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

• Our complex care programs are designed to improve care and outcomes for our most medically complex members. Clover wants to take accountability for these members' healthcare journeys and provide high-quality personalized care that is consistent with members' values and preferences.
• The Wellness Nurse Care Manager collaborates closely with members, their health providers, and Clover clinical teams to improve member health outcomes. To do so, the WNCM facilitates member assessments, evaluations, care planning, care coordination, and advocacy related to a member’s comprehensive health needs. This process includes medical, social, developmental, behavioral, financial, and educational intervention with focus on high quality and cost effective outcomes. The Wellness Nurse Care Manager will report directly to the program lead.
  
  As a Wellness Nurse Care Manager, you will:
  
  
• Engage and provide telephonic care coordination and management to identified patient populations.
• Effectively collaborate with members of Clover clinical teams (e.g. In Home Care team, Readmission Prevention Program team, Supportive Care team, Behavioral Health team, field Nurse Practitioners, Medical Assistants).
• Initiate referrals to specialty services, follow up on open referrals, and foster continuity of care.
• Create a personalized care plan for each member to resolve barriers to care and engage with social support systems as appropriate.
• Follow NCQA Care management accreditation standards.
• Document all member care activities and escalate findings in accordance with Clover Policies.
• Coordinate with the interdisciplinary team as needed, including members’ outpatient providers.
• Provide telephonic teaching and counseling in the areas of health promotion, disease prevention, maintenance, and management of acute/chronic diseases.
• Attend and participate in regular ongoing meetings.
• Demonstrate flexibility in assignments within Clover’s Clinical Programs based on member and company needs.
• Advocate for members to ensure their needs and choices are fully represented and supported.
• Participate in ongoing professional development and self-improvement.
                                                                                                                                                                                                                                                                                                                                                           You will love this job if:
  
  
• You genuinely enjoy interacting with diverse individuals on a daily basis
• You want to make a positive difference; you're passionate about helping members live healthier lives
• Your mode of operation is being meticulous in your work and motivational to others.
• Technology is your friend; you embrace learning about new software and working alongside a tech team.

           You should get in touch if you have:

• 3-5 years of post-licensure care management experience
• Bachelor’s degree (BSN) from an accredited school of nursing
• Current unencumbered NJ Licensure as a Registered Nurse
• Case management certification or completion of CCM certification within 1 year of employment preferred
• Experience in completion of assessment, care plans, care coordination, and issue resolution
• Knowledge of healthcare reimbursement, utilization management, discharge planning, disease management
• Knowledge of geriatrics and chronic illness
• Basic knowledge of Medicare, Medicare Advantage Plans, preferred
• Comfortable with documenting in electronic medical record and utilizing electronic data and reports
• Intermediate level of proficiency with Mac/PC computer skills

#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.

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.

MEET CLOVER HEALTH HOME CARE

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

Our Clinical Team is a group of caring and passionate professionals dedicated to improving the lives of our most vulnerable members. Our team includes physicians, nurses, social workers, medical assistants, behavioral health specialists and others who provide in-home primary care and transitional care services. A goal for this program is to improve our offering of palliative and supportive care services for members with advanced illness.

As a Patient Care Coordinator (PCC), you will be the central point of contact and communication for the primary care provider (PCP), medical assistant (MA), patients, caregivers, and external agencies. Your role involves overseeing the coordination of patient care, ensuring timely communication with healthcare professionals, and supporting the Senior Practice Manager to maintain optimal office operations and customer service standards.

As a Patient Care Coordinator, you will:

• Be the communication hub for the entire care team—whether it’s patients, caregivers, doctors, or external health professionals. You’ll play a vital role in ensuring everyone stays informed and connected.
• Advocate for patients by managing communication between them and healthcare providers, helping them navigate their care and ensuring they receive the support they need from home health, hospice, social services, and more.
• Proactively reach out to patients with scheduled follow-up calls, health check-ins, and care coaching. You’ll help them stay on track with their health and feel supported every step of the way.
• Take ownership of care orders, ensuring all tasks are accurately processed in the EMR—from scheduling appointments to managing prescriptions and coordinating home health services.
• Collaborate with the care team to create personalized care plans for each patient, ensuring they get the individualized attention and care they deserve.
• Be a team player by stepping in to help the Senior and Associate Practice Managers as needed. Your flexibility will help keep the office running smoothly and ensure exceptional patient care.
• Get out into the field with the PCP to assist with basic care functions, and sometimes work independently to engage hard-to-reach patients for important HEDIS measures.
• Keep growing! We support ongoing professional development and encourage you to invest in your own self-improvement.

