At Clover, the Business Enablement team leads our technological advancement while ensuring robust security and compliance. We deliver user-friendly corporate applications, manage complex data ecosystems, and provide efficient tech solutions across the organization. Our goal is simple: we make it easy for the business to do what’s right for Clover.

Clover Health is seeking a Director of Governance, Risk, and Compliance (GRC) to define and execute our security governance and risk strategy in support of Clover’s growth as a public,
technology-enabled healthcare company.

This role operates at the enterprise level, shaping functional strategy while driving execution through cross-functional influence rather than direct authority. The Director of GRC is
accountable for Clover’s security risk posture, regulatory compliance readiness, and resilience capabilities, ensuring that governance, risk, and compliance activities are aligned to business
priorities and long-term company outcomes.

The role manages a third-party vendor providing GRC services and staffing, while serving as Clover Health’s internal owner for security governance, risk decision-making, and executive-level accountability.

As a Director, Governance, Risk, and Compliance you will:

Governance & Security Risk Strategy

• Define and evolve Clover Health’s security governance and risk management strategy, aligning function-level priorities with enterprise objectives and the security roadmap.
• Establish a risk-driven approach to governance aligned with:
- HIPAA Security and Privacy Rules
- NIST Cybersecurity Framework (CSF) v2
- NIST AI Risk Management Framework (AI RMF), where applicable
• Anticipate security and regulatory risks 12+ months out, using business, product, regulatory, and market signals to inform strategy and tradeoffs.
• Ensure security risk decisions are clearly framed, documented, and communicated in business terms for executive and board-level audiences.
• Assist the CISO in setting security risk priorities, framing tradeoffs, and communicating risk posture and progress to executive leadership and the Board.

Compliance & Regulatory Leadership

• Own Clover Health’s security compliance posture as a public healthcare company, including federal and state regulatory obligations.
• Lead security-related audits, assessments, and regulatory inquiries in partnership with Legal, Compliance, Privacy, and Internal Audit.
• Drive clarity, consistency, and maturity in security policies, standards, and procedures.
• Ensure compliance efforts are proactive, scalable, integrated into how Clover Health builds and operates products, and maintained over time to support ongoing audit readiness and regulatory expectations.

Accountability & Delivery Leadership

• Own high-stakes outcomes for the GRC function, ensuring accountability across internal partners and third-party providers.
• Set clear success metrics, decision rights, and escalation paths for risk and compliance activities.
• Make and communicate tough prioritization calls when business needs, regulatory demands, or risk profiles shift.
• Surface high-risk issues early and transparently to the CISO, peers, and senior leaders.

Third-Party Risk Management

• Lead Clover Health’s third-party security risk management program end-to-end.
• Oversee vendor due diligence, risk assessments, remediation tracking, and ongoing monitoring.
• Manage and hold accountable a third-party GRC services vendor, ensuring delivery quality, prioritization, and alignment to Clover’s risk appetite.
• Ensure third-party risks are evaluated holistically and escalated appropriately.

Incident, Crisis, and Resilience Governance

• Lead governance and coordination for:
- Security incident response (IR)
- Crisis management
- Disaster recovery (DR)
- Business continuity (BC)
• Ensure incidents are tracked, analyzed for root cause, reported appropriately, and followed through with corrective actions.
• Lead or support enterprise tabletop exercises and simulations.
• Balance immediate response needs with long-term system and process improvements.

Cross-Functional Problem Solving & Influence

• Lead multi-team, cross-functional problem solving on complex security and compliance issues.
• Connect operational issues to systemic root causes and drive sustainable fixes rather than short-term workarounds.
• Influence peers and senior leaders through credibility, data, and executive presence —not authority.
• Build durable partnerships across Engineering, IT, MA, Legal, Compliance, Privacy, Finance, and Operations.

Culture, Coaching, and Enterprise Presence

• Build trust and credibility as a senior Clover leader.
• Coach people managers, high-potential ICs, and vendor staff to elevate GRC maturity across the organization.
• Model transparency, accountability, and alignment in leadership forums.
• Contribute to a culture of thoughtful risk-taking, strong execution, and shared ownership.

Success in this role looks like:

• Security risk management is clearly aligned to Clover Health’s growth strategy and enterprise priorities.
• The CISO has confidence in Clover’s security, compliance, and resilience posture.
• Security risk is managed, mapped, and reported on a regular cadence.
• Compliance activities scale with the business and avoid last-minute fire drills.
• Incidents and crises are handled with discipline, transparency, and continuous improvement.
• GRC is viewed as a strategic enabler — not a blocker — across the organization.

You should get in touch if:

• 8+ years of experience in information security, GRC, risk management, or related disciplines.
• Demonstrated experience leading security governance and compliance programs in regulated environments.
• Strong working knowledge of HIPAA and healthcare security requirements.
• Experience operating in a public company or similarly regulated environment.
• Proven experience managing third-party vendors providing GRC services or staff augmentation.
• Hands-on experience with incident response governance, crisis management, disaster recovery, and business continuity.
• Strong business acumen with the ability to translate security and compliance risks into business impact.
• Excellent executive-level communication and stakeholder management skills.

Preferred Qualifications

• Familiarity with NIST CSF v2 and NIST AI RMF.
• Experience supporting AI-enabled, data-intensive, or technology-forward healthcare platforms.
• Relevant certifications such as CISM, CRISC, or similar are a plus.
• Service-management and automation mindset.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-Remote

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover is looking for an exceptional Chief of Staff to partner closely with the CFO as a strategic thought partner, execution leader, and force multiplier across the organization. This is a highly consequential role at the center of the company's financial and operating agenda.

This is a high-leverage operating role for someone who thrives at the intersection of strategy and execution. You'll extend the CFO's reach by driving critical cross-functional initiatives, translating ambiguity into action, and ensuring leaders are aligned on the decisions and actions that matter most. You'll move fluidly between strategy and execution, frame complex problems quickly, and hold teams accountable for results.

The ideal candidate combines strong business judgment, structured thinking, and analytical rigor with low-ego leadership. This role is designed for builders and systems thinkers who bring both strategic vision and operational instinct. You're credible with senior executives, effective across functions, and relentlessly focused on outcomes over activity.

As a Chief of Staff to the CFO, you will:

• Extend the CFO's Leverage: Shape priorities, operating rhythms, and decision-making across Finance and the broader company. Translate high-level goals into concrete execution plans with clear owners, timelines, and decision points. Act as a trusted thought partner by structuring problems, clarifying tradeoffs, and surfacing data-driven recommendations.
• Lead High-Priority Initiatives: Independently drive the CFO's highest-priority initiatives that cut across finance, actuarial, operations, and product. Lead complex, ambiguous projects from definition through execution. Build action-oriented plans that focus teams on what matters most and translate strategy into measurable outcomes.
• Strengthen Finance Operating Model: Partner with Finance, Actuarial, and Data teams to evolve finance into a more forward-looking, action-oriented function. Improve how key metrics are defined, tracked, and used to drive decisions. Ensure insights translate into decisions, behavior change, and accountability.
• Drive Executive Communication: Prepare high-quality materials for Board, Audit Committee, investors, and executive leadership. Craft clear, analytically rigorous narratives around performance, strategic priorities, and risks. Review and refine presentations to ensure clarity and precision before they reach the CFO.
• Improve Cross-Functional Alignment: Build relationships across finance, actuarial, operations, and product to drive collaboration. Identify misalignment early, force clarity, and resolve cross-functional issues before they become execution problems. Influence senior stakeholders without formal authority.
• Elevate Decision Quality: Apply first-principles and data-driven thinking to help leadership solve difficult problems. Distill complex issues into decision-ready frameworks. Know when rigor matters most, when to go deep, and when speed trumps perfection.
• Harness AI and Emerging Technology: Identify opportunities to deploy AI-powered tools that accelerate execution, improve decision quality, and unlock operational leverage. Build solutions, don't wait for permission.

Success in this role looks like:

• First 90 days: Build trust with the CFO and key cross-functional leaders. Establish a clear operating framework for tracking and advancing priorities. Drive critical initiatives with visible traction and accountability.
• First 6 months: Independently lead multiple high-priority initiatives with measurable progress. Build strong relationships across leadership and be viewed as a trusted, high-judgment partner. Improve quality of executive materials and cross-functional execution.
• First year: Play a meaningful role in shaping and executing the company's strategic and financial agenda. Help finance become a more effective driver of business performance. Serve as a critical multiplier for the CFO and trusted leader at the center of the business.

You should get in touch if:

• You have 7–10+ years of experience in consulting, finance, strategy, business operations, investing, healthcare strategy, or other highly demanding operating environments.
• You're a builder and systems thinker who breaks down ambiguous problems quickly, creates clarity proactively, and stays accountable for results.
• You have strong business judgment and excel at executive communication. You balance strategy and execution, write and speak with precision, and engage credibly with senior leaders.
• You influence without authority and are analytically rigorous. You're comfortable with data, financials, and business metrics to support recommendations.
• You have high EQ and low ego: you're direct, thoughtful, adaptable, and willing to do whatever is needed to help the team win.
• You're AI-fluent: you've deployed AI to accelerate execution and unlock leverage, and you see opportunities others miss.
• Healthcare experience is strongly preferred; experience in Medicare Advantage, value-based care, insurance, or related sectors is a significant plus. Bachelor's degree required; MBA or advanced degree is a plus.

Benefits Overview:  

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover is reinventing health insurance by working to keep people healthier.

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most.

The Payment Integrity team is a motivated, collaborative team sitting at the intersection of Clover's provider relationship operations, data infrastructure, and software. The Payment Integrity team ensures that Clover pays claims in a fair, transparent, compliant, and medically justified manner. Come join us as we discover new opportunities to improve the financial health of Clover while strengthening provider relationships and building a better healthcare system.

As an Operations Associate for Payment Integrity at Clover Health, you will play a key role in facilitating the underlying processes that support various cost containment work streams. You will help drive value for every member by ensuring that Clover’s medical claims are paid accurately and be responsible for facilitating recoveries on a growing membership base while supporting coordination between internal and external stakeholders.

As an Operations Associate, Payment Integrity, you will:

• Execute Claim Reprocessing Cycles: Facilitate the aggregation of high-volume claim batches for reprocessing. Utilize advanced data management and spreadsheeting techniques to merge, review, and validate cycles of claim adjustments, ensuring precision prior to final submission.
• Perform Reprocessing Reconciliations: Facilitate backend controls to audit the accuracy of batch-reprocessed claims. Conduct comprehensive reconciliations to ensure that all expected adjustments are captured and processed without discrepancy.
• Manage Recovery Posting & Resolution: Reconcile claims data to determine the accuracy and completeness of reprocessed claims. Oversee the audit software environment to control resolution tracking and ensure official recovery recognition aligns with Payment Integrity standards.
• Optimize Audit Letter Workflows: Manage the end-to-end administration of audit communications, including the extraction of data, secure SFTP transfers, rigorous proofing of member/provider letters, and the successful upload of files to external systems and vendors.
• Maintain Status Reconciliation: Perform ongoing monitoring and maintenance of audit software to validate the integrity of the audit population. Proactively research and resolve aging audits to minimize inventory lag and ensure timely recovery.
• Collaborate Across Functions: Partner with the Claims Adjustment Team, Provider Services, and key internal stakeholders to resolve escalated payment issues and optimize recovery outcomes while preserving strong provider partnerships.
• Drive Process Excellence: Develop and refine process documentation, workflows, and standard operating procedures (SOPs) to strengthen team capabilities and maximize operational efficiency.

Success in this role looks like:

• By the end of your initial 90-day period, you have seamlessly integrated into the Payment Integrity Team and established strong relationships with key internal partners. You have developed a foundational knowledge of the audit software and the end-to-end recovery workflows, successfully executing your first cycles of claim batch aggregation and audit letter distributions.
• By 6 months, you will be independently managing the recovery posting process and performing complex reprocessing reconciliations. You will be recognized as a subject matter expert in status reconciliation, effectively reducing the volume of aging audits and ensuring the accuracy of all recovery data reported by the department.
• Future success in this role requires strong data management and spreadsheet skills combined with innovative thinking and a results-centric approach to drive tangible outcomes. You should be comfortable managing large datasets, confidently taking on technical challenges, and identifying opportunities for process optimization and automation.

You should get in touch if:

• You have 3+ years of experience working with large datasets, including reconciliations, data validation, and transfers in a high-volume environment.
• You’re technically savvy and comfortable learning new systems, tools, and workflows quickly.
• You have a strong attention to detail and a track record of catching discrepancies and ensuring data accuracy.
• You’ve supported financial audits within a healthcare setting, with exposure to claims data, payments, or audit workflows.
• You’re confident in Excel or Google Sheet, specifically in processing and cleaning extensive data volumes to ensure accuracy, completeness, and integrity. (e.g., pivots, lookups).
• Bonus: You have experience with SQL or healthcare audit/analytics tools.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

The Special Investigation Unit (SIU) is a motivated, collaborative team sitting at the intersection of Compliance, Payment Integrity, and Data Infrastructure. The SIU ensures that Clover monitors, identifies, and investigates instances of healthcare fraud, waste and abuse (FWA).  Come join us as we discover new opportunities to enhance the fight against FWA!

As a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA audit program. You will be joining a fast-growing and fast-moving startup at the intersection of healthcare and technology, where you will have the opportunity to develop both your policy and operational skills. A successful Medical Claims Auditor will have a broad coding knowledge base, including but not limited to: DME, Outpatient, ASC and Physician correct coding. This position will focus specifically on Medicare coding policies.

As a Medical Claims Auditor, you will:

• Partner with Clinical, Claims, and SIU peers to review claims for billing and coding related issues on a retrospective basis that currently drive inaccurate payments to providers or indicate FWA.
• Identify control opportunities to mitigate FWA.
• Identify possible audit opportunities.
• Support annual FWA audit goals.
• Support provider conversations around FWA audit findings.
• Manage overall audit workload to ensure timely and accurate audit results.
• Work closely with senior team members and management on targeted projects and initiatives.
• Communicate effectively while building trust and lasting partnerships both laterally and vertically across multi-discipline teams.

