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Showing 4 jobs

Director, AI-Enabled Fraud Prevention & Investigations

Clover Health
United States$150.0K–$240.0K

Clover Health is seeking a Director, AI-Enabled Fraud Prevention & Investigations to join the Legal department as a senior individual contributor. This role involves managing…

  • Healthcare fraud investigations
  • Program integrity
  • SIU operations
  • Medicare Advantage
  • LLMs
  • SQL
  • +2 more
via Jobicy
YesterdayNewly posted
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Director of Engineering, Data Products

Clover Health
10+ yrsUnited States$223.1K–$290.0K

The Director of Engineering for Data Products will lead the technical strategy and execution for the clinical-data foundation at Counterpart Health. This role involves managing…

  • Data platforms
  • Distributed systems
  • Interoperability standards

General Manager, Pharmacy

Clover Health
New Jersey$317.0K–$375.0K

The General Manager, Pharmacy will assume end-to-end accountability for the build, licensing, performance, and long-term growth of Clover's pharmacy business. This role involves…

  • Pharmacy operations
  • P&L management
  • Strategic planning
  • Regulatory compliance

Contact Center/CX Quality Assurance Lead

Clover Health
7+ yrsUnited States

Clover Health is seeking a Quality Assurance Lead to own and mature the quality assurance program for its Houston Experience Center. The role involves managing the end-to-end QA…

  • Quality Assurance
  • Contact center operations
  • Customer experience
  • Operational excellence
FHIR
  • CCDA
  • Clinical data pipelines
  • +6 more
    • via Jobicy
    YesterdayNewly posted
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    Team leadership
  • Provider engagement
    • via Jobicy
    YesterdayNewly posted
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    Scorecard development
  • Performance analytics
  • +3 more
    • via Jobicy
    YesterdayNewly posted
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