Success in this role looks like:

In the first 90 days, you'll contribute to process improvements across the In-Home Care team, assist in training new team members, and actively participate in team meetings.

By the 6-month mark, you'll demonstrate independent management of daily tasks like scheduling and documentation, while continuously optimizing workflows.

Long-term success includes taking on leadership in mentoring new team members, regularly contributing actionable feedback in team discussions, and managing complex cases that showcase your deep understanding of operational and clinical workflows.

You should get in touch if:

• You bring at least two years of experience in clinical care coordination or healthcare management and hold the necessary certifications:
• A current and valid Licensed Practical Nurse (LPN) certification in the State of New Jersey.
• Basic Life Support (BLS) certification.
• You’re fluent in both English and Spanish, with strong communication skills in speaking and writing.
• You have a valid New Jersey driver’s license and access to reliable transportation.
• You’re comfortable using technology, especially electronic medical records (EMRs)—bonus points if you’ve worked with Athena!
• You enjoy working with people from diverse social, ethnic, and cultural backgrounds and are passionate about providing care that meets their unique needs.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive hourly rate. 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 time-off policy.
• Full-time hourly employees accrue up to 18 days of vacation per year
• Clover recognizes 10 federal holidays including New Year's Day, Juneteenth, and Christmas. There are also 4 additional paid holidays, 1 floating holiday, and a Week of Rest (the last week of December)
• 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:

• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• 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.

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

Clover is a Medicare Advantage plan working to develop strong member relationships which help us drive better outcomes for our members in living their best lives. We rely on the strength of our enrollment teams to ensure that Clover Health’s most medical complex members who would benefit from our In-home Primary Care (“house calls”) program are enrolled.  

Our In Home Primary Care program is designed to improve care and outcomes for our members with multiple chronic conditions, advanced illness, and limited life expectancy. Clover wants to take accountability for these members' healthcare journeys and provide high-quality personalized care that is consistent with their values and preferences. In many cases, these members do not have reliable and committed health care providers; they rarely have providers who are willing and able to provide care directly in the home. Clover’s commitment to our members’ health has only increased during the coronavirus pandemic, as many outpatient medical practices have closed. The need for our In-home Primary Care program is greater than ever.

As In-Home Care Admin Coordinator, you will:

• Answer member calls, demonstrating our value of caring as you work to assist members and escalate appropriately based on protocols for emergent, urgent and non-urgent calls.
• Receive inbound warm transfers from other Clover teams and assist with new patient registration and scheduling in our EHR platform.
• Assist with non-clinical care coordination such as scheduling specialist appointments and transportation.
• Provide admin support to clinicians (faxing, scanning) and practice operations (mail merges, folder stuffing.)
• Assist with referral/authorization requirements and identification to ensure timely care.
• Release medical records as requested to other facilities and provider groups.
• Completes documentation for compliance and regulatory needs.

You will love this job if:

• You have a genuinepassionfor helping people.
• You can be performanceoriented and strive to be exceptional at your job.
• You are highlyorganized, efficient and demonstrate superior attention to details.
• You are nimble, and comfortable working in a constantly evolving environment. You embrace ambiguity and speed while maintaining a bias towards action.

You should get in touch if:

• You have a High School Diploma and/or GED.
• You have excellent customer service and communication skills (verbal and written). 
• You have direct experience working in the healthcare setting, bonus points if in an ambulatory/outpatient practice. 
• You are familiar with front.
• You have strong administrative and computer skills, especially Google Apps (Mail, Calendar, Sheets, etc.).
• You have experience working with an EHR and/or Salesforce.

#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.

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.

Clover Health’s Business Enablement team spearheads 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. 

As a Senior Desktop Engineer, you will play a crucial role in owning our hardware and software deployments end to end and ensuring the stability and optimal performance of Clover Health’s IT infrastructure.