Success in this role looks like:

• By the end of your initial 90 day period, you will have demonstrated a strong understanding of our review process and are able to effectively navigate through the various Clover systems. 
• By 6 months, you will be working autonomously on provider reviews. 
• Continued success in this position anchors in on developing a deep understanding of the workflows that support our SIU cases and reviews while maintaining regulatory compliance standards.

You should get in touch if:

• You have 3+ years of coding and auditing experience, experience with CMS regulations preferred.
• Certified Professional Coder (CPC) or other coding certification is a plus.
• You have a strong knowledge of the National Rules of Correct Codification defined by CMS in the Manual of CCI and the tables of CCI.
• You have experience working in a technology environment including claims systems, workflow management tools, Microsoft Office or Google Suite.
• You have prior experience working in health insurance; Medicare Advantage is a plus.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

The Clover Care Services organization delivers proactive support and care to our members through our Clover Home Care teams, and quality improvement services to our aligned insurance plan providers through our practice engagement team. We have built one of the most proactive, data-driven health care services platforms in New Jersey and are excited about the future of technology and how it impacts our ability to bring transformative results to both patients and providers.

As a Senior Clinical Data Analyst in the Clover Care Services (CCS) organization, you will help drive better patient outcomes, improve care coordination, and optimize resource utilization by providing actionable insights to health care providers, practice administrators and CCS leadership. In this role you will be called upon to develop dashboards that measure external provider performance, generate population health management insights as well as respond to data requests that provide an operational perspective relative to business unit OKRs. 

The right person must be a data-driven, highly analytical problem-solver with exceptional organizational skills, and passionate about our mission.

As a Senior Clinical Data Analyst, you will:

• Gather requirements from stakeholders and translate to specific and actionable work tasks.
• Develop complex SQL queries to support data-driven insights that inform business and clinical decisions.
• Analyze healthcare data (claims, lab, pharmacy and EMR data) to draw conclusions and provide consultation to stakeholders for use in administering specific programs and operational processes.
• Develop reports, dashboards, and visualizations that provide insights into various patient populations and health care utilization patterns.
• Partner closely with clinical and operational teams to ensure data-driven decision-making and assist in the assessment of treatment concordant care.
• Analyze CCS operations relative to goals and summarize the completion of routine tasks by various business unit resources.
• Ensure data accuracy, quality, and integrity when working across multiple data sets.
• Prepare and present findings and recommendations to leadership, internal clinical teams, and external stakeholders in support of Clover Care Services business initiatives.

Success in this role looks like:

• In your first 90 days, you will:
  • Learn the intricacies of the various data sets available to measure Clover Care Services business initiatives.
  • Successfully build and deliver on a few high-priority data reporting requests.
  • Create a ticketing infrastructure for the intake data report request.
• After 6 months you will:
  • Partner with stakeholders to analyze, design, and implement approaches to measure external and internal provider performance.
  • Provide consistent, high-quality reporting to the CCS business unit.
• Future success in this role includes:
  • Strategic Impact: Play a pivotal role in generating insights that demonstrate the value delivered by the CCS business unit.
  • Organizational Development: Foster a culture of continuous improvement, innovation, and excellence within the organization.

You should get in touch if:

• You have a BA/BS in Mathematics, Statistics, Economics, Healthcare, or a related discipline, with 5+ years of relevant professional experience.
• You have strong SQL proficiency with experience querying, summarizing, and manipulating large healthcare datasets.
• You have hands-on experience analyzing medical and pharmacy claims data, including medical cost modeling, utilization analysis, trend analysis, and PMPM calculations.
• You have experience with healthcare actuarial concepts, including risk adjustment methodologies (e.g., HCC, RAF), population risk stratification, and enrollment/eligibility analysis.
• You have knowledge of healthcare data standards and coding systems (ICD-10, CPT, DRG) and familiarity with healthcare quality measures (e.g., HEDIS, CMS, NCQA), preferably within Medicare Advantage.
• You have the ability to validate data quality, identify anomalies, document analytical assumptions, and perform member-level longitudinal analyses.
• You have strong communication skills with the ability to translate complex analytical findings into clear, actionable insights and present them to actuarial, clinical, financial, and operational stakeholders using tools such as Excel and data visualization platforms (e.g., Tableau, Power BI).

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

The Role

You won’t just build — you’ll lead the direction of builders.

As a Product Strategist, you’ll support 2–3 pods of /COMMIT associates (each pod = 2 people).
You are responsible for what gets built, how it gets built, and whether it actually matters.

This is not middle management.
This is hands-on leadership.

You’ll set direction, unblock problems, enforce standards, and make sure every pod is shipping real work that aligns with the Chairman’s vision.

You are the connective tissue between ambition and execution.

What You’ll Own

• Pod Leadership: Lead 2–3 pods end-to-end. Set direction, drive execution, and hold the bar high.
• Problem Solving: Own day-to-day decisions. When things get unclear or messy (they will), you make the call.
• Program Direction: Translate high-level vision into real, shippable work.
• Content Ownership: Define what gets built, why it matters, and what “good” looks like.
• Execution & Delivery: Ensure pods ship consistently — not eventually.
• Stakeholder management: Work with SMEs and executives across Clover to define solutions that work.
• Standards & Consistency: Maintain quality and alignment across pods.
• Strategic Direction: Shape the roadmap and ensure alignment with Clover’s overall vision, not just follow it.

What We’re Looking For

You’ve been in the arena.

• 5+ years building and shipping real products or systems.
• Deep product and technical instincts — you know what matters and what doesn’t.
• Experience leading teams, even informally — people follow your direction.
• Comfortable operating in ambiguity and making decisions without perfect data.

You probably:

• Taught yourself things no one asked you to learn.
• Built systems people actually used.
• Shipped imperfect v1s that mattered.
• Fixed problems yourself instead of waiting.
• Keep doing things / tweaking things to perfect.
• Prefer to take action and learn rather than waiting for full alignment.
• Found ways in when doors were closed.

You don’t just “manage.”

You build, decide, and drive.

What You’ll Do

• Solve real problems in healthcare — one of the most broken industries that exists.
• Build and deploy AI-driven systems that actually get used.
• Lead teams that ship production-grade code.
• Turn ambiguity into execution.
• Make sure work doesn’t just start — it finishes.

This is hard.

Healthcare is messy — regulations, legacy systems, bad incentives.
We’re fixing it with AI, but it’s not glamorous.

• You’ll work in person, in NYC.
• You’ll deal with real data, real constraints, real consequences.
• You’ll ship systems that impact Clover’s rapidly growing membership and beyond.

At Clover Health, we are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. 

We are seeking a strategic, operationally-focused Director, Strategic Finance (Medicare Advantage) to serve as the primary financial architect for our core insurance business. This is a newly created, high-impact role designed for a leader who excels at the intersection of financial analysis, operational efficiency, and long-term value creation.

While you will sit within our centralized Finance organization, you will be deeply embedded in the Medicare Advantage (MA) leadership team. We are looking for a "high-agency" leader who can move beyond simple reporting to actively influence growth levers and unit economics.

As a Director, Strategic Finance (Medicare Advantage), you will:

• Define, Measure, and Optimize Unit Economics: Partner with Actuarial, Growth, and Ops teams to develop a nuanced understanding of unit economics. You will define and track multi-year cohort and plan-level views, while most importantly, working to optimize unit costs and growth levers.
• Lead Planning and Forecasting: Partner with leadership, actuarial and operations to develop annual plans and quarterly forecasts. 
• Drive the Business “Rhythm”: Partner with leadership to review core reporting and initiative progress consistently. You will leverage the monthly close process to ensure alignment with the budget and maintain rigorous scrutiny of ROI for all operational activities. Most importantly, you will ensure insights lead to action.
• Evaluate Strategic Projects: Assess the value of high-stakes programs. Once capital is allocated, you will track these initiatives to ensure they deliver the projected value.

Success in this role looks like:

• In the first 90 days: You have established financial clarity by owning the MA financial model and reporting cadence, providing leadership with a trusted view of performance, cost drivers, and unit economics. 
• In the first 6 months: You have raised the bar on discipline- cost center owners are actively managing spend against plan, and you have become the go-to partner for sophisticated initiative modeling and ROI tracking. 
• In the future: You have built a durable, scalable financial operating model where insights consistently inform investment decisions, enabling the MA business to grow efficiently and achieve sustainable national scale. 

You should get in touch if:

• Financial Expertise: You have 10+ years of progressive finance leadership experience, specifically within healthcare, payer, or insurance environments. 
• Industry Knowledge: You possess deep experience with Medicare Advantage. 
• Strategic Thinking: You can connect complex actuarial data to operational outcomes and have a background in optimizing unit economics and capital allocation. 
• Executive Presence: You have a proven track record as a trusted advisor to senior leadership, able to influence strategy through data-driven storytelling and rigorous financial discipline. 
• Intellectual Agility: You thrive in evolving business models and have the ability to build scalable planning and governance frameworks from scratch.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more! 

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover Health is seeking a highly experienced and execution-focused Operations Manager, Supplemental Benefits to lead vendor management and large-scale implementations across Clover’s supplemental benefits portfolio, including vision, hearing, fitness, OTC, and LiveHealthy rewards.

This role will sit at the intersection of strategy and operations: You will work closely with internal stakeholders and external vendor partners to implement and optimize benefit programs that drive member value and plan performance.

The ideal candidate brings a proven track record of leading complex, cross-functional implementations, deep experience with vendor management, and strong domain expertise. Experience in Medicare Advantage and familiarity with core operational functions such as network, claims, call center, and billing are strongly preferred.

As a Operations Manager, Supplemental Benefits you will:

• Own end-to-end program management for supplemental benefit implementations, ensuring successful delivery from requirements through launch and ongoing optimization.
• Lead vendor management across multiple benefit categories, including vision, hearing, fitness, OTC, and rewards, serving as the primary point of accountability for vendor performance and delivery.
• Drive large, complex implementations by coordinating across Plan Product, Operations, Call Center Operations, Compliance, and external partners.
• Develop and manage detailed project plans, timelines, and governance structures to ensure alignment and execution across multiple workstreams.
• Establish, track, and report on key performance indicators and service level agreements (SLAs) across vendors and internal teams.
• Identify risks, dependencies, and operational gaps early, and drive resolution through structured problem-solving and cross-functional collaboration.
• Partner with vendors and internal stakeholders to improve operational processes, member experience, and scalability of benefit delivery.
• Support ongoing optimization of Clover’s supplemental benefits portfolio through data-driven insights and continuous improvement initiatives.

Success in this role looks like:

In your first 90 days, you will:

• Develop a deep understanding of Clover’s supplemental benefits portfolio, vendor landscape, and operational workflows.
• Build relationships with key internal stakeholders and external vendor partners.
• Gain visibility into current implementations, performance metrics, and key operational challenges.
• Identify early opportunities to improve execution, coordination, and vendor performance.

After 6 months, you will:

• Successfully lead at least one large-scale supplemental benefit implementation end-to-end.
• Improve visibility and tracking of vendor performance and program execution.
• Establish a consistent cadence of cross-functional coordination, reporting, and governance.
• Drive measurable improvements in implementation timelines, operational readiness, or member experience.

Future success in this role includes:

• Reliable, scalable implementations of supplemental benefits that deliver a seamless member experience.
• Strong vendor partnerships with clear accountability, performance management, and continuous improvement.
• A best-in-class operational model supporting Clover’s growth in Medicare Advantage supplemental benefits.

You should get in touch if:

• Bring 4–6+ years of experience in program management, operations, or strategy, with a strong track record of leading large, complex implementations.
• Have deep experience with vendor management, including overseeing performance, managing SLAs, and driving accountability.
• Possess strong domain expertise in supplemental benefits within Medicare Advantage.
• Bring working knowledge of key healthcare operational functions, including network management, claims processing, call center operations, and billing.
• Are highly organized and able to manage multiple complex workstreams simultaneously.
• Demonstrate strong analytical and problem-solving skills, with the ability to identify root causes and drive resolution.
• Thrive in cross-functional environments and can influence stakeholders without direct authority.
• Are comfortable operating in a fast-paced, evolving environment and building structure where needed.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.  

We are seeking a HEDIS Measure Owner (Abstractor) that will be responsible for the end-to-end performance of assigned HEDIS measures, with a primary focus on achieving and sustaining 5-Star performance. This role goes beyond traditional chart abstraction and serves as a measure-level owner, accountable for ongoing monitoring, medical record abstraction, gap identification, and driving targeted interventions to improve outcomes. 

A key function of this role is to translate data and chart findings into actionable insights for providers, ensuring that care gaps are clearly identified and surfaced through tasks or alerts within clinical workflows. The goal is to simplify decision-making for providers, reduce administrative burden, and allow more time for direct patient care. The associate will function as a subject matter expert (SME) and partner cross-functionally with data, clinical, and provider engagement teams to ensure accurate reporting, efficient workflows, and optimal performance.

As a HEDIS Measure Owner, you will:

Own assigned HEDIS measure(s) with accountability for 5-Star performance.

• Monitor performance regularly, including: current rates and trends, gap-to-goal analysis, hits needed to achieve target performance.
• Review and abstract medical records as they are received.
• Maintain productivity expectations of 60–80 charts per day.
• Document findings accurately and aligned with NCQA HEDIS technical specifications.
• Conduct random audits of incoming data streams to validate completeness and accuracy.
• Partner with providers & clinical teams to close care gaps
• Provide insight into chart findings, documentation gaps, and missed opportunities.
• Act as a liaison between abstraction, clinical, and provider workflows.
• Validate data & collaborate cross-functionally to improve accuracy.
• Collaborate with data and analytics teams to: validate accuracy of data sources and identify gaps between claims, supplemental data, and chart findings.
• Serve as a subject matter expert (SME) on HEDIS measures and requirements.
• Serve as SME for grouping of assigned HEDIS measures across women's health, cardiovascular health, diabetes care, care transitions and management, or preventive screening.
• Maintain deep knowledge of: HEDIS technical specifications, Medicare Advantage STAR ratings, value sets and documentation requirements.
• Provide guidance to internal teams on measure interpretation and compliance.

