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Clover Health

Remote Job Openings at Clover Health (32)

Chairman Programs Lead

United States $160K - $190K per year 5-10 yrs exp Others

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.

Senior Analytics Engineer, Clinical Data

United States $115K - $130K per year 5-10 yrs exp Software Development

Design and build the data foundation for clinical analytics and AI initiatives by modeling and deploying production-ready tables to the clinical data warehouse. Partner with clinical, operational, and data science stakeholders to ensure data integrity and support insight generation.

Staff UX Designer

United States $188K - $245K per year 5-10 yrs exp Design

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.

Senior Manager, UX Design

United States $188K - $245K per year 5-10 yrs exp Design

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.

Director of Engineering, Data Products

United States $223K - $290K per year 10+ yrs exp Others

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.

Data Analyst, Clinical Data Effectiveness

United States 5-10 yrs exp Software Development

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.

Senior Manager, Provider Success- Southeast Region

United States $146K - $190K per year 10+ yrs exp Others

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.

Specialist Navigator

United States $115K - $150K per year 5-10 yrs exp Others

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.

Contract Technical Recruiter

United States $76900 - $100K per year 5-10 yrs exp Recruitment

Own full-cycle recruiting for assigned technology teams, partnering with hiring managers to define roles, create hiring plans, and develop targeted sourcing strategies. Analyze pipeline and market data, engage candidates, improve talent branding and pipeline diversity, and advise stakeholders on hiring decisions and solutions to recruiting roadblocks.

Implementation Manager

United States $96200 - $125K per year 5-10 yrs exp Others

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.

Physician Advisor – (P2P) Medical Reviewer (1099 Contractor)

United States $200K - $240K per year 5-10 yrs exp Healthcare

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.

Pharmacy Programs Specialist

United States $53800 - $70000 per year 2-5 yrs exp Healthcare

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.

Vice President, PBM Management

United States $278K - $320K per year 10+ yrs exp Others

The Vice President of PBM Management will lead the pharmacy strategy for the Medicare Advantage plan, overseeing PBM partnerships, contract performance, and financial optimization. They will build and manage a team to ensure pharmacy operations align with clinical quality, member experience, and enterprise financial goals.

CPH - Provider Engagement

United States $146K - $170K per year 10+ yrs exp Others

The Senior Provider Success Manager will serve as a strategic advisor to primary care organizations, driving adoption of the Counterpart Assistant technology and improving clinical outcomes. This role involves managing a complex portfolio of provider partnerships, leading workflow transformation initiatives, and analyzing performance data to ensure long-term retention and value-based care success.

Director, AI-Enabled Fraud Prevention & Investigations

United States $150K - $240K per year 5-10 yrs exp Software Development

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.

Senior Manager, Actuarial Strategic Operations

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

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.

Special Projects Manager

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 actionable workplans and operational cadences. They will own critical workstreams, manage dependencies, and utilize AI-powered tools to improve execution speed and project visibility.

Special Projects Lead

United States $160K - $190K per year 5-10 yrs exp Others

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.

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.

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.

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.

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.

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.