As a Senior Desktop Engineer, you will:

• Be responsible for deploying all laptop, mobile devices, and tablets in use by Clover as well as maintaining inventory of assets.
• Be directly responsible for the end user experience of our deployed devices as well as ensuring timely and efficient upgrades, updates, and security fixes.
• Oversee the installation, configuration, and maintenance of computer systems, the desktop experience (MacOS and Windows), and software applications. (JAMF, InTune, Zoom, Slack, Google Chrome Enterprise, etc.).
• Assist in planning and executing upgrades, patches, and migrations for operating systems, and applications, ensuring a seamless transition and minimal disruption.
• Implement and manage security protocols, firewalls, and access controls to protect the organization's systems and data from unauthorized access or cyber threats as it pertains to the desktop experience.
• Monitor system performance and resource utilization, identifying bottlenecks, and optimizing system performance to ensure efficient operations.
• Respond to system issues, identifying root causes, and promptly resolving technical problems to minimize downtime and disruptions.

Success in this role looks like:

• How is success measured in the first 90 days?
• Identify issues, propose solutions and test new technologies or process changes
• Become proficient in Clover desktop administration technologies
• How is success measured in the first 6 months?
• Take ownership of end-user technology projects, such as migrations, deployments and introducing new technology solutions
• How will success be measured in the future?
• Define and standardize procedures and automated mechanisms to ensure availability, reliability, security and scalability of desktop and environments.

You should get in touch if:

• You have 3+ years of experience as an IT Engineer, IT Desktop Engineer, or in a similar role.
• You have 3-5 years of experience with JAMF or Intune, showcasing expertise in mobile device management and endpoint security.
• You have 3-5 years experience managing Mac and Windows infrastructure, ensuring smooth operations and optimal performance.
• You have an understanding of network infrastructure, including troubleshooting, configuration, and maintenance.

#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.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range

$115,200- $158,400USD

California/New Jersey/New York Pay Range

$115,200 - $160,000 USD

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.

At Counterpart Health, a subsidiary of Clover, we are transforming healthcare and improving patient outcomes with our innovative primary care tool, Counterpart Assistant which was incubated by Clover Health as Clover Assistant and has helped improve plan performance and clinical outcomes for Medicare members through proprietary AI technology.

We are looking for a senior software engineer who is well-versed in full stack engineering. You will work closely with other engineers, data scientists, healthcare professionals, and product managers, building tools to improve the health of real people.

As a Senior Software Engineer, you will:

• Commit to simplifying the complexities of healthcare by building systems that multiply human efforts.
• Learn about new tools and technologies to solve problems and move our goals forward.
• Help the team define and maintain development practices that let us iterate quickly while maintaining quality — including writing tests and documenting key implementations.
• Work with Product Managers and operational staff to conceptualize new features.

You will love this job if:

• You are excited by big, complicated problems and try to solve them with pragmatic, well-engineered solutions. You have a natural intellectual curiosity that drives you to find out how things work and if they can work better.
• You enjoy working in a fluid, collaborative environment, defining and owning 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 hesitantto jump in to help fix things that are broken and you feel great responsibility 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 experience with functional or imperative programming languages -- e.g., Python, Ruby, Go, C, or Java.
  • You approach building and maintaining systems with maturity and rigor.
  • You are able to work in different technical systems and concerns.
  • You have both built and refactored complex (often distributed) systems.

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: 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-CW1 #LI-REMOTE

Clover Health’s Business Enablement team spearheads 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. 

We are looking for an IT Systems Engineer to join our team. You’ll be part of a team responsible for a wide range of applications and infrastructure that empower our employees across the business. In this role you will partner with the business on key technology initiatives and drive business value through innovation, automation and maintaining stability of our applications and infrastructure. You will work with our systems engineering team to deliver solutions while being adaptable to handle complex challenges, processes and situations.

As an IT Systems Engineer, you will:

• Document processes, procedures, run books, and troubleshoot issues as new solutions are deployed.zCoordinate cross-departmental efforts to ensure solution compatibility and deployment success.
• Automate routine tasks and build sustainable and scalable solutions.
• Generate proof of concept design and review. Coordinate deployments into production.
• Develop and maintain a thorough understanding of key systems including AWS, Azure, GCP, Okta and Zscaler.
• Maintain security, backup, and redundancy strategies.
• Assist in managing vendor relationships including licensing, evaluating new features and aligning technology with business needs.
• Own application integrations and infrastructure monitoring.
• Partner with Engineering, Security and other Technology Teams to support shared infrastructure.