Success in this role looks like:

• First 90 days: Rapidly ramp on the Clover Assistant platform and assigned HEDIS measures, consistently reviewing 60-80 charts per day with strong accuracy. Begin contributing to gap closure by identifying care gaps and reliably translating findings into compliant, high-quality outputs.
• First 6 months: Proactively surface care gaps, near misses, and incomplete services, and convert insights into actionable provider interventions within CA and EHR workflows. Partner cross-functionally to improve gap closure strategies, refine provider alerts, and enhance data and reporting logic.
• First year: Drive meaningful improvements in quality performance, including progress toward 5-Star measures, while reducing provider administrative burden. Prioritize high-impact actions that streamline workflows, minimize unnecessary documentation, and enable providers to focus more on patient care.

You should get in touch if:

• You have at least 2+ years of HEDIS Abstraction Experience.
• You have strong knowledge of Medicare Advantage and HEDIS measures and technical specifications.
• You have strong analytical and problem-solving skills.
• You have accountability and ownership mindset.
• You have strong attention to detail, data, and documentation accuracy.
• You have effective communication and collaboration.
• You have the ability to translate data and chart findings into actionable insights.
• You have the ability to work effectively in a remote environment.

Preferred

• Associate’s or Bachelor’s degree in healthcare-related field (or equivalent experience).
• Experience with HEDIS abstraction tools.
• Experience working with EHR systems and provider workflows.
• Exposure to STAR ratings performance strategy.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover Health is seeking an experienced and detail-oriented Senior Manager, Dental Operations to oversee the end-to-end operational performance of Clover’s dental benefit. This role will have responsibility for ensuring seamless execution across all operational domains and delivering a high-quality experience for members and providers.

This leader will be responsible for monitoring, managing, and improving dental operations across configuration, claims, call center, billing, ID cards, provider payments, A&G, and prior authorizations, working closely with both internal teams and external vendor partners. The role requires strong cross-functional collaboration, operational rigor, and the ability to manage performance against defined service levels and business objectives.

The ideal candidate brings deep experience in dental or healthcare operations, strong vendor and stakeholder management skills, and a track record of driving operational excellence in complex environments.

As a Senior Manager, Dental Operations, you will:

• Own end-to-end operational oversight of Clover’s dental benefit, ensuring accurate and timely execution across all core functions.
• Monitor and manage performance across key operational areas, including:
  • Eligibility and benefits configuration
  • Claims processing and adjudication
  • Call center operations and member/provider support
  • Billing and premium reconciliation
  • ID card production and distribution
  • Provider payments and remittance processes
  • Appeals & Grievances (A&G)
  • Prior authorizations
• Establish, track, and report on service level agreements (SLAs) and key performance indicators across internal teams and external vendors.
• Serve as the primary point of accountability for operational performance, identifying issues, driving root cause analysis, and ensuring timely resolution.
• Partner with external vendors and internal stakeholders to ensure contractual obligations and performance standards are met.
• Lead regular business reviews with vendors and cross-functional partners to assess performance and drive continuous improvement.
• Identify opportunities to improve operational efficiency, accuracy, and member and provider experience.
• Support implementation activities for benefits and operational changes, ensuring readiness across all operational functions.
• Develop and maintain documentation, workflows, and governance structures to support scalable operations.

Success in this role looks like:

In your first 90 days, you will:

• Develop a deep understanding of Clover’s dental operational model and vendor landscape.
• Establish visibility into current performance across all operational domains.
• Identify key gaps, risks, and opportunities for improvement.
• Build strong relationships with internal stakeholders and external partners.

After 6 months, you will:

• Drive measurable improvements in operational performance, SLA adherence, and issue resolution timelines.
• Establish a consistent cadence of reporting, governance, and business reviews.
• Improve coordination and accountability across internal and external teams.

Future success in this role includes:

• High-performing, reliable dental operations that deliver a seamless member and provider experience.
• Strong vendor partnerships with clear accountability and continuous improvement.
• Scalable operational processes that support Clover’s growth in Medicare Advantage.

You should get in touch if:

• Bring 6–10+ years of experience in dental or healthcare operations, ideally within a dental benefit administrator, health plan, or vendor environment.
• Have experience managing or overseeing end-to-end operational functions such as claims, call center, billing, or prior authorizations.
• Have strong experience with vendor management and SLA oversight, including holding partners accountable to performance standards.
• Possess a solid understanding of dental benefits, claims processing, and operational workflows.
• Demonstrate strong analytical and problem-solving skills, with the ability to identify root causes and drive resolution.
• Are highly organized and able to manage multiple complex workstreams simultaneously.
• Thrive in cross-functional environments and can influence stakeholders without direct authority.
• Are comfortable operating in a fast-paced, evolving environment and building structure where needed.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most.

The Utilization Management (UM) team plays a vital role in supporting Clover members throughout their care journey. The team is made up of experienced clinicians who combine clinical expertise with data-driven insights to support evidence-based decision-making. Working closely with providers and care partners, the UM team ensures that care transitions are smooth, efficient, and always focused on improving member outcomes while maintaining compliance with CMS guidelines.

As a Utilization Management, Registered Nurse (RN), you will:

• Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services
• Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations
• Manage cases end-to-end from prior authorization through concurrent review and discharge
• Collaborate with providers and facilities to obtain clinical information and support care coordination
• Ensure compliance with CMS turnaround times and regulatory requirements
• Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making
• Have strong personal accountability, responsibility and independent decision-making abilities.

You should get in touch if:

• You hold a current and valid Compact Registered Nurse (RN) license (required).
• You have experience in Utilization Management - Prior Authorization Reviews  (required).
• You have at least 1 year of experience performing medical necessity reviews using CMS Medicare criteria (required).
• You have strong knowledge of CMS guidelines,  NCD/LCD and evidence based criteria (MCG, Interqual)
• You are comfortable working in a remote, fast-paced, and data-driven environment with productivity standards
• You have excellent interpersonal skills and ability to communicate with patients and colleagues.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Clover Health, we bring high-quality, affordable, and easy-to-understand healthcare plans to America’s seniors. We focus on preventive care and leverage data and technology from the Clover Assistant to empower physicians to make the best health recommendations based on our members’ complete health history—all with the lowest cost and the highest value. 

We’re seeking a Sales Operations Analyst to help build the operational foundation that supports a growing sales organization. This role sits at the intersection of analytics, process design, and enablement. You’ll partner closely with sales leadership to turn business goals into structured reporting, scalable workflows, and clear playbooks that drive execution.

This role is ideal for someone who thrives in ambiguity, enjoys building structure from the ground up, and is motivated by improving how a sales organization operates as it scales.

As a Sales Operations Analyst, you will:

• Own and maintain sales reporting, dashboards, and operational playbooks as the source of truth for performance and processes.
• Ensure data accuracy, consistency, and actionable insights to support sales performance and decision-making.
• Drive process optimization and enablement initiatives, including onboarding, training materials, and SOPs.
• Provide day-to-day operational support to the sales team and troubleshoot reporting or workflow challenges.
• Partner with Sales leadership and collaborate cross-functionally to align systems, processes, and reporting across the sales lifecycle.
• Build scalable systems and processes that improve visibility, reduce operational friction, and support long-term growth.

Success in this role looks like:

• Within the first 90 days: You will ramp quickly, take ownership of reporting, and improve data accuracy and process clarity.
• Within the first 6 months: You will deliver scalable reporting and process improvements while becoming a trusted partner to sales leadership.
• Future success: You will drive continuous operational improvements that increase sales productivity and inform strategic decision-making.

You should get in touch if:

• You have 3–5 years of experience in sales operations, revenue operations, business operations, or a similar analytical role supporting go-to-market teams.
• You have experience working in the healthcare, Medicare, or insurance industry, or in a similarly regulated environment.
• You have advanced SQL proficiency with hands-on experience building and maintaining reporting models and queries in BI tools (e.g., Looker, Tableau, Mode).
• You have a proven track record of improving operational processes and translating data insights into measurable business impact (e.g., improving reporting accuracy, reducing manual workflows, increasing visibility into performance metrics).
• You have experience working cross-functionally with Sales, Marketing, Data, or Product teams in a fast-paced environment.
• You have advanced spreadsheet skills (Excel or Google Sheets), including building scalable, multi-source reporting and dashboards.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Drive high-priority work forward. Build structure. Help ideas become execution.

We’re hiring a high-capacity operator into the Innovation & Delivery team to help drive Clover’s most important cross-functional initiatives from strategy into execution. You’ll join a small, high-leverage team that works on the systems, programs, and strategic efforts shaping Clover’s next chapter.

This role is designed for someone who thrives in fast-moving environments and likes turning ambiguity into momentum. You’ll work closely with others in the Innovation & Delivery team on high-priority initiatives, helping translate direction into structured action, drive workstreams forward, and build the operating cadence that keeps complex work on track.

This is an ideal role for someone who is highly organized, analytically sharp, and excited to grow as an operator. You should be energized by hard problems, comfortable working across functions, and motivated by helping important work move faster and better.

As a Special Projects Manager, you will:

• Drive Day-to-Day Execution: Support high-priority initiatives by turning strategic direction into clear workplans, timelines, decisions, and follow-through.
• Run Critical Workstreams: Own discrete parts of major cross-functional efforts, ensuring milestones are met, dependencies are managed, and progress stays visible.
• Create Operational Clarity: Build the trackers, meeting cadences, project documents, and communication rhythms that help teams execute effectively.
• Support Structured Problem Solving: Break down complex problems, synthesize inputs, and help translate high-level goals into executable next steps.
• Coordinate Across Teams: Work across functions and stakeholders to surface risks early, resolve blockers, and keep projects aligned.
• Use AI & Emerging Technology: Apply AI-powered tools and other technologies to improve execution speed, quality, and leverage across your work.

Success in this role looks like:

• First 90 days: Learn Clover’s business model and operating rhythms, build strong working relationships, and become a reliable execution partner on one or more high-priority initiatives.
• First 6 months: Independently run key workstreams, improve project visibility and coordination, and increase execution speed and rigor on major priorities.
• First year: Become a trusted operator on high-impact initiatives by consistently driving follow-through, improving how teams work together, and helping deliver measurable business results.

You should get in touch if:

• You’ve had 2–6 years of experience in management consulting, finance, or startup operations: high-performance, analytically rigorous environment.
• You are highly structured, detail-oriented, and able to keep multiple threads moving without losing the big picture.
• You know how to turn direction into action and are comfortable driving execution in ambiguous, cross-functional environments.
• You are a strong written and verbal communicator who can synthesize information clearly and keep stakeholders aligned.
• You are energized by solving hard problems and helping teams make progress, even when the path is not perfectly defined.
• You have good judgment about when to push independently and when to escalate.
• You want to build as an operator by working closely with leaders on consequential company priorities. 

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.  

The Data Science team is responsible for leveraging our most valuable asset—our data—to generate meaningful value for our members. From building models that assist physicians in treating conditions to identifying members in need of specialized care, Data Science at Clover develops data products and insights that are central to our mission and differentiation as a company.

Our impact is tremendous—as a Senior Data Scientist, you’ll help build a revolutionary healthcare company by delivering data-driven solutions that directly improve patient outcomes.

As a Senior Data Scientist you will:

• Lead large-scale projects from ideation through enterprise impact.
• Apply a broad problem-solving toolkit to develop both creative and practical solutions.
• Evaluate trade-offs between out-of-the-box and customized solutions, optimizing for speed and effectiveness.
• Implement scalable, bug-free, and well-tested solutions that reduce complexity rather than add to it.
• Understand business challenges and deliver results that meaningfully solve key problems.
• Proactively engage with stakeholders across all levels to align data science efforts with business needs.
• Identify and mitigate risks early, preventing roadblocks that could arise later.
• Serve as a trusted advisor and thought partner, ensuring projects are delivered on time and aligned with business objectives.
• Mentor and collaborate with peers, improving team-wide problem-solving capabilities and technical execution.

Success in this role looks like:

• First 90 Days:
  • By your ability to forecast project impact.
  • By leading data driven product performance assessment.
• Beyond 90 Days:
  • Proactive identification and implementation of strategic improvements with data driven strategies. 
  • By leading toward improved team outcomes.

You should get in touch if:

• You have an advanced degree in a quantitative field (Master’s + 3-4 years of experience or Ph.D. + 2+ years of experience).
• You have a strong foundation in probability, statistics, and machine learning tools, including SQL, Python, and relevant ML/statistical packages.
• You have successfully used data science to drive enterprise value in a business function.
• You are comfortable leading projects and have experience taking large-scale initiatives from concept to measurable business impact.
• You improve the work of those around you through mentorship, code review, and leadership by example.
• You can clearly communicate how your work contributes to business goals, ensuring alignment with top-level company objectives.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes for patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.

We are hiring a UX Engineer to own and evolve our design system and shared UI patterns, enabling faster, more consistent product development across teams.

This role sits within Engineering and operates as a bridge between Design, Product, and Frontend Engineering. The UX Engineer ensures that design intent translates cleanly into production by building and maintaining high-quality, reusable UI primitives, components, and interaction patterns.

A core focus of the role is enabling designers and product teams to leverage reliable, production-aligned building blocks rather than creating bespoke solutions. This includes

As a UX Engineer, you will:

• Own and evolve the design system as a product, including components, patterns, and usage standards.
• Build and maintain reusable UI primitives and interaction patterns that scale across teams.
• Proactively manage frontend UX-related technical debt, resolving quality gaps and inconsistencies that slow development.
• Conduct coded prototyping for complex workflows using synthetic or mock data, especially for data-dense or AI-enabled experiences.
• Improve experience quality and consistency across motion, responsive behavior, and mobile contexts.
• Partner closely with Design and Product during discovery to validate feasibility and reduce downstream rework.
• Act as the interface between design intent and frontend implementation, resolving ambiguity and aligning on constraints.
• Contribute production-quality code and collaborate with engineering on system-level frontend decisions.

