Clover Health is hiring a Senior Investigator

Requirements

5+ years of experience in the healthcare FWA space.
Experience identifying operations and process improvement efforts.
Understanding of compliance & payer requirements including Medicare regulations.
Knowledge on fraud statutes and regulations

Nice to Have

Fraud Investigation Certification (CFE, AHFI, etc.)

Job Details

Location Remote - USA

Work mode Remote (Global)

Salary USD 104,000 – 127,000 / year

Category other

Posted 4 months ago

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About company

With most plans at $0/month, Clover is a Medicare Advantage plan giving members more coverage for less cost, including dental, vision, hearing, and more. The company focuses on providing accessible, affordable healthcare options for seniors through personalized plans and data-driven care.

Clover Health offers Medicare Advantage plans with extra benefits such as prescription drug coverage (Part D), in-network provider access, and the LiveHealthy Rewards program, which incentivizes healthy behaviors. Their technology platform, Clover Assistant, supports providers in delivering proactive, personalized care.

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