Success in this role looks like:

• How is success measured in the first 90 days?
  
  • Evaluate current state of automation workflows, resolve any ongoing errors and suggest improvements for optimization.
  • Write knowledge base articles for new processes and/or troubleshooting steps and review historical data and updating where necessary.
• How is success measured in the first 6 months?
  • Assume ownership of current Okta workflows and make recommendations based on design, security, functionality and organizational needs.
• How will success be measured in the future?
  • Ongoing partnership with security and IT compliance teams on IAM strategy and execution, which will continue to mature our onboarding and offboarding processes.
  • Design and execution of new workflows that will reduce manual processes, save time and resources and process errors.

You should get in touch if:

• You have 5+ years of experience in IT, with at least 3 years as an IT Systems Engineer.
• You have experience with configuring and administering IdP systems like Okta.
• You have experience with creating automation workflows using Okta.
• You have familiarity in scripting, API and automation using python and bash.
• You have knowledge of networking concepts, infrastructure topology & architecture, scalability and systems engineering.
• You have experience with administering macOS and Windows endpoints in an enterprise environment.
• You have significant hands-on experience working with SaaS offerings and their API endpoints.

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!

#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.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range

$97,600 - $135,000 USD

California/New Jersey/New York Pay Range

$97,600 - $150,000 USD

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.

At Counterpart Health, a subsidiary of Clover, we are transforming healthcare and improving patient outcomes with our innovative primary care tool, Counterpart Assistant which was incubated by Clover Health as Clover Assistant and has helped improve plan performance and clinical outcomes for Medicare members through proprietary AI technology.

In 2018, Clover opened our first international office in Hong Kong as the company's software engineering hub. Leveraging Clover's proprietary machine learning models, our software engineers in Hong Kong partner with our US-based teams to build software that transforms the landscape of the healthcare industry.

We are looking for Technical Program Managers for the Engineering team to drive forward our engineering projects. You will work with engineers, product managers, data scientists, and healthcare professionals on building tools to improve the health of real people.

As a Technical Program Manager in Engineering, you will:

• Build processes that unblock engineers and enable us to build the best products for our providers and patients.
• Develop and foster our Software Development Lifecycle (SDLC).
• Proactively identify issues affecting engineering delivery and work to correct those.
• Build a bridge between product managers and engineers ensuring complex problems are broken down and tracked appropriately.
• Help guide engineers in making decisions that meet project scope and timeframes.
• Share reports and metrics on team progress with organizational leadership.

You will love this job if:

• You areexcitedto dive into large,complicated projects.
• You enjoydevelopingprocesses that increase developer efficiency.
• You enjoy working in a fluid,collaborativeenvironment, defining and owning 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 feel great responsibility to makesustainable 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 agenuine interestin what good technology can do to help people and have apositive attitudeabout tackling hard problems in an important industry.
• You are ateam playerwho has excellentcommunicationskills. 

You should get in touch if:

• You have been a technical program manager for an engineering or similar technical team for 3+ years.
• You have experience with Agile, Scrum, Kanban, or similar methodologies. 
• You have working knowledge of project management best practices and have experience working with project management tools (i.e. JIRA or similar).
• You have the ability to prioritize, multi-task, and handle competing deadlines.
• You have a solid track record of helping engineering teams meet deadlines.

  ---

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!

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 $167k to $204k. 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.

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-CW1

At Clover, the Business Enablement team spearheads 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. 

We are looking for a Data Engineer to join our team. You'll work on the development of data pipelines and tools to support our analytics and machine learning development. Applying insights through data is a core part of our thesis as a company — and you will work on a team that is a central part of helping to deliver that promise through making a wide variety of data easily accessible for internal and external consumers. We work primarily in SQL, Python and our data is stored primarily in Snowflake. You will work with data analysts, other engineers, and healthcare professionals in a unique environment building tools to improve the health of real people. You should have extensive experience leading data warehousing projects with advanced knowledge in data cleansing, ingestion, ETL and data governance.

As a Data Engineer, you will:

• Collaborate closely with operations, IT and vendor partners to understand the data landscape and contribute to the vision, development and implementation of the Data Warehouse solution.
• Recommend technologies and tools to support the future state architecture.
• Develop standards, processes and procedures that align with best practices in data governance and data management.
• Be responsible for logical and physical data modeling, load and query performance.
• Develop new secure data feeds with external parties as well as internal applications.
• Perform regular analysis and QA, diagnose ETL and database related issues, perform root cause analysis, and recommend corrective actions to management.
• Work with cross-functional teams to support the design, development, implementation, monitoring, and maintenance of new ETL programs.