You should get in touch if:

• You have Advanced frontend engineering expertise (React, TypeScript, Tailwind, Storybook), and experience shipping production UI.
• You have Experience working with design systems and component libraries at scale.
• You have High design fluency, with attention to interaction detail, usability, accessibility, and visual quality.
• You have Experience working in AI-enabled development environments or leveraging AI-assisted tools to accelerate workflows.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

We’re hiring a high-agency operator to support and scale Clover’s LiveHealthy Rewards program, one of our most important levers for improving member engagement, preventive care, and overall health outcomes. Clover’s LiveHealthy Rewards program allows members to earn up to $400 annually for completing health-related activities like preventive visits, surveys, and fitness engagement. 

The Operations Manager, Member Incentives role sits at the intersection of strategy and execution. You’ll work closely with senior leaders across Clinical, Operations, and Finance to design, operationalize, and optimize incentive programs that drive meaningful behavioral change. The opportunity ahead is to increase engagement, improve targeting, and ensure rewards are driving the right outcomes, both for members and for the business.

This is a strong fit for someone coming from consulting or a strategy role who wants to move beyond recommendations and see their work translate into real-world impact.

As a Operations Manager, Member Incentives, you will:

• Partner cross-functionally to unlock impact: Work closely with Clinical, Operations, and Tech teams to maximize the value of Clover’s rewards programs, using data and execution to turn incentives into measurable outcomes.
• Shape smarter incentives: Analyze and refine the rewards structure to better drive high-value behaviors such as preventive care, chronic condition management, and sustained member engagement.
• Improve the member experience end-to-end: Identify friction in how members earn, track, and spend rewards. Serve as a Product Owner to design solutions across digital experiences (portal/app) and operational touchpoints (e.g., call center workflows).
• Turn data into action: Build and maintain reporting on program performance, and translate findings into clear, actionable insights that influence decisions.
• Drive execution with rigor: Keep cross-functional initiatives on track by managing timelines, surfacing risks early, and ensuring strong follow-through from idea to launch.
• Bring clarity to complexity: Structure ambiguous problems, synthesize inputs from multiple stakeholders, and communicate recommendations with precision and confidence.

Success in this role looks like:

In your first 90 days, you will:

• Build a strong understanding of the LiveHealthy Rewards program and how it operates
• Develop relationships with key cross-functional partners
• Contribute to identifying key opportunities for improvement

After 6 months, you will:

• Help drive programs to improve incentive effectiveness
• Improve visibility into program performance through better tracking and reporting
• Play a key role in executing at least one cross-functional initiative end-to-end

Future success in this role includes:

• Become a trusted leader on rewards and incentive strategy
• Help deliver measurable improvements in engagement, operational efficiency, or outcomes
• Contribute to building more scalable systems for managing rewards programs

You should get in touch if:

• You have 4–6+ years of experience in consulting, BizOps, or a strategy/operations role
• You’re highly structured in your thinking and communicate clearly in both writing and conversation
• You enjoy breaking down ambiguous problems and turning them into actionable plans
• You’re excited to move from advising to owning pieces of execution
• You’re comfortable working with data and using it to inform decisions
• You collaborate well across teams and can influence without formal authority

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Technology teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate medical spend.

As Senior Clinical Payment Integrity Auditor at Clover Health, you will ensure the health of our prepay clinical review program by playing a key role in program development and expansion, cross-functional cooperation, and ensuring quality assurance standards and regulatory policy are reflected in clinical claims processing practices. You will help drive value for every member by ensuring that Clover’s medical claims are paid accurately and recovering overpayments when they are identified.

As a Senior Clinical Payment Integrity Auditor, you will: 

• Lead prospective claim review audits related to clinical DRG coding compliance and readmissions programs as well as cross-functional high dollar claim review.
• Ensure various payment integrity programs run smoothly and stay compliant with all internal and Medicare guidelines.
• Prepare provider responses to clearly and accurately deliver our review decisions to members and/or providers within regulatory timeframes as established by CMS.
• Identify potential program efficiencies/opportunities and implement procedural responses.
• Continue to analyze existing policies to ensure accuracy and proper execution.
• Collaborate with teams across Clover to ensure provider understanding of Payment Integrity recommendations and be prepared to support those recommendations when necessary.
• Act as Subject Matter Expert to counsel other team members across Clover on clinical coding guidelines: digest complex concepts and regulations and communicate them effectively to different stakeholders, including senior-level leadership.
• Train other members of the team to take on additional responsibilities and help prioritize work functions.
• Research and respond to external auditor concerns/questions regarding the completeness and accuracy of data creation and integration.
• Incorporate cross-functional perspectives and business needs in solving complex problems.
• Communicate effectively both internally and externally to ensure accurate claims adjudication and proper provider notification.

Success in this role looks like:

• By the end of your initial 90-day period, you will have demonstrated a strong understanding of the prepay clinical claim review audit process, while assisting our team in areas of DRG validation, avoidable readmission reviews, length of stay reviews, and provider appeals.
• By 6 months, you will be working autonomously to oversee our prepay clinical review workflows to ensure accuracy and adherence with regulatory guidelines while becoming a trusted subject matter expert. You will also lead more junior staff to ensure proper training and knowledge development.
• Continued success in this position anchors in on your ability to develop a comprehensive understanding of our payment integrity framework. You will be expected to adapt to evolving priorities and ad hoc requests while ensuring our program's compliance through up-to-date knowledge of clinical coding standards. You will be a key contributor in program strategy, leveraging clinical expertise to identify new opportunities to ensure payment accuracy and assist in driving new project initiatives.

You should get in touch if:

• You hold a CCS or CIC certification (required).
• You have current or previous nursing/firsthand clinical experience or CDI certification (required).
• You have previous experience in the insurance industry.
• You have a deep understanding of CMS rules and regulations.
• You are technologically savvy with strong computer skills in Access, Excel, Visio, and PowerPoint. Knowledge of statistical methods used in the evaluation of healthcare claims data and SQL a plus.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions. 

We are looking for a Senior Software Engineer with expertise in full-stack engineering. In this role, you will collaborate with our operators, clinicians, and product managers to build tools that drive real change in healthcare. You won't just write code to spec — you'll understand the business problem, engage with stakeholders, and shape the solution.

As a Senior Software Engineer, you will:

• Simplify the complexities of healthcare by building systems that enhance human efforts. Understand the business context behind what you build — why it matters, who it serves, and how it connects to outcomes.
• Exercise agency: make informed technical and product decisions on your own to advance outcomes. Take ownership of your work from problem understanding through delivery and measurement.
• Stay up-to-date with new tools and technologies to solve challenges and advance our goals.
• Adopt and evangelize AI both in your own work and in the solutions you build.
• Help define and maintain development practices that enable fast iteration while ensuring quality, including writing tests and documenting key implementations.
• Collaborate with Product Managers and operational teams to conceptualize and develop new features. Engage directly with users and stakeholders to understand their needs — don't wait for requirements to be handed to you.

You should get in touch if:

• You have 5+ years of experience in software with proficiency in one or more common languages, and are also familiar with various databases and web frontend technology.
• You know how to build systems with AI agents as your partners and team members, and are passionate about the impact AI can have in technology.
• You approach building and maintaining systems with maturity, rigor, and attention to scalability.
• You are comfortable working across different technical systems and concerns.
• You have experience building and refactoring complex (often distributed) systems.
• You care about outcomes, not just output. You want to understand the "why" behind what you build and can connect your work to business and user impact.

We're hiring Software Developers across multiple teams at Clover and Counterpart Health— our recruiting team will assess your background and connect you with the best-fit opportunity. You'll learn more about the specific team and interview process as you move through the process.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by offering comprehensive group medical coverage that include coverage for hospitalization, outpatient care, optical services, and dental benefits.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous annual leave policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: We are committed to developing our talent professionally. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Reimbursement for office setup expenses
• Flexibility to work from home, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

We're hiring a Staff Technologist to own the delivery of a key strategic initiative end-to-end. This is an individual contributor role that spans product and engineering. You shape the product direction, design the systems, ship the software, and own the outcome.

You won't write requirements and hand them to engineering. You won't architect systems and hand them to a PM. You will do both. You take an initiative from leadership, own the technical and product strategy for delivering it, and build the systems that make it real. If you're an engineering manager looking to get back to building, or a staff engineer with strong product instincts, this is that role. If you're the kind of engineer who's always shipping something on the side, you'll feel at home here.

We are building a technology organization where empowered individuals own business outcomes, not tasks. Technologists are the single-threaded owners who make that model work. You operate with high autonomy and close partnership with executive leadership. You ship incremental progress in a fast cadence: define a goal, land it, demo it, measure it.

The work is technically demanding and strategically important. You'll operate in a data-rich, regulated environment where AI is reshaping what's possible, from agentic systems that reason over business data to AI-assisted workflows that compress build cycles from months to minutes. You should be excited by that shift, not intimidated by it.

As a Staff Technologist, you will:

• Own your initiative's outcomes. Take direction from leadership on the problem to solve, then own the product and technical strategy for solving it.
• Translate goals into concrete workstreams with clear milestones and metrics that connect your work to business impact.
• Drive system design, technology selection, and architecture decisions, including AI-forward systems. Make pragmatic tradeoffs between speed and durability, holding the line on engineering quality while keeping velocity high.
• Own delivery personally. You will pull in engineers, data analysts, and other specialists as needed, but you are the one building — not managing the building of — your initiative's systems.
• Go deep on the business domain, user needs, operational workflows, and data landscape. Become the person who understands your initiative's problem space better than anyone.
• Design experiments, define success criteria, and use data to guide product and technical tradeoffs. Make progress legible to leadership as a byproduct of your methodology.

Success in this role looks like:

• First 90 days:
  • Deeply understand the business model, technology landscape, and your initiative's strategic context. Build key relationships across engineering, data, operations, and executive leadership.
  • Own a clear 3–6 month product and technical plan aligned to business objectives. Establish a delivery cadence and ship your first measurable increment.
• First 6 months:
  • You have shipped multiple increments with measurable impact on your initiative's core metrics. Progress is visible, incremental, and consistent.
  • You have established yourself as the single-threaded owner of your initiative. Leadership and operations teams trust your judgment; stakeholders are aligned.
• First year:
  • Your initiative has delivered fundamental business value you can quantify and stand behind.
  • The systems and patterns you've built are durable and well-documented. You've raised the bar for what outcome-driven Staff Technologistership looks like at Clover.

You should get in touch if:

• You have strong engineering skills and genuine product instincts. You've operated as a tech lead, staff engineer, engineering manager, or technical cofounder of an early-stage startup.
• You have shipped products or programs end-to-end — not just advised on them or managed parts of them. You've owned outcomes, not just deliverables.
• You have recent, hands-on experience with AI/LLM systems: building, shipping, or operating AI-backed features, agentic workflows, or ML-driven products. You have opinions about where the field is going.
• You are technically strong: comfortable with system design, distributed systems, data pipelines, and cloud infrastructure. You can hold your own in architecture discussions and make sound technical tradeoffs.
• You are fluent in data and have used data and experimentation to make product and engineering decisions.
• You thrive in ambiguity. When no playbook exists, you build one. When priorities conflict, you force-rank them. When coordination breaks down, you fix it.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.

We're looking for an Engineering Manager to join our team. Our managers take on a player/coach role, balancing technical leadership, execution, and people management. The primary responsibility of Engineering Managers is to build and develop strong teams while ensuring high-impact results. We empower engineers to take ownership of problems and support them with mentorship, guidance, and business context.

As an Engineering Manager, you will:

• Drive team impact by fostering high technical productivity and reliability.
• Cultivate a healthy, results-driven, and collaborative team culture.
• Represent the team in engineering-wide planning, initiatives, and processes.
• Partner with Product Managers and Designers to shape our technical roadmap and solve problems that improve the patient and doctor experience.
• Set and communicate clear team objectives that align with Counterpart's company goals and roadmap.
• Lead hiring, development, and retention efforts to build a high-performing team.

You should get in touch if:

• You have technical leadership experience managing teams of 3+ engineers. 
• You have a strong background in system design and proficiency in general-purpose programming languages such as Python, Ruby, Go, or Java.
• You have a track record of leading development projects while creating opportunities for others to grow into leadership roles.
• You have experience in fast-paced environments, making quick, strategic decisions under competing constraints.
• You have a proven ability to successfully deliver complex web applications and services.
• You are adaptable and able to work across various technical systems and concerns.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by offering comprehensive group medical coverage that include coverage for hospitalization, outpatient care, optical services, and dental benefits.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous annual leave policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: We are committed to developing our talent professionally. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Flexibility to work from home, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-Remote

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

We're hiring a Principal Technologist into the Office of the CTO. This is a hands-on problem-solver role for someone who can walk into any room in the company, listen to what's broken, and ship a working solution — not a perfect one, but a good one that gets people moving.

While the CTO and CEO are building the long-term technical and strategic vision and drive the company's most transformative initiatives, your job is to handle everything that would otherwise pull them off that focus. Business stakeholders have real problems that need real solutions now — not in six months when the grand architecture is ready. You are the person who listens, scopes the pragmatic path, and builds the thing that gets them through it. You build the bicycle, not the race car.

This is not a managerial or bureaucratic role. You ship software. You build lightweight applications, automations, integrations, and workflows that solve real operational problems. You are technical, you are pragmatic, you are allergic to red tape, and you know when good enough is exactly right.

You are also a counterweight. When leadership is tempted to overengineer a solution or boil the ocean, you're the voice that says: not yet. Let me get this to decent. You come back later and make it great. You have the judgment and discipline to build interim solutions that don't become permanent technical debt.

