Teams at Clover Health

Lead end-to-end healthcare fraud investigations for Clover's Medicare Advantage business. Own caseloads, gather and analyze claims and medical evidence, coordinate legal support, prepare defensible referral packages, leverage AI and analytics tools, and collaborate cross-functionally to drive recoveries and provider actions.

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.