Jobs at Clover Health

Lead Provider Data Management and credentialing operations for a Medicare Advantage plan. Own PDM platform architecture, directory accuracy, CMS/NCQA compliance, third-party vendor oversight, and integrate AI/LLMs to automate data pipelines and validation. Manage and scale a remote network operations team and drive cross-functional execution of network adequacy and credentialing strategies.

Lead and grow a ~10-person global SRE team, drive reliability and cost-efficiency of multi-tenant cloud infrastructure, build self-service platform capabilities, establish SLOs/SLIs, improve alerting, own FinOps practices, and embed AI tooling into SRE workflows.

Lead the Interventions engineering pillar owning technical strategy and execution for early diagnosis, longitudinal care, and treatment. Scale data and ML infrastructure, improve clinical data accuracy, manage ML/LLM features, drive AI-assisted SDLC, and partner cross-functionally with Product, Data Science, and Clinical Operations to meet clinical performance goals.

Manage provider relationships and resolve escalated issues across contracts, claims, payments, audits, configuration, and grievances. Lead provider meetings, run root-cause analyses to reduce provider abrasion, manage internal projects, and produce accurate reports and data analysis using Excel and other tools. Collaborate cross-functionally to improve provider satisfaction and support business initiatives.

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.

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

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.

Lead and build the end-to-end data platform: set technical strategy, be hands-on with Snowflake and dbt, integrate heterogeneous sources, design AI-native pipelines for LLMs and agentic workflows, prioritize business impact, and recruit/mentor a small high-impact engineering team.

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.

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.

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.

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 Engineering Director will lead and manage the cloud infrastructure and developer enablement, focusing on AI-native systems, team development, and security operations.

The Technical Solution Manager leads technical onboarding for new clients, manages enterprise accounts, and collaborates with cross-functional teams to ensure smooth implementations and customer satisfaction in healthcare settings.

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