As a Principal Technologist in the Office of the CTO, you will:

• Be the CTO and CEO's technical complement. Handle the problems, conversations, and stakeholder relationships that would otherwise consume their time and attention.
• Listen to business stakeholders — operations leaders, department VPs, cross-functional partners — understand their pain, and scope pragmatic solutions. You are effortlessly approachable and people trust you to help.
• Ship working solutions — sometimes personally, sometimes by marshaling the right engineers, analysts, or vendors across the department. You know when to build it yourself and when to pull in the right people. Either way, you are accountable for the result.
• Exercise disciplined judgment about scope. You know the difference between a focused interim solution and a sprawling system that takes years to unwind. You build things that are easy to replace when the long-term architecture arrives.
• Manage a portfolio of tactical problems across the organization. You context-switch fluently across domains and stakeholders, keeping multiple workstreams moving without letting any of them expand beyond their mandate.
• Partner closely with the CTO to ensure interim solutions converge toward the long-term technical vision. You flag what's working, what's stuck, and what needs to graduate from "good enough" to "built right."

Success in this role looks like:

First 90 days:

• Build relationships across the organization. Earn the trust of operations leaders, department heads, and cross-functional partners. People start coming to you with problems instead of escalating to the CTO.
• Identify and deliver your first 2-3 quick wins — working solutions to real problems that demonstrate the model.
• Develop a clear understanding of the CTO's long-term technical vision so your tactical solutions are directionally aligned.

First 6 months:

• Business stakeholders have a reliable path for getting pragmatic technology solutions without waiting for strategic initiatives to deliver. You are their first call.
• You have shipped multiple solutions across different domains. Each one is scoped tightly, solves the problem, and doesn't create sprawling dependencies.
• The CTO is measurably freed up. Problems that would have pulled leadership into tactical firefighting are handled before they escalate.

First year:

• You have built a track record of delivering focused solutions that work. Some have been replaced by strategic systems; others are still running and that's fine. None have become regrettable technical debt.
• You are a trusted voice in leadership conversations, known for pragmatism and good judgment about what to build, what to defer, and what to let be imperfect.
• The organization operates faster because stakeholders have a responsive technical partner who meets them where they are.

You should get in touch if:

• You have a background in consulting, systems integration, or a generalist technical role where you regularly shipped solutions across multiple domains and stakeholders. Big Three, Big Four, or SI experience is a plus, but what matters is the pattern: walk in, understand the problem, deliver something that works.
• You can ship software. You build apps, automations, integrations, and workflows. You're not a project manager with a technical vocabulary — you are a builder who happens to be great with people.
• You are effortlessly approachable. You build rapport naturally. People want to work with you, confide in you, and trust you to help them solve their problems. You bring warmth and good humor to difficult conversations.
• You have excellent judgment about scope. You know when something needs to be "built right" and when it needs to be "built now." You have the discipline to build focused solutions that don't sprawl, and you instinctively avoid vendor commitments that take years to unwind.
• You have hands-on experience with AI/LLM tools and use them to accelerate your own work. You are the kind of person who reaches for automation and AI instinctively.
• You thrive on variety. You are energized by context-switching across domains, stakeholders, and problem types. You don't need a single initiative to feel ownership — you find satisfaction in making the whole organization work better.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

We're hiring a Principal Technologist to own one of our most important strategic initiatives end-to-end. This is a senior individual contributor role that spans product and engineering. You set the product direction, design the systems, ship the software, and own the outcome.

You won't write requirements and hand them to engineering. You won't architect systems and hand them to a PM. You will do both. You own the strategy, define the metrics, and build the systems. If you're an engineering leader looking to get back to building with the strategic scope and seniority you've earned, this is that role.

We are building a technology organization where empowered individuals own business outcomes, not tasks. Our Technologists are the single-threaded owners who make that model work. You operate with high autonomy and a direct line to executive leadership. You ship incremental progress in a fast cadence: define a goal, land it, demo it, measure it.

The work is technically demanding and strategically important. You'll operate in a data-rich, regulated environment where AI is reshaping what's possible, from agentic systems that reason over business data to AI-assisted workflows that compress build cycles from months to minutes. You should be excited by that shift, not intimidated by it.

As a Principal Technologist, you will:

• Be fully accountable for your initiative's outcomes. Own the product strategy, technical strategy, and delivery.
• Translate high-level goals into concrete work streams with clear milestones and metrics that connect operational progress to financial impact.
• Drive system design, technology selection, and architecture decisions, including AI-forward systems. Make pragmatic tradeoffs between speed and durability, holding the line on engineering quality while keeping velocity high.
• Own delivery personally. You will pull in engineers, data analysts, and other specialists as needed, but you are the one building — not managing the building of — your initiative's systems.
• Become your initiative's subject matter expert. Go deep on the business domain, user needs, operational workflows, and data landscape. Influence across teams through clarity and the expertise you cultivate.
• Design experiments, define success criteria, and use data to guide product and technical tradeoffs. Make progress legible to leadership as a byproduct of your methodology.

Success in this role looks like:

• First 90 days:
  • Deeply understand the business model, technology landscape, and your initiative's strategic context. Build key relationships across engineering, data, operations, and executive leadership.
  • Own a clear 3–6 month product and technical plan aligned to business objectives. Establish a delivery cadence and ship your first measurable increment.
• First 6 months:
  • You have shipped multiple increments with measurable impact on your initiative's core metrics. Progress is visible, incremental, and consistent.
  • You have established yourself as the single-threaded owner of your initiative. Leadership and operations teams trust your judgment; stakeholders are aligned.
• First year:
  • Your initiative has delivered fundamental business value you can quantify and stand behind.
  • The systems and patterns you've built are durable and well-documented. You've raised the bar for what outcome-driven Principal Technologistership looks like at Clover.

You should get in touch if:

• You have proven engineering experience and product judgment, having operated as a tech lead, staff engineer, or senior PM with deep technical fluency.
• You have shipped complex programs or products end-to-end — not just advised on them or managed parts of them. You've owned outcomes, not just deliverables.
• You have recent, hands-on experience with AI/LLM systems: building, shipping, or operating AI-backed features, agentic workflows, or ML-driven products. You have opinions about where the field is going.
• You are technically strong: comfortable with system design, distributed systems, data pipelines, and cloud infrastructure. You can hold your own in architecture discussions and make sound technical tradeoffs.
• You are fluent in data and have used data and experimentation to make product and engineering decisions.
• You thrive in ambiguity. When no playbook exists, you build one. When priorities conflict, you force-rank them. When coordination breaks down, you fix it.
• You don't need positional authority to lead. You earn trust and create alignment through clarity, quality, and velocity.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

A reasonable estimate of the base salary range for this role is $225,000 to $325,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.

At Counterpart Health (CPH), we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant (CA). By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions. 

We are seeking a high-impact Business Operations and Strategy Manager to help drive CPH’s most critical initiatives. This is a pivotal role for an analytical and execution-oriented operator who thrives at the intersection of strategy, operations, and systems design.

You will partner closely with the CEO and leadership team to lead high-priority, cross-functional initiatives across the organization. These may span go-to-market expansion, large customer implementations, internal AI adoption, product launches, operational scale-up, or other emerging strategic priorities. You will operate as a deployable problem-solver, bringing structure to ambiguity, driving alignment, and ensuring execution against the company’s most important goals.

This role is ideal for someone who excels at driving clarity and momentum in a fast-paced, evolving environment and is energized by tackling new, complex problems across domains.

As a Business Operations and Strategy Manager, you will:

• Lead cross-functional strategic initiatives: Own and program-manage high-leverage projects across CPH, which may include commercial expansion, enterprise implementations, AI and technology initiatives, product launches, internal operational transformations, or other emerging priorities.
• Serve as a deployable strategic operator: Step into ambiguous or high-stakes situations, diagnose root causes, and design clear execution plans, regardless of function.
• Architect scalable systems: Build and refine the operational infrastructure to enable sustainable growth – processes, tools, playbooks, dashboards.
• Drive analytical rigor: Collect and analyze business data, generate insights, and present recommendations to leadership to inform strategic decisions.
• Build executional rigor: Translate high-level goals into clear plans with workstreams, owners, deliverables, and timelines. Keep the team focused on outcomes.
• Align stakeholders across functions: Coordinate across Product, Engineering, Clinical, Commercial, and Operations teams to deliver outcomes—without relying on formal authority.
• Translate ambiguity into action: When no playbook exists, build one. When priorities are unclear, force rank them. When coordination breaks down, rebuild the system.
• Be a thought partner to leadership: Proactively surface insights, risks, and opportunities; act as an internal consultant to the CEO and leadership team.

Success in this role looks like:

• First 90 days: Develop a deep understanding of CPH’s strategy, product, and operating model. Build strong cross-functional relationships. Take ownership of at least one high-priority initiative and bring structure and forward momentum to it.
• First 6 months: Manage a portfolio of strategic initiatives across multiple domains. Implement frameworks for tracking and communicating progress. Lead 1–2 cross-functional efforts to measurable completion and introduce systems that enhance executional clarity.
• First year: Meaningfully reduce organizational friction, improve execution velocity across multiple initiatives, and become a trusted, go-to operator for the company’s most complex challenges.

You should get in touch if:

• You have had 5-8 years of experience at a consulting firm, in BizOps at a tech company, or in a high-trust internal strategy/Chief of Staff-type role. 
• You understand value-based care, healthcare operations, and payer/provider dynamics.
• You think in structured logic, write with precision, speak in synthesized insights, and distill complex problems into actionable plans.
• You’re a system builder who wants to see the impact of your thinking play out in operations.  
• You’ve driven complex, multi-org initiatives to the finish line – not just advised on them.
• You’re energized by ambiguity, interested in building processes from the ground up, and thrive in a fast-paced environment.
• You are comfortable with shifting priorities and able to pivot quickly based on business needs.
• You don’t need positional authority to lead. You earn trust and create alignment through clarity, quality, and velocity.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions. Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care. With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Own the white space. Step into critical ownership gaps. Build what the company needs next.

Clover is entering a period of meaningful build. As the company pushes forward on a set of important strategic priorities, we need leaders who can help translate vision into operating reality. Some of this work will involve standing up new capabilities. Some will involve shaping and accelerating critical initiatives that cut across functions. All of it will require leaders who can bring structure, judgment, and momentum to areas that matter disproportionately to Clover’s future.

We’re hiring a senior operator into Innovation & Delivery to help bring the CEO’s vision to life in some of the company’s most important areas of development. This is a high-leverage operating role for someone who can step into emerging priorities, build the right operating model, align leaders around clear decisions, and help turn new ideas into durable parts of the business.

This role is designed for builders and systems thinkers: people who are energized by creating clarity, shaping how work gets done, and helping a company develop new muscles at moments that matter.

As a Senior Director, Innovation & Delivery, you will:

• Step into Critical Ownership Gaps: Serve as the interim business-side leader for a major initiative or strategic domain where ownership is missing, fragmented, or still emerging.
• Build the Operating Model: Create the structure, decision cadence, working model, and accountability mechanisms required to make the work durable.
• Harness AI & Emerging Technology: Identify, architect, and deploy AI-powered tools and approaches to accelerate execution and unlock solutions to some of the hardest, most intractable problems in healthcare — from care gap closure to operational efficiency to member outcomes.
• Drive Business Outcomes, Not Just Activity: Own the work through measurable progress and concrete results — not just coordination, reporting, or process management.
• Stabilize and Scale Underbuilt Areas: Bring order, momentum, and clarity to important domains that need to be built, stabilized, or materially reshaped.
• Lead Through Ambiguity: When the path is unclear, define it. When ownership is diffuse, consolidate it. When a function or initiative is stuck, unblock it.
• Prepare the Long-Term Handoff: Help transition the work to a durable long-term owner, team, or org structure once the model is working.

Success in this role looks like:

• First 90 days: Build a sharp understanding of Clover’s business model, operating context, and leadership dynamics; take ownership of a critical initiative or domain; clarify scope, decisions, and near-term priorities.
• First 6 months: Create visible traction in a high-priority area by stabilizing execution, improving decision quality, and building the core operating model needed to move the work forward.
• First year: Deliver meaningful business outcomes, establish a stronger and more durable ownership model, and leave behind a function, initiative, or system that is materially stronger than you found it.

You should get in touch if:

• You’ve built your career in elite, high-judgment environments — for example 10+ years in investing, consulting, business operations, strategy, startup leadership, or other highly selective operator tracks.
• You have the pattern recognition to quickly diagnose messy business problems and the range to move from strategy to operating detail without losing altitude.
• You are not looking to run an IT transformation office, manage a PMO, or operate as a process administrator.
• You are a builder: you like creating structure where none exists, designing operating systems that hold up in the real world, and turning ambiguity into durable execution.
• You are a systems thinker: you naturally see how incentives, decisions, interfaces, and organizational design interact — and you know how to reshape them.
• You’ve taken on ambiguous, high-stakes work with incomplete information and still driven it to a real outcome.
• You are credible with senior executives and can work effectively with leaders across the company, including the CEO, Chairman, and OpCo.
• You are comfortable stepping into roles that are intense, temporary, and highly leveraged — where the expectation is to build, stabilize, and transition, not simply to advise.
• You care more about solving consequential business problems than about protecting a narrow functional lane.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Clover, we are transforming healthcare by building systems that improve real-world health outcomes for our members. Our R&D organization operates with high autonomy, fast delivery cadence, and a bias toward AI-native development: empowered individuals own business outcomes, not tasks.

We are looking for a Senior Software Engineer with expertise in full-stack engineering. In this role, you will collaborate with our operators, clinicians, and product managers to build tools that drive real change in healthcare. You won't just write code to spec — you'll understand the business problem, engage with stakeholders, and shape the solution.

As a Senior Software Engineer, you will:

• Simplify the complexities of healthcare by building systems that enhance human efforts. Understand the business context behind what you build — why it matters, who it serves, and how it connects to outcomes.
• Exercise agency: make informed technical and product decisions on your own to advance outcomes. Take ownership of your work from problem understanding through delivery and measurement.
• Stay up-to-date with new tools and technologies to solve challenges and advance our goals.
• Adopt and evangelize AI both in your own work and in the solutions you build.
• Help define and maintain development practices that enable fast iteration while ensuring quality, including writing tests and documenting key implementations.
• Collaborate with Product Managers and operational teams to conceptualize and develop new features. Engage directly with users and stakeholders to understand their needs — don't wait for requirements to be handed to you.