Success in this role looks like:

• First 90 days:
  • Develop a strong understanding of our existing data ecosystem and data pipelines.
  • Build relationships with various stakeholder departments to understand their day to day operation and their usage and need of Data Eng products.
  • Contribute in the design and implementation of new ETL programs to support the growth and operation efficiency of Clover.
  • Perform root cause analysis after issues have been identified and propose solutions for both short term and long term fixture to increase the stability and accuracy of our pipelines.
• First 6 months:
  • Provide feedback and propose opportunities for improvement on current data engineering processes and procedures.
  • Work with platform engineers on improving data ecosystem stability, data quality monitoring and data governance.
  • Lead discussion with key stakeholders, propose, design and implement new data eng projects that solve critical business problems.
• How will success be measured in the future?
  • Continue the creation and management of ETL program and data assets.
  • Be the technical Data Eng lead of our data squad’s day to day operation.
  • Guide and mentor other junior members of the team.

You should get in touch if:

• You have a Bachelor’s degree in Computer Science or related field along with 5+ years of experience in ETL programming.
• You have professional experience working in a healthcare setting. Health Plan knowledge highly desired, Medicare preferred.  
• You have expertise in most of these technologies: 
  • Python 
  • Snowflake 
  • DBT
  • Airflow 
  • GCP
  • AWS
  • BigQuery
  • Postgres 
  • Data Governance 
  • Some experience with analytics, data science, ML collaboration tools such as Tableau, Mode, Looker

#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.

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 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.

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

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

As a Senior Associate - Inpatient Coder for Payment Integrity at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant, efficient and profitable program. You will work to ensure quality assurance standards and regulatory policy are reflected in 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. The Senior Associate - Inpatient Coder monitors and coordinates the identification of provider DRG denials and upcoding.

As an Inpatient Coder Senior Associate, you will:

• Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related issues on a prospective and retrospective basis that drive inaccurate payments to providers.
• Proactively identify overpayments to ensure accurate claims payments on all inpatient services.
• Prepare response letters to deliver our decisions to members and/or providers within the regulatory timeframes set forth by the Centers for Medicare & Medicaid Services (CMS).
• Act as a subject-matter expert for cross-functional clinical reviews: digest complex concepts and regulations and communicate them effectively to different stakeholders, including senior-level leadership.
• Research and respond to external auditor concerns/questions regarding the completeness and accuracy of data creation and integration.
• Work closely with data scientists, engineers and operational teams to create sustainable and scalable solutions.
• Communicate effectively while building trust and lasting partnerships both laterally and vertically across multi-discipline teams.
• Identify and review potential program efficiencies and opportunities.
• Continue to analyze existing policies to ensure accuracy and proper execution.
• Communicate effectively both internally and externally to ensure accurate claims adjudication and proper provider notification.

You will love this job if:

• You want to make an impact. You thrive off of helping others, and want your work to make a difference in our members' lives.
• You are a team player. You enjoy partnering with others, and want to work collaboratively to find new solutions.
• You are a strong communicator. You have strong verbal and written communication skills that foster trust, knowledge sharing, and progress.
• You are detail-oriented. You pay attention to the small things, while understanding how they fit into the bigger picture.
• You are motivated to learn. There is no shortage of technical, clinical, and operational skills to learn at Clover.

You should get in touch if:

• You hold a CCS certification or similar inpatient coding certification; required
• You have a deep knowledge and understanding of DRG pricing methodology; required.
• You have current or previous nursing or firsthand clinical experience; preferred.
• You have 5+ years of experience in clinical coding; preferred
• You have Medicare or Medicare Advantage payment integrity or claims operations experience; preferred
• You are technologically savvy with strong computer skills in Excel and PowerPoint.
• You have 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, 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.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range

$64,000 - $89,000 USD

California/New Jersey/New York Pay Range

$64,000 - $99,000 USD

Counterpart: Value-based care, at the point of care.

