Clover Health

Clover is a healthcare technology company helping members live their healthiest lives with its Medicare Advantage plans.

501-1000 employees

Founded 2014

$300M post ipo equity

Medical

Public Company

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Medical Health Insurance Hospital Health Care

Remote-First Company

This company operates with a remote-first culture, allowing team members to work from anywhere. Team members are distributed across the U.S. and Canada.

Open Positions31

Remote - USAFull-TimeHealth InsurancePosted

Director, AI-Enabled Fraud Prevention & Investigations

Build custom investigative tooling including queries, scripts, and prompts to prioritize leads from large datasets.
Prototype detection logic and collaborate with data science and engineering for productionization.
Conduct end-to-end fraud investigations, including developing plans and analyzing claims/medical record evidence.
Utilize LLMs and analytics to automate unstructured data reading, grievance triaging, and exposure sizing.
Draft defensible case files and memos that meet evidentiary standards for enforcement and recovery.
Collaborate with clinical, compliance, claims, and payment integrity teams to validate findings and improve operations.
Prepare clear investigative narratives and reports for senior leadership.

PythonSQLArtificial Intelligence+2 more

Showing 1 of 31 positions

About Clover Health

Clover Health is reinventing health insurance for older Americans by combining technology with empathy. You'll find them focused on Medicare Advantage plans, specifically using their proprietary software, Clover Assistant, to empower physicians. This platform synthesizes patient data, enabling doctors to make more informed decisions and proactively deliver preventive care. The goal is to reduce avoidable spending and manage chronic diseases effectively, ultimately helping members live healthier lives at a lower cost.

How We Work

Clover Health champions a remote-first culture, fostering collaboration across globally distributed teams, including those in the United States and Hong Kong. They prioritize your mental well-being with initiatives like No-Meeting Fridays, monthly company holidays, and a flexible time-off policy. The company values diversity and inclusion, believing that varied perspectives are crucial to solving complex healthcare problems and serving their diverse member base.

Engineering at Clover Health

Clover Health is a technology company at its core, building custom software and analytics to transform healthcare. Engineers tackle complex challenges in a data-rich, regulated environment, often utilizing AI and LLM tools to create agentic systems and AI-assisted workflows. The Clover Assistant, their flagship platform, aggregates data from across the healthcare ecosystem, delivering real-time, personalized insights to physicians. This allows for earlier identification and management of chronic diseases. You'll contribute to systems that directly influence patient outcomes and operational efficiency, navigating the unique complexities of the Medicare landscape.

Why Join Us

Drive real-world impact by building technology that directly improves the health and well-being of older Americans.
Work in a remote-first environment that prioritizes your work-life balance and offers flexible time off and no-meeting Fridays.
Contribute to a mission-driven team solving one of the most complicated problems in the world: healthcare.
Access professional development opportunities including learning programs, mentorship, and funding to support your continuous growth.

Benefits & Perks

Competitive base salary, equity opportunities, and performance-based bonus program.
Comprehensive medical, dental, and vision coverage.
401k matching and Employee Stock Purchase Plan (ESPP).
Reimbursement for home office setup expenses.
Monthly cell phone and internet stipend.
Paid parental leave for all new parents.
Monthly company holidays and a generous flexible time-off policy.
Allowance for over-the-counter health items and a rewards program for healthy activities.

Tech Stack

frameworkservermappingweb_serverwidgets

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