You should get in touch if:

• You have 5+ years of experience in software with proficiency in one or more common languages, and are also familiar with various databases and web frontend technology.
• You know how to build systems with AI agents as your partners and team members, and are passionate about the impact AI can have in technology.
• You approach building and maintaining systems with maturity, rigor, and attention to scalability.
• You are comfortable working across different technical systems and concerns.
• You have experience building and refactoring complex (often distributed) systems.
• You care about outcomes, not just output. You want to understand the "why" behind what you build and can connect your work to business and user impact.

We're hiring Software Engineers across multiple teams at Clover and Counterpart Health— our recruiting team will assess your background and connect you with the best-fit opportunity. You'll learn more about the specific team and interview process as you move through the process.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by offering comprehensive group medical coverage that include coverage for hospitalization, outpatient care, optical services, and dental benefits.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous annual leave policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: We are committed to developing our talent professionally. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Reimbursement for office setup expenses
• Flexibility to work from home, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover Health: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover Care Services (CCS) is the clinical heart of Clover Health, delivering proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our Managed Care Organization. We are transforming the healthcare experience by integrating care delivery, provider networks, and clinical programs to improve patient outcomes while managing the total cost of care. CCS functions as a complex, home-based care and managed services organization, leveraging a team-based approach to deliver compassionate, equitable care to members where they are most comfortable: at home.

We are seeking a strategic and operationally focused Director, Strategic Finance to serve as a key finance partner for the CCS organization. This is a newly created, critical role designed for a finance leader who understands the intricate interplay between clinical delivery and business constraints.

While you will sit within our centralized Corporate Finance organization, you will be deeply embedded in the CCS leadership team. You will act as a bridge between corporate financial discipline and the operational realities of a large-scale clinical engine. You will play a vital role during a period of growth and operational maturation, helping drive accountability and financial responsibility while serving as a thoughtful, strategic partner on resource planning, staffing models, and shared KPIs. We are looking for a "high-agency" leader who can navigate the operational realities of the clinical team to ensure our growth is both sustainable and data-driven.

As a Director of Strategic Finance, you will:

• Lead Financial Management & Forecasting: Own the CCS P&L and multi-year financial models. You will drive budget creation, quarterly forecasting, and variance analysis, ensuring financial decision-making is grounded in rigorous data.
• Build Forward-Looking Operational Models: Develop sophisticated models that account for the interplay between clinical delivery and business outcomes, focusing on visit volumes, staffing productivity, and contribution margins.
• Drive Operational Excellence & Process Design: Architect scalable, repeatable, and sustainable operational processes. You will lead workflow mapping and performance tracking to ensure clinical operations are efficient and financially disciplined.
• Master Clinical Cost Drivers: Develop a deep understanding of the cost drivers within clinical operations to provide actionable insights on resource planning, staffing models, and the trade-offs between clinical delivery and business constraints.
• Oversee Vendor Management: Lead contract oversight for clinical and operational partners, conducting ROI evaluations and performance monitoring to ensure high-value delivery.
• Integrate Quality & Economics: Analyze how quality performance and care pathways influence reimbursement and the total cost of care, aligning clinical goals with financial success.
• Foster Cross-Functional Accountability: Partner with Clinical, Network, and Operations leaders to establish shared KPIs and drive cost visibility, empowering them to manage spend effectively without sacrificing care quality.

Success in this role looks like:

• In the first 90 days: You establish financial clarity by owning the CCS financial model and reporting cadence, providing leadership with a trusted view of performance, cost drivers, and resource utilization.
• In the first 6 months: You raise the bar on discipline; you have built repeatable processes for spend management and have developed a deep understanding of clinical workflows to deliver reliable, explainable forecasts.
• In the future: You have built a durable, scalable financial operating model where insights consistently inform staffing and investment decisions, enabling CCS to grow efficiently while delivering high-quality clinical outcomes.

You should get in touch if:

• Financial Expertise: You have 10+ years of progressive finance leadership experience, specifically within healthcare, payer, or provider environments.
• Industry Knowledge: You possess deep experience with Medicare Advantage economics, homecare operations, or MSO financial models.
• Operational Sense: You have a proven ability to build and maintain forward-looking operational models and understand the nuances of clinical delivery.
• Strategic Thinking: You can connect financial insights to clinical outcomes and network performance, with a strong grasp of risk-based healthcare and quality incentive structures.
• Executive Presence: You have a proven track record as a trusted advisor to senior leaders, able to influence strategy and operational decision-making through clear, data-driven storytelling.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more! 

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.

We are seeking an AI Enablement Engineer to join our team. In this role, you will evaluate, configure, and deploy AI-powered tools that make our operations, product, support, implementations, sales, and other teams faster and more effective. You will work closely across the organization to identify high-leverage opportunities for AI tooling, from coding assistants and workflow automation to internal copilots and productivity tools, and make them work reliably and securely in our environment.

This is a hands-on role at the intersection of IT infrastructure and AI enablement. The tools exist, the hard part is getting them deployed securely in a HIPAA-compliant healthcare organization, with proper authentication flows, and a setup that the whole team can actually use. You will serve as the go-to resource for AI tooling across the product organization, staying current on the rapidly evolving landscape and translating new capabilities into practical, secure workflows.

As an AI Enablement Engineer, you will:

• Evaluate and bring on new AI tools and platforms, assessing fit for the team's workflows, managing setup and configuration, and driving adoption across the product organization.
• Solve the IT and security challenges required to deploy AI tools in a healthcare environment, setting up authentication flows, managing access patterns, and ensuring compliance with organizational security standards.
• Lower the barrier to entry for non-engineers to leverage AI tools by packaging environments, simplifying setup, and removing infrastructure friction that blocks adoption.
• Collaborate across the business—including product, engineering, design, IT, operations, commercial, and leadership teams—to identify workflows that can be accelerated with existing AI capabilities and get those tools running for the team.
• Create documentation, guides, and training materials that make it easy for non-technical team members to adopt and get value from new tools.
• Troubleshoot and maintain the AI tooling stack, diagnosing issues independently and iterating on configurations based on team feedback.

Success in this role looks like:

• You ship tools that people actually use. The team's daily workflows visibly improve because of tooling you've introduced and enabled.
• You become the person the team comes to when they want to know "is there an AI tool for this?" — and you can get it running securely and quickly.
• You reduce friction in tool adoption. New AI capabilities go from "interesting demo" to "the team uses this every day" because you handle the infrastructure, security, and onboarding.
• You proactively identify opportunities. You don't wait to be asked — you see a workflow that could be faster, find the right tool, and make it available.
• You manage your own work independently, communicating progress and surfacing blockers early without needing regular direction.
• You build trust across teams by delivering reliable, well-documented, and secure tooling setups and being responsive to feedback.

You should get in touch if:

• You are automating everything you touch with AI today. We don’t care if you’re in engineering, product, IT, or anything else — we care that you are building daily, and fast. 
• You are deeply familiar with the current AI tooling landscape, LLMs, coding assistants, automation platforms, API integrations, and understand what it takes to deploy them in an organizational setting.
• You have hands-on experience with identity and access management — OAuth, SSO configuration, SCIM provisioning, cloud IAM, and secrets management in enterprise or regulated environments.
• You're comfortable working across enterprise infrastructure like containers, cloud platform administration, endpoint management, identity management, and compliance tooling.
• You are a self-starter who thrives with autonomy. You identify barriers to adoption, solve the infrastructure problem, and get the tool into people's hands.
• You communicate clearly and can translate technical capabilities into practical value for non-technical teammates.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by offering comprehensive group medical coverage that include coverage for hospitalization, outpatient care, optical services, and dental benefits.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous annual leave policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: We are committed to developing our talent professionally. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Reimbursement for office setup expenses
• Flexibility to work from home, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.

We’re looking for a Senior Machine Learning Engineer to help us build a revolutionary new health care business. Clover uses Machine Learning/Natural Language Processing to leverage our data to help keep beneficiaries healthy and out of the hospital by getting them targeted care. By predicting avoidable adverse events, our ML/NLP/LLM infrastructure is central to working on our central mission, and has a direct impact on our beneficiaries. You will help build systems and tools that support the data needs of a diverse organization and contribute to the expansion of the Machine Learning/Natural Language Processing/LLM capabilities of our Data Platform.

As a Senior Machine Learning Engineer, you will:

• Design, implement and validate high-reliability, distributed platforms for machine learning,  natural language processing, and LLMs.
• Create, debug, interpret and improve production machine learning and natural language processing models.
• Build the tools and validation processes that help Clover translate insights into action at scale.
• Use existing commercial and open source tools to create a robust production platform.
• Work closely with Clover's Data Science and Engineering teams to ensure that the ML/NLP/LLM Platform is providing real value.
• Document, iterate, and provide tutorials to ensure Data Scientists are able to use your tools easily.

You will love this job if:

• You want to create impact with your work by finding machine learning-driven insights in the data to unlock value and improve health outcomes for real people.
• You are comfortable acting autonomously in ambiguous and changing environments.
• You value collaboration and feedback. You can communicate technical vision in clear terms— to your teammates and across the technology team more broadly. You are willing and able to help your teammates grow by demonstrating best practices, providing (and receiving) respectful and constructive feedback, and disclosing your unique insights with everyone.
• You enjoy working in a fluid environment, defining priorities that adapt to our larger goals. You can bring clarity to ambiguity while remaining open-minded to new information that might change your mind.
• You are not hesitant to jump in to help fix things that are broken and you are encouraged to make sustainable systems. You are happy to fill in the gaps to reach a goal where necessary, even if it does not always fit your job description.
• You have a genuine interest in what good technology can do to help people and have a positive attitude about tackling hard problems in an important industry.

You should get in touch if:

• You have 5+ years of experience in Machine Learning Engineering roles in technology enabled companies. Healthcare experience preferred but not required.
• You have experience with Python, Python data science libraries (numpy, pandas, sklearn, tensorflow, pytorch, etc.), and deploying Python apps into production environments.
• You have experience with Natural Language Processing and/or LLMs.
• You have a solid foundation in feature engineering, feature selection, and machine learning techniques.
• You have experience interpreting, modifying, and debugging the inputs and outputs of production ML/NLP/LLM models.
• You have both built and refactored complex distributed systems, especially ML/NLP/LLM systems.
• You have scaled the impact of other engineers and data scientists through mentorship, development of reusable libraries, and documentation.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions.

Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care.

With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software.

Counterpart Health is a subsidiary of Clover Health. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Counterpart Health, we are transforming healthcare and improving patient care with our innovative primary care tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we are able to deliver improved outcomes to our patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions.  

We are seeking a strategic and operationally focused Director, Strategic Finance (Counterpart Health) to serve as a key finance partner during a critical period of growth and commercialization. This is a newly created, high-impact role designed for a finance leader who thrives at the intersection of clinical innovation, software economics, and value-based healthcare.

While you will sit within our centralized Corporate Finance organization, you will be deeply embedded in the Counterpart Health (CPH) leadership team. You will act as a bridge between corporate financial discipline and the entrepreneurial speed of CPH, playing a vital role in balancing ambitious product development and expansion objectives with the operational rigor, margin management, and sustainable value creation necessary for long-term success. We are looking for a "high-agency" leader who can drive accountability and financial responsibility while serving as a thoughtful, strategic thought partner to the business.

As a Director, Strategic Finance, you will:

• Own the Counterpart Health P&L and Multi-Year Model: Directly oversee the financial health of the business unit, ensuring that the financial model accurately reflects the clinical and technology strategy while remaining aligned with Corporate Finance objectives.
• Drive Strategic Growth & Commercialization: Act as a key architect in the go-to-market strategy by modeling pricing, unit economics, and margin profiles for external partnerships and payer relationships.
• Lead Performance Management & Planning: Spearhead the annual planning and long-range strategic forecasting cycles (3-5 year horizon), translating complex operating inputs into actionable financial projections.
• Foster Cross-Functional Accountability: Partner closely with the Counterpart Health leadership team - across Clinical, Product, Engineering, and Growth - to drive cost visibility and help business owners manage spend against plans.
• Inform Capital Allocation: Provide the financial insights necessary for critical technology investment decisions and software capitalization, ensuring resources are deployed toward the highest-value opportunities.
• Establish Scalable Governance: Implement lightweight spend governance and reporting frameworks that provide the discipline needed for a scaling business without sacrificing operational speed.
• Influence Enterprise Strategy: Serve as a trusted advisor, using data-driven storytelling to help the leadership team navigate the complexities of Medicare Advantage reimbursement mechanics and value-based care performance.

Success in this role looks like:

• In the first 90 days: You have established financial clarity by owning the CPH financial model and reporting cadence, providing leadership with a trusted view of performance, cost drivers, and value-based arrangement flow.
• In the first 6 months: You have raised the bar on discipline; cost center owners across CPH are actively managing spend against plan, and you have become the go-to partner for sophisticated customer scenario modeling and shared savings arrangements.
• In the future: You have built a durable, scalable financial operating model where insights consistently inform investment decisions, enabling CPH to grow efficiently and successfully commercialize its clinical technology stack on a national scale.

You should get in touch if:

• Financial Expertise: You have 15+ years of progressive finance leadership experience, specifically within healthcare, payer, or health-tech environments.
• Industry Knowledge: You possess deep experience with value-based care, Medicare Advantage, or risk-based healthcare models (e.g., PMPM performance, shared savings, and downside risk).
• Strategic Thinking: You have the ability to connect financial insights to clinical outcomes and technology strategy, with a background in go-to-market strategy or pricing.
• Executive Presence: You have a proven track record as a trusted advisor to senior leadership, able to influence enterprise strategy and capital allocation through data-driven storytelling.
• Intellectual Agility & Rigor: You thrive in ambiguity and evolving business models, with the ability to build scalable planning and performance management frameworks from scratch.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more! 

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover is reinventing health insurance by working to keep people healthier.

The Clover legal team is a small and nimble group that takes on novel issues that require creative solutions. You are joining a smart and scrappy group of in-house lawyers where you will proactively address legal matters that challenge you to think differently. As a key member of the team, you will work closely with the company’s business leaders to anticipate and develop legal solutions.