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 hiring our first Product Operations Manager on the Counterpart Assistant team to help improve the operating model of our pods and product organization. As a company, we employ an empowered pod model for our technology team - putting pods in the center of solving for business and user outcomes. With that model, we’ve been able to scale with fewer processes and systems explicitly managed, but those soft systems are in need of support. The Product Operations Manager will work closely with our VP of Product and our Counterpart Technology leadership team to help reinforce those soft systems to enable more efficient pod and company velocity.

Product operations can have a wide range of framings, at Counterpart the role description with which we most resonate is that of Melissa Perri or Marty Cagan, the The Force Multiplier Model for Product Operations.

The ideal candidate will be data and process oriented, who thrives on figuring out how to more effectively empower rapid iteration and learning and consistently like automating themselves out of a job.

As a Product Operations Manager, you will:

• Work alongside product managers, designers, engineers, data scientists, researchers, clinical and all of our interdisciplinary pod teams to figure out where we have inefficient cross-team systems.
• Focus on identifying and solving the highest impact process enhancements for our pods, stakeholders and our leadership team.
• Be a collaborator with pods in developing KPIs that ladder up to our OKRs for the year and specifically measure the work being shipped in a meaningful way for our users and business.
• Support and integrate with our user research, customer success, product support, sales, and clinical teams to make sure teams have access to and are engaging with customers regularly and accessing those insights actively.
• Partner closely with our VP of Product to coalesce roadmaps, status updates, run projects, and deliver improved pod operations. 
• Be accountable to developing and supporting process improvement changes for our technology team’s SDLC and portfolio management to improve overall learning velocity by the pods.

Success in this role looks like:

• Over the first 90 days you’ll spend time building relationships with the different pods, technology leadership, stakeholders, and customers to understand the current pain points in our operating model. The three focuses will be on our data and insights, voice of the customer, operating model and tooling. A known area of improvement that will be a first project is a better way for us as an organization to manage the end to end delivery and roadmap from engineering progress through product bets to high level executive roadmap(s). At each level, we have known areas of opportunity and inefficiency.
• Within the first 6 months, success is measured as evolving the team and processes from an improved operating model. Projects should be identified in partnership with leadership, tackled and implemented, and rolled off to the next area of opportunity. As an organization we should be able to measure the efficiency of our learnings and progress and see improvement from the efficiencies of the product operations role.
• Over time, this individual's performance will be measured as the effectiveness of our pods’ ability to iterate and learn quickly. As a product driven company, our success is predicated on our pods ability to deliver impact to our users and our business. The faster we can iterate and learn, the bigger our impact can be. This individual’s success is tied to removing the sludge from our processes and being a force multiplier for our pods.

You should get in touch if:

• You have minimum of 5+ years experience.
• You have at least 3+ years experience working with empowered product organizations.
• You are comfortable and proficient with SQL and data analytics and can define effective KPIs.
• You are experienced with product organization tooling and the latest best practice (Jira, Linear, ProductBoard, Aha!, Pendo, etc).
• You thrive in automating yourself out of a job and moving onto the next problem.

#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 $135,000 to $190,000. 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.

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.

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 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 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 of data report requests.
• 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:

• A BA/BS in Mathematics, Statistics, Economics, Healthcare or other related discipline (required).
• 5+ years of relevant, professional work experience (required).
• Proficiency in SQL and are able to query, summarize, and manipulate data (required).
• Experience working with healthcare data including but not limited to claims, lab results and pharmacy data.
• Knowledge of healthcare coding systems (ICD-10, CPT, DRG) and familiarity with healthcare quality measures (e.g., HEDIS, CMS, NCQA).
• Advanced MS Office skills (Excel, Word, PowerPoint, Outlook), with a strong emphasis on Excel (required).
• Experience preparing and presenting data and dashboards using data visualization tools (Tableau, PowerBI).

#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.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range

$90,400 - $124,200USD

California/New Jersey/New York Pay Range

$90,400 - $135,000 USD

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.

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

Our Clinical Team is a group of caring and passionate professionals dedicated to improving the lives of our members by conducting in-home visits using technology, including telehealth. We’re looking for someone to join us in providing cutting edge patient-centered visits for our members.

As a Practitioner, you will conduct a comprehensive health assessment on enrolled Medicare Advantage members. You may also conduct visits for the subset of Clover members recently discharged from a hospital or post acute care facility or for high need patients. Visits will include comprehensive assessment of member health histories and current health care needs requiring further care coordination and management. 

