Health Policy Analyst (52)

Summary

Clover Health is seeking an AI-forward Business Analyst, Clinical & Reimbursement Policy to translate Medicare guidelines into actionable policy logic for Clover's claims environment. Remote-USA position requiring deep expertise in CMS regulations and policy lifecycle.

You will lead AI initiatives, work with external vendors, and collaborate across Clinical, Claims, and Compliance to ensure precise, automated policy operation and mentorship of the policy library to meet regulatory standards and

Job Description

Clover Health is seeking an AI-forward Business Analyst, Clinical & Reimbursement Policy to translate Medicare guidelines into actionable policy logic for Clover's claims environment. Remote-USA position requiring deep expertise in CMS regulations and policy lifecycle.

You will lead AI initiatives, work with external vendors, and collaborate across Clinical, Claims, and Compliance to ensure precise, automated policy operation and mentorship of the policy library to meet regulatory standards and