We're looking to hire a Senior Litigation & Product Counsel to our team! In this role you will be responsible for helping: (1) manage disputes with healthcare providers and vendors in connection with Clover’s Medicare Advantage business, including managing actual and threatened litigation, and bringing affirmative litigation, where appropriate, to protect the company’s interests; (2) partnering with the business to proactively manage litigation/regulatory risk across various areas, including core Medicare Advantage plan operations, and development and sales of our flagship SaaS product, Counterpart Assistant.

As a Senior Litigation & Product Counsel, you will:

• Be the primary legal partner for the Company’s Payment Integrity, and Special Investigations Unit.
• Collaborate with the Counterpart Assistant product team on feature development.
• Provide the company’s Medicare Advantage and Counterpart Health businesses with practical day-to-day legal advice regarding Centers for Medicare and Medicaid Services (“CMS”) regulations, the Anti-Kick Back Statute (“AKS”), and the False Claims Act (“FCA”).
• Proactively identify areas of litigation and regulatory risk, and develop strategies to mitigate such risk.

Success in this role looks like:

• You have excellent communication and interpersonal skills, both oral and written.
• You are detail-oriented and a dynamic team player who thrives in a fast-paced environment.
• You enjoy working in a transparent and collaborative environment with changing priorities.
• You have the ability to effectively present and analyze information and respond to questions from team members and management.
• You are comfortable with ambiguity and thrive on crafting creative solutions to problems.
• You can identify and create processes with cross functional business partners.

You should get in touch if:

• You have a J.D degree from an accredited law school
• You have at least four years of litigation, investigations, and/or product counseling experience at a large law firm
• You have experience working with health insurance clients, especially in the managed care space, and are familiar with the AKS, FCA, and CMS regulations
• You have experience helping clients develop strategies to mitigate litigation and regulatory risk

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

We don't just provide health insurance—we deliver the kind of healthcare that people deserve. The Risk Adjustment team at Clover is made up of collaborative and strategic thinkers who are excited about the impact technology can have on healthcare. In this role, you will partner and help support a core area of responsibility for our Risk Adjustment team, helping ensure the accuracy, integrity, and performance of our encounter data and risk adjustment operations. Your work will directly influence revenue accuracy, compliance, and our ability to reinvest in better care for our members.

We're looking for a tech-savvy individual who is interested in enhancing Clover’s ability to make smart, data-driven business decisions to join our team. This person thrives at the intersection of engineering, analytics, and operations, and is motivated by solving complex data challenges in a highly regulated environment. You are energized by building scalable processes, improving data quality, and collaborating cross-functionally to drive measurable impact.

As a Senior Data Analyst, Risk Adjustment, you will:

• Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors.
• Own the claim and supplemental submission workflow for Centers for Medicare & Medicaid Services (CMS) Encounter Data System (EDS) submissions.
• Develop data pipeline tracking reports and analyze, research, and resolve encounter data errors.
• Support the claim and supplemental submission workflow for CMS EDS submissions.
• Collaborate closely between the Engineering and Risk Adjustment teams.
• Assist with, track, and implement risk adjustment related initiatives and strategies.
• Maintain, update, and create policies, procedures, and other documentation around the encounter process.

Success in this role looks like:

• Within the first 90 days: You will develop a strong understanding of Clover’s end-to-end CMS EDS submission process, independently monitor data flows to vendors and CMS, identify and resolve encounter data errors, and build effective working relationships across Engineering and Risk Adjustment.
• Within the first 6 months: You will own the claim and supplemental submission workflow for CMS EDS submissions, proactively mitigate data leakage and submission errors, enhance tracking and reporting dashboards, and implement process improvements that strengthen data accuracy and operational efficiency.
• Future success: You will serve as a trusted technical partner to Risk Adjustment and Engineering, continuously optimize encounter data pipelines and controls, ensure high-quality and compliant CMS submissions, and drive scalable solutions that support accurate risk adjustment performance and business growth.

You should get in touch if:

• You have two years experience with Medicare Risk Adjustment, Centers for Medicare & Medicaid Services (CMS) Encounter Data System (EDS) submissions, and healthcare claims data.
• You have at least two years of programmers experience using SQL, Python, and R.
• You have experience with building operational level dashboards.
• You are a self-starter, have a high degree of internal drive and motivation, and desire to execute at a high level.
• You are relentlessly focused on serving the needs of diverse business customers.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-Remote

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

We don't just provide health insurance—we deliver the kind of healthcare that people deserve. The Actuarial team at Clover is made up of collaborative and strategic thinkers who are excited about the impact technology can have on healthcare. We sit at the intersection of data, finance, and clinical strategy, translating complex insights into decisions that directly improve member outcomes and company performance. In this role, you will partner and help support a core area of responsibility for our Actuarial team, contributing to high-visibility work that informs revenue, pricing, and long-term growth strategy.

We're looking for a tech-savvy actuarial analyst interested in enhancing Clover’s ability to make smart, data driven business decisions to join our team. You will work with large, complex healthcare datasets and leverage automation to improve accuracy, efficiency, and transparency across actuarial processes. This is an opportunity for someone who enjoys solving ambiguous problems, building scalable tools, and seeing their work directly influence financial and operational strategy.

As a Senior Actuarial Analyst, you will:

• Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
• Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
• Build reports to track ROI on various risk adjustment initiatives.
• Support actuarial teams in the development of risk scores for forecast and bidding purposes.
• Provide actuarial support on a wide variety of topics including risk adjustment, pricing, forecasting, reserving, trend analysis, and value-based care.
• Communicate analysis, findings, and supporting data meaningfully to leadership and partnering teams.
• Build automated actuarial tools and data pipelines.
• Support compliance under Sarbanes Oxley, including through process and tool design, peer review and control testing.
• Be accountable for key work products under the supervision of experienced actuaries.
• Collaborate with internal departments, including but not limited to, Data Science, Finance, Actuarial, Operations, Provider Network Management, Engineering, and external vendors on risk adjustment activities.
• Be eligible to participate in Clover's Actuarial Student Program.

Success in this role looks like:

• Within the first 90 days: You will learn Clover’s CMS HCC/RxHCC models and accurately support monthly close and revenue accrual processes, deliver clear and reliable analyses using claims and EDS data, and identify opportunities to improve or automate actuarial workflows.
• Within the first 6 months: You will independently own components of risk score modeling, forecasting, and monthly close processes, build automated tools or dashboards that improve efficiency and insight, and provide actionable analysis to support bidding and risk adjustment strategy.
• Future success: You will drive accurate revenue projections, serve as a trusted Medicare Risk Adjustment partner, continuously enhance automation and financial controls, and contribute strategic insights that support value-based care and long-term growth.

You should get in touch if:

• You have at least one year experience in health insurance; Medicare experience is preferred.
• You have completed at least two actuarial exams.
• You have an interest in building automated tools around actuarial analysis and experience building analytic dashboards.
• You are a self-starter, have a high degree of internal drive and motivation, and desire to execute at a high level.
• You have two years experience with Medicare Risk Adjustment, CMS EDS submissions, and healthcare claims data.
• You have at least two years of programming experience. Examples include SQL, R, Python, SAS, VBA.
• You have an interest in building automated tools around actuarial analysis and experience building analytic dashboards.
• You are a self-starter, have a high degree of internal drive and motivation, and desire to execute at a high level.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-Remote

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider network, claims, and technology teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate medical spending.

As a Payment Integrity Senior Analyst, you will be responsible for identifying, researching, developing, and maintaining a portfolio of medical cost savings opportunities. This position will leverage strong technical knowledge to build complex SQL queries to size and ultimately deploy high-value individual cost-savings concepts as well as assist with the identification of these audit opportunities.  In addition, the Senior Analyst will be responsible for the creation of monthly, quarterly, and annual Payment Integrity financial reports as well as ad-hoc reports to support operations.

As a Payment Integrity Senior Analyst, you will:

• Identify, develop, and deploy a portfolio of cost-saving concepts and initiatives that drive specific and measurable results for Clover.
• Translate individual concepts into SQL code that can be deployed in an automated fashion against Clover's pending and/or paid claims data.
• Support existing and develop new medical record review and administrative hold concepts/edits to drive specific and measurable results.
• Lead cross-functional discussions with billing experts, clinical staff, and operations managers to translate complex claims data into operational improvements. 
• Train other members of the team to create SQL code for minor reporting or quick analysis. 
• Support the team with daily operational tasks such as triaging Salesforce tickets, assisting with audit letter creation, and reimbursement processing.
• Influence senior leadership to adopt new policies, procedures, concepts, and initiatives to drive claims payment accuracy and medical cost containment.
• Act as a subject matter expert on all things data-related, including claims, enrollment, and clinical. Partner with data and engineering teams to investigate data issues when they intersect with payment integrity processes.
• Generate monthly, quarterly, and annual payment integrity financial reports as well as ad-hoc reports to support operational functions.

Success in this role looks like:

• How is success measured in the first 90 days?
  • Data Fluency: Gaining a deep understanding of Clover’s specific claims, enrollment, and clinical data schemas.
  • Technical Integration: Demonstrating proficiency in the tech stack, including expert-level SQL and GitHub protocols (branching, merging, and pull requests).
  • Initial Concept Development: Translating at least two net-new medical cost-saving concepts into functional SQL code for automated deployment.
• How is success measured in the first 6 months?
  • Portfolio Growth: Owning and maintaining the full portfolio of Clover’s automated cost-saving concepts.
  • Reporting Autonomy: Generating accurate monthly and quarterly Payment Integrity financial reports with minimal oversight.
  • Cross-Functional Influence: Leading discussions with clinical staff and billing experts to turn complex data into actionable operational improvements.
  • Workflow Optimization: Effectively leveraging AI-assisted tools to accelerate query writing and data cleaning, showing an increase in team velocity.
• How will success be measured in the future?
  • Subject Matter Expertise: Being the "go-to" person for the data and engineering teams when payment integrity processes intersect with broader data issues.
  • Policy Evolution: Successfully advocating for and implementing systemic changes to claims payment policies based on your data-driven insights.
  • Scalability: Developing a robust library of automated audits that require minimal maintenance while catching high-value payment errors at scale.

You should get in touch if:

• You have experience working with complex processes in a technical environment and synthesizing data for senior leadership.
• You have 2+ years of experience with expert-level SQL proficiency and a deep background in healthcare claims analysis. 
• You are expert at leveraging AI-assisted workflows to accelerate complex query writing and data cleaning. Highly skilled in translating claims data into actionable insights using Excel, Visio/Lucid, and Google Suite.
• You hold a BA/BS degree or equivalent experience along with 5+ years of experience in the data and analytics space.
• You have 2+ years of experience working in healthcare data, preferably Medicare related.
• You have experience with GitHub (branching, merging, pull requests) and move-to-production protocols.
• You have a working knowledge of CMS rules and regulations.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover's Medicare Advantage business is scaling rapidly. The MA CEO needs a Chief of Staff who can operate as a trusted proxy, ruthlessly prioritize across competing initiatives, and build the operating systems required to execute at scale.

This is a high-leverage operating role for someone who thrives at the intersection of strategy and execution. You'll drive critical cross-functional initiatives, translate ambiguity into action, and establish operating rhythms that improve decision quality and velocity. You'll work across clinical, operations, finance, and growth — aligning leaders, unblocking progress, and ensuring the business delivers.

The ideal candidate is a strategically-minded, principle-oriented leader with exceptional judgment and influence who thrives in fast-paced environments. This role is designed for builders and systems thinkers who bring both strategic vision and operational rigor. You're energized by creating structure, driving tangible outcomes, and leveraging AI to multiply impact. You're comfortable with ambiguity, move with conviction, and know when to escalate and when to execute.

As a Chief of Staff, you will: 

• Serve as Strategic Proxy: Act as the CEO's trusted advisor and decision-making partner. Support high-stakes decisions through rigorous analysis, first-principles thinking, and pattern recognition across the business.
• Ruthlessly Prioritize: Force-rank initiatives against growth, quality, and financial objectives. Own the strategic roadmap and ensure the organization focuses on work that moves the business.
• Drive Cross-Functional Execution: Orchestrate complex initiatives across clinical, operations, finance, and growth. Align leaders around clear decisions. Build accountability mechanisms that stick. When execution is fragmented, consolidate it. When ownership is unclear, define it.
• Build Operating Systems: Establish the rhythms, tracking mechanisms, and decision cadences the CEO needs to run the business effectively. Design structured updates that surface risks and tradeoffs. Optimize time, agenda, and information flow.
• Harness AI and Emerging Technology: Identify opportunities to deploy AI-powered tools that accelerate execution, improve decision quality, and unlock operational leverage. Build solutions, don't wait for permission.
• Prepare Executive Materials: Create high-quality narratives and presentations for the CEO, Board, and executive stakeholders. Translate complexity into clarity. Make recommendations, not just summaries.
• Influence Without Authority: Build trust across the organization. Rally leaders around shared priorities. Drive accountability through clarity and momentum, not escalation.
• Navigate Ambiguity: Provide clarity when the path forward is uncertain, help unblock critical initiatives that have stalled, and facilitate thoughtful alignment when priorities are in conflict.

Success in this role looks like: 

• First 90 days: Build a deep understanding of the MA business model, operating context, and leadership dynamics. Establish trust with the CEO and executive team. Take ownership of 2-3 high-priority initiatives and deliver visible impact.
• First 6 months: Independently drive multiple complex initiatives end-to-end. Establish operating rhythms that improve decision quality and execution velocity. Be viewed as a central integrator and force multiplier across the MA organization.
• First year: Play a pivotal role in shaping and executing the MA strategy. Deliver measurable contributions to growth, profitability, and operational leverage. Leave behind systems, processes, and operating mechanisms that are materially stronger than you found them.