Part Time Independent Contractor (1099) position

Flexible Scheduling including Days, Evenings and Weekends

Compensation: $125 per completed visit

As a Practitioner, you will:

• Deliver preventive care to Clover members remotely via Clover’s proprietary software platform as well as approved third party video apps.
• Complete a comprehensive review and assessment of a member's medical history, physical health, environment and psycho-social status.
• Document progress notes, prepare member workups and encounter summaries using Clover Assistant and EMR.
• Help at-risk members transition from the hospital and other facilities to their own home.
• Create personalized care plans in coordination with the member's primary care physician.
• Actively close gaps in care, which may include ordering labs, writing prescriptions with collaboration of the Primary Care Provider or collaborating physician, and coordinating physician follow up.
• Perform point of care labs and diagnostic testing, such as A1c, spirometry, and other tests as applicable
• Activities will support Clover Care Visit program goals including accurate documentation of member health conditions, high performance on federal quality measures, and successful referral to network providers and internal Clover clinical teams to improve care and outcomes
• Completed visits include member specific AthenaNet and Clover Assistant (CA) visit documentation completed, electronically signed and closed according to Clover policy:
• All AthenaNet visit documentation tabs completed according to visit type
• All applicable orders, referrals, gaps in care, PCP Letter, Follow up visit sections and Clinical Inbox and care coordination tasks are completed
• Visit specific CPT codes added in AthenaNet Billing Tab 
• All CA visit tasks addressed, signed and autoloaded to AthenaNet visit
• Coordinate and communicate with members’ interdisciplinary care teams
• Participate in ongoing training and meetings remotely
• Comply with all Clover Care Service policies, procedures, standards of care and workflows
• Perform other duties as assigned

You will love this job if:

• You have excellent clinical skills with knowledge of long-term care, geriatrics and chronic illness.
• You communicate effectively both verbally and in writing.
• You have terrific customer experience skills.
• You are tech savvy, comfortable using electronic health data, documenting in EMR’s, and utilizing video technology for telehealth visits.
• You are comfortable with a fast-paced environment with the ability to adapt to change and deal effectively with stress.

You should get in touch if:

• You are based in the state of New Jersey, required.
• You are certified as an Advanced Nurse Practitioner in specialty areas or MD/DO from an accredited program (required). 
• You hold a current unencumbered NJ Licensure as a Registered Nurse or a valid New Jersey medical doctor license 
• You have an active DEA and CDS registration.
• You have a minimum of 1 year clinical work experience providing direct patient care
• You graduated with a Bachelor’s degree (BSN) from an accredited school of nursing *For  MD/DO you are Board Certified or Board Eligible 
• You have a Master’s degree in advanced clinical practice nursing or graduate of post Master’s certificate program for Nurse Practitioner or an MD/DO
• You have a current provider card in Basic Life Support (BLS).

#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.

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.

Clover is reinventing healthcare by working to keep people healthier.

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 team and culture that we are building, looking for engineers that are not only strong in their own aptitudes but care deeply about aiding in each other's growth.

We’re looking for a Machine Learning Engineer II to help us build a revolutionary new health care business. Counterpart Health uses Machine Learning (including NLP/LLMs) to leverage our data to help keep patients healthy and out of the hospital by getting them targeted care. By predicting avoidable adverse events, our ML infrastructure is central to working on our central mission, and has a direct impact on improving clinical care. You will help build systems and tools that support the data needs of a diverse organization and contribute to the expansion of the ML capabilities of our Platform.

As a Machine Learning Engineer II, you will: 

• Create, debug, interpret and improve production ML models.
• Design, implement and validate pieces of our high-reliability, distributed platforms for ML.
• Build the tools and validation processes that help Counterpart translate insights into action at scale.
• Use existing commercial and open source tools to create a robust production platform.
• Work closely with Counterpart’s Data Science and Engineering teams to ensure that the ML platform is providing real value.
• Document, iterate, and provide tutorials to ensure Data Scientists and Engineers are able to use your tools easily.

Success in this role looks like:

• Within 90 days: Successfully able to deliver a well-scoped project that improves machine learning models or systems. 
• Within 6 months: Able to increasingly own larger pieces of the system and work more autonomously in places you have experience.
• In the future: Growing in ownership to increasingly large and complex pieces of our ML models and systems.

