Services)
Clover Health
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Full Time
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3 months ago
Clover Health
This role involves owning the Clover Care Services (CCS) Profit & Loss statement and multi-year financial models, driving budget creation, forecasting, and variance analysis to ensure financial decision-making is data-grounded. The Head of FP&A will also develop sophisticated forward-looking operational models that integrate clinical delivery, staffing productivity, and contribution margins, while architecting scalable operational processes.
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.
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 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.
Head of Financial Planning & Analysis (Counterpart Health)
Clover Health
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4 months ago
Clover Health
This role involves owning the Counterpart Health P&L and multi-year financial model, acting as a key architect for go-to-market strategy by modeling pricing and unit economics for external partnerships. The Head of FP&A will also lead performance management, strategic forecasting, and foster cross-functional accountability across Clinical, Product, Engineering, and Growth teams.
As a Cloud Infrastructure Engineer, you will design, build, and maintain systems for application and infrastructure lifecycle management while collaborating with various teams. You will also automate infrastructure provisioning and improve deployment processes.
Drive Cloverβs most important cross-functional initiatives from ambiguity to execution. Architect strategic programs and align stakeholders across levels and functions to ensure successful outcomes.
As a Cloud Infrastructure Engineer, you will design, build, and maintain systems for application and infrastructure lifecycle management. You will collaborate with various teams to enhance Cloverβs technology infrastructure and ensure a scalable platform.