Jobs at Clover Health

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 Lead Physician oversees patient care, supports nurse practitioners, and leads quality improvement initiatives in home care for seniors.

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

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.

As a Product Strategist, you'll lead multiple pods to build impactful AI-driven systems in healthcare, manage stakeholders, and ensure quality execution.

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.

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.

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.

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 Provider Success Manager will build relationships with healthcare providers, drive adoption of Counterpart Assistant, ensure successful implementation, and analyze performance metrics to enhance platform utilization and patient outcomes.

As a Senior Software Developer, collaborate with teams to build scalable systems that improve healthcare outcomes, maintaining quality and fast iteration in development practices.

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.

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.

Manage a portfolio of primary care provider partnerships to drive adoption, retention, and success of Counterpart Assistant. Serve as product SME, support onboarding and workflows, analyze performance metrics, lead interventions, and collaborate cross-functionally to improve provider outcomes in value-based care.

Serve as the primary external product SME and relationship owner for primary care partners, driving onboarding, adoption, retention, and expansion of Counterpart Assistant. Implement workflows, analyze provider performance metrics, lead interventions, and collaborate cross-functionally to improve outcomes and platform utilization in value-based care.

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

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.

Provide comprehensive primary and supportive in-home and telehealth care for Medicare Advantage members. Oversee a patient cohort, manage cases with nurse practitioners, coordinate interdisciplinary care plans, close gaps in care, and use Clover Assistant and EMR to document and drive outcomes.

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.