You should get in touch if: 

• You have 10+ years in elite operating environments: Chief of Staff roles, top-tier consulting (McKinsey, Bain, BCG), investing, startup leadership, strategic operations, or similar high-judgment tracks.
• You're a builder and systems thinker: you create structure from ambiguity, design operating models that scale, and turn strategy into execution that sticks.
• You're AI-fluent: you've deployed AI to accelerate execution and unlock leverage, and you see opportunities others miss.
• You excel at rapid prioritization in ambiguous environments, move seamlessly from strategy to execution, and know when to push and when to let go.
• You're exceptional at building relationships and influencing across functions without formal authority. You earn trust through clarity, quality, and velocity — not positional power.
• Healthcare or Medicare Advantage experience is a plus but not required. Aptitude and willingness to learn quickly is essential. We've seen strong CoS operators come from consulting, tech, finance, and other industries.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous flexible time-off policy.
• Professional Development: We are committed to developing our internal talent. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Clover is building a next-generation financial intelligence capability that combines deep healthcare domain expertise with advanced AI/ML. We are seeking a high-level technical leader to serve as a strategic bridge across the enterprise—partnering with Actuarial, Payment Integrity, Product, Finance, and Medical Economics to optimize enterprise performance.
We are looking for a practitioner with a strong foundation in health insurance economics and government programs (Medicare Advantage, Medicaid, or ACA), who can apply AI/ML to the complex financial and operational levers that drive payer success.

The Role: Strategic Cross-Functional Leadership
In this role, you will act as a technical engine for Clover’s financial strategy. Rather than working in a silo, you will serve as a high-level lead, providing the AI/ML direction and technical support necessary to empower various disciplines across the organization. You will be the connective tissue between raw data and enterprise-level strategy, helping diverse teams identify financial risks, improve revenue accuracy, and build the analytical frameworks required to forecast and intervene with precision.

• Lead AI Strategy for Financial Performance: Design and deploy high-impact AI/ML models that identify financial risks and opportunities across payer operations.
• Support Payment Integrity & FWA: Partner with the PI team to enhance in-house pre- and post-payment claims detection. Use ML, anomaly detection, and graph-based approaches to help teams identify billing irregularities and automate FWA detection.
• Advance Revenue Integrity: Create predictive solutions to improve revenue accuracy and integrity, including models for encounter quality and related financial data streams.
• Support Medical Cost Analysis: Build the tooling and models that help Actuarial and Medical Economics teams identify anomalies, unusual utilization patterns, or provider behavior shifts, providing the analytical backbone for precise intervention.
• Bridge Domain & Production: Operate as a hands-on leader who can frame ambiguous business questions from various stakeholders, connect them to underlying payer economics, and turn them into production-ready solutions.

• You have 5+ years of experience in a highly quantitative, hands-on role (Actuarial Science, Healthcare Data Science, or ML Engineering) with a track record of shipping production-grade analytical or AI solutions.
• You possess Government Programs Exposure: Direct experience or exposure to health insurance economics, claims, and risk adjustment within Medicare Advantage, Medicaid, or ACA/Marketplace environments.
• You have Modern AI Experience: Experience with LLMs or Generative AI in healthcare or insurance workflows, particularly where explainability, auditability, and operational adoption are critical.
• You are Technically Fluent: High proficiency in Python and SQL, with practical experience developing, deploying, and maintaining AI models in an operational environment.
• You possess Business Intuition: You understand the "why" behind the numbers—you can connect a data anomaly to its underlying financial or actuarial impact without needing a translator.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

#LI-Remote

Clover is reinventing health insurance by working to keep people healthier. We are a Medicare Advantage plan working to develop deeper insights to drive better outcomes for our members through our integrated technology platform. We rely on our abilities to integrate standard health plan data with clinical information from provider health information systems. The Medical Management team is at the center of this work, ensuring our members receive high-quality, appropriate care.

We are looking for an extremely detail-oriented Medical Director with a strong background in Payment Integrity (PI) and Utilization Management (UM). This is a full-time, hands-on role for someone who thrives "in the weeds" and enjoys the challenge of deep medical record review. You will be responsible for using your discerning clinical judgment to ensure medical necessity, appropriate utilization, and payment accuracy. This position reports to the Chief Medical Officer, Medicare Advantage (CMO).

As a Medical Director, Payment Integrity & Utilization Management, you will:

• Perform detailed, medical record reviews (e.g., 30-day readmissions) to ensure documentation supports the services rendered and aligns with medical necessity guidelines.
• Apply your clinical expertise to review and validate clinical decision-making by vendors and providers to ensure proper reimbursement for services provided.
• Coach and train other clinical decision-makers, helping them improve the proper selection and application of medical necessity guidelines.
• Leverage your expertise in peer review committees to support and contribute to quality improvement teams and initiatives.
• Serve as the key clinical leader for cost containment initiatives, collaborating with data analytics, claims, and FWA departments to investigate and act on aberrant trends.
• Champion initiatives to reduce unnecessary hospital days, avoidable ER visits, and inappropriate high-cost drug utilization.
• Collaborate with providers through periodic case reviews to ensure consistent and standardized decision-making.

Success in this role looks like:

• By 90 Days: You have onboarded and familiarized yourself with company policies, workflows, and the specific PI/UM review processes. You've begun building rapport with the Medical Management team and key stakeholders. You are participating in case reviews with oversight, demonstrating your meticulous attention to detail and learning the technical tools.
• By 6 Months: You are autonomously managing a significant volume of complex case reviews, making independent clinical decisions aligned with company guidelines and medical standards. You are identifying opportunities for process improvements in the PI and UM review process and are actively collaborating with the interdisciplinary team.
• Ongoing: You are recognized as a subject-matter expert in Payment Integrity and medical necessity review, handling the most complex or high-stakes cases with high accuracy. You are playing a key role in shaping review strategies and guidelines and driving continuous improvement in our quality assurance processes.

You should get in touch if:

• You are an MD or DO with a valid, unrestricted license to practice medicine in a US State.
• You are Board Certified, preferably in Internal Medicine, Family Medicine, or Emergency Medicine.
• You have at least 5 years of clinical experience, including inpatient experience.
• You have strong experience in Payment Integrity and Utilization Management/Review and a solid understanding of Medicare Advantage.
• You have experience or expertise with peer review committees.
• You are extremely detail-oriented and meticulous, and you genuinely enjoy digging into medical records to find the "needle in the haystack".
• You possess discerning clinical judgment and an investigative, problem-solving mindset.
• You thrive in collaborative, cross-functional settings and have strong proficiency with technology.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

A reasonable estimate of the base salary range for this role is $270,000 to $300,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.

#LI-Remote

Own the white space. Operate with CEO mandate. Drive the programs that move the company.

We’re hiring a high-agency operator into the Innovation & Delivery team to drive Clover’s most important cross-functional initiatives from ambiguity to execution. You’ll join a small, cross-functional team within Innovation & Delivery that builds the systems, programs, and strategies defining Clover’s next chapter.

This is a rare role designed for someone who thrives at the intersection of strategy, systems design, and executional rigor. You’ll operate as a force-multiplier to the CEO and executive team: orchestrating execution across organizational boundaries, structuring problems that don’t yet have owners, and driving initiatives that directly shape Clover’s growth and operational leverage.

As a Special Projects Lead, you will:

• Architect Strategic Programs: Translate high-level goals into MECE workstreams with clear interfaces, owners, and timelines.
• Harness AI & Emerging Technology: Identify and deploy AI-powered tools and approaches to accelerate execution and unlock solutions across your own work and broader workstreams. 
• Drive Execution with CEO-Standard Rigor: Own initiatives from kickoff through outcomes. Set the pace. Maintain altitude and detail without losing either.
• Align Stakeholders Across Levels and Functions: Influence without authority. Drive accountability through clarity, not escalation.
• Translate Ambiguity Into Action: When no playbook exists, build one. When priorities are unclear, force rank them. When coordination breaks down, rebuild the system.
• Collaborate Across Boundaries: Manage projects that touch internal teams and external partners — vendors, regulators, and strategic collaborators. Align internal readiness to external dependencies.

Success in this role looks like:

• First 90 days: Quickly grasp Clover’s business model, establish key relationships, and become the go-to-lead on a core strategic project.
• First 6 months: Successfully drive multiple cross-functional initiatives to completion, develop systems improving operational efficiency, and establish yourself as a trusted leadership advisor on strategic priorities.
• First year: Create scalable coordination mechanisms that improve execution across teams, resolve strategic misalignments, and deliver measurable business impact on growth and operational leverage.

You should get in touch if:

• You’ve had 3–10 years of experience at a top-tier consulting firm (e.g., McKinsey, Bain, BCG), in BizOps at a tech company, or in a high-trust internal strategy/Chief of Staff-type role.
• You think in structured logic, write with precision, and speak in synthesized insights.
• You’re not a deck-maker. You’re a system builder who wants to see the impact of your thinking play out in operations.
• You’ve driven complex, multi-org initiatives to the finish line — not just advised on them.
• You’re energized by ambiguity, allergic to bureaucracy, and motivated by direct proximity to decision-making and value creation.
• You don’t need positional authority to lead. You earn trust and create alignment through clarity, quality, and velocity.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

We value diversity — in backgrounds and in experiences. Healthcare is a universal concern, and we need people from all backgrounds and swaths of life to help build the future of healthcare. Clover's engineering team is empathetic, caring, and supportive. We are deliberate and self-reflective about the kind of engineering team and culture that we are building, seeking engineers that are not only strong in their own aptitudes but care deeply about supporting each other's growth.

We're seeking an experienced Cloud Infrastructure Engineer to join our globally distributed team. You'll enhance Clover’s technology infrastructure by refining processes, developing automation tools, and resolving issues. In this role, you'll collaborate with technical leads, data scientists, vendors and technology experts to maintain a scalable platform supporting diverse domestic and international workloads. Prior experience with containerized infrastructure and Kubernetes is highly valued.

As a Cloud Infrastructure Engineer, you will:

• Design, build, and maintain systems for declarative application and infrastructure lifecycle management, including continuous integration, continuous deployment (CI/CD), Kubernetes cluster management, and service/workload inventory.
• Automate infrastructure provisioning and application deployments using infrastructure-as-code (IaC) tools and deployment patterns.
• Improve deployment processes by automating delivery pipelines, database migrations, and operational tasks.
• Prioritize and troubleshoot system issues, alerts, and downtime with a focus on stability and rapid incident response.
• Implement monitoring and observability solutions to proactively identify and resolve performance bottlenecks.
• Foster a healthy, collaborative, and high-performing engineering culture by working across teams to build reliable, scalable systems.
• Continuously assess and improve the infrastructure to support secure, highly available, and resilient environments.
• Develop and enforce Identity Access Management (IAM) policies to govern authentication and authorization across cloud platforms.

Success in this role looks like:

• You successfully navigate a fluid and collaborative environment and take ownership of priorities that further our larger goals. 
• You bring clarity to ambiguity and deliver solutions that positively impact our infrastructure and customers. 

You should get in touch if:

• You have 5+ years of programming experience and are proficient in at least one of the following programming languages: Python, Go, Shell Script.
• You have 5+ years of AWS Connect (VoIP) experience and are proficient in administration, development, and troubleshooting the system.
• You have in-depth knowledge of containerization technology and orchestration, such as Docker and Kubernetes.
• You have experience administering and deploying new cloud resources in AWS and GCP using IaC.
• You have familiarity with DevOps practices and tools such as continuous integration and continuous deployment (CI/CD).
• You are able to work autonomously with limited guidance.
• You have excellent communication and collaboration skills, with the ability to work effectively with cross-functional teams and are able to adapt quickly to new challenges and technologies.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-Remote

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most.

The Medical Director, Utilization Management, will be responsible for the evaluation of all outpatient referrals and inpatient direct admissions for medical appropriateness. The physician will utilize Local and National Medicare Coverage Determinations, Milliman Care Criteria, Clover Health’s medical policies reviews to determine medical necessity or if an alternate treatment plan is required for our members.

As a Medical Director, you will:

• Participate and support the Clover Health Utilization Management processes.
• Support Quality improvement initiatives for Clover members.
• Review Utilization Management authorization request for medical necessity.
• Evaluate authorizations for outpatient referral, inpatient direct admissions, post-acute referral, and pharmacy within established timelines.
• Perform peer to peer discussions and build collaborative relationships with community and hospital Providers.
• Provide mentoring and coaching to UM nurses to strengthen Utilization Management effectiveness.
• Support the ongoing development of Clover Health’s clinical guidelines and policies.
• Maintain credentials as required for employment with Clover Health.

Success in this role looks like:

• Within the first 90 days:
  • Successfully completes all required new hire training modules and certifications
  • Demonstrates a foundational understanding of Clover Health's medical policies, guidelines, and utilization management processes
  • Begins to independently review cases with increasing efficiency and accuracy, requiring minimal oversight
  • Establishes positive working relationships with team members and key stakeholders
• Within the first 6 months:
  • Consistently meets or exceeds productivity targets for case reviews and determinations.
  • Maintains a high level of accuracy in medical necessity determinations and documentation.
  • Actively participates in team meetings and contributes to process improvement discussions.
  • Demonstrates a comprehensive understanding of complex medical cases and escalates issues appropriately.
•  Future success will be measured through:
  • Sustained high performance in productivity, accuracy, and adherence to medical policies and guidelines.
  • Proactive identification of opportunities to improve utilization management processes and patient outcomes.
  • Mentorship and support of junior medical directors or clinical staff.
  • Contribution to the development and refinement of medical policies and clinical programs.
  • Ongoing professional development and maintenance of medical licensure and board certifications.
  • Positive feedback from internal and external stakeholders regarding clinical judgment and collaboration.

You should get in touch if:

• You have an MD or DO degree.
• You have Board Certification in Internal Medicine, Family Medicine, Emergency Medicine, or a related specialty.
• You have a valid, unrestricted license to practice medicine in a U.S. state.
• You have a minimum of five years of clinical experience.
• You have at least one year of experience as a Utilization Management reviewer.
• You have Medicare Advantage experience.
• You are dedicated to improving members’ quality of life by providing superior, personalized, patient-centered care.
• You have a genuine interest in leveraging technology to help people and maintain a positive attitude toward tackling important industry challenges.

Benefits Overview: 

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

A reasonable estimate of the base salary range for this role is $280,000 - $300,000.  Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.

#LI-Remote