You will love this job if:

• You want to create impactwith your work by finding ML-driven insights in the data to unlock value and improve health outcomes for real people.
• You are comfortable acting autonomously on tasks in ambiguous and changing environments.
• You value collaboration and feedback. You can communicate technically in clear terms— to your teammates and across the technology team more broadly. You are willing and able to help your teammates grow by providing (and receiving) respectful and constructive feedback, and disclosing your unique insights with everyone.
• You enjoy working in a fluid environment, defined by priorities that adapt to our larger goals. You can bring clarity to ambiguity on projects 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 3+ years of experience in Machine Learning Engineering or related 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 a solid foundation in feature engineering, feature selection, and AI techniques.
• You have experience interpreting, modifying, and debugging the inputs and outputs of production ML models.
• You have both built and refactored parts of distributed systems, especially ML systems.

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!

#LI-REMOTE

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.

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

Clover Health's mission is to improve every life. Clover Health operates as a next-generation Medicare Advantage insurer, which leverages Clover’s flagship software platform, the Clover Assistant, to provide America’s seniors with highly affordable, “obvious” healthcare plans. By empowering physicians with data-driven, personalized insights at the point of care through the Clover Assistant platform, Clover strives to improve clinical decision-making and outcomes.

This role will report to the Director of Internal Audit and will assist in planning and performing internal SOX and operational audits, conducting SOX 404 testing over certain business processes, facilitating the Enterprise Risk Management (ERM) program, and executing other special projects as directed.

As an Internal Audit Manager, you will:

SOX Audits

• Perform annual scoping which will drive the SOX audit plan.
• Conduct annual walkthroughs of end-to-end processes and document processes using flowcharts and/or narratives.
• Plan and execute  testing of internal controls over financial reporting.
• Monitor remediation of audit issues with stakeholders and ensure proper closure by management.
• Actively monitor changes in the company and SOX processes to ensure SOX controls are updated and the changes are managed by all stakeholders.
• Assist with company-wide use of AuditBoard.

Operational Audits

• Assist in preparation and execution of scheduled operational audits including planning, preparation, execution, reporting and follow-up.Promote value and recommendations including efficiency and cost-savings opportunities.
• Monitor remediation of audit issues with stakeholders and ensure proper closure by management.
• Assesses business process efficiency and effectiveness, identifies internal control and business process weaknesses, and develops valuable recommendations for improvement.

Special Projects

• Coordinate and conduct special audits, investigations, and/or ad-hoc projects with minimal supervision and direction as directed by the VP of Internal Audit, OpCo, or the Audit Committee.

General

• Effectively educates business process owners on the value and execution of internal controls and standardized processes. 
• Develop and maintain close working relationships with Management teams, Internal Audit team, co-source partners, external audit teams.
• Establish baseline understanding of Clover and our business and industry.
• Assist external auditors as needed.
• Engage in challenging conversations, provide recommendations, and give Internal Audit perspective in a digestible manner given a particular audience.

You should get in touch if:

• You have 5+ years of progressive internal audit experience in Big public accounting, and/or in industry, including at least 3 years of supervisory responsibility
• You hold an active CIA, CISA, or CPA designation
• You have Knowledge of the U.S. GAAP and SEC reporting and experience with SOX and the reporting and compliance challenges of a public company
• You have a strong understanding of internal controls and the COSO framework, with extensive knowledge and understanding of SOX requirements.
• You have project management skills and a desire to drive sustainable change.
• You demonstrate excellent verbal and written communication and presentation skills with the ability to communicate complex concepts across multiple disciplines.
• You have training and talent development experience.
• You have healthcare payer experience is a plus.
• You have experience with AuditBoard (preferred).

#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 $135,000 to $165,000. 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.

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.

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

We value diversity — Clover Health's mission is to improve every life. Clover Health operates as a next-generation Medicare Advantage insurer, which leverages Clover’s flagship software platform, the Clover Assistant, to provide America’s seniors with highly affordable, “obvious” healthcare plans. By empowering physicians with data-driven, personalized insights at the point of care through the Clover Assistant platform, Clover strives to improve clinical decision-making and outcomes.

The Accounting team is responsible for accurately reporting the financial results of Clover Health and overall business activities. The team coordinates and directs all financial transactions in the accounting system as well as, supports company wide goals and initiatives relative to the financial needs of all departments. The accounting department assures that all transactions adhere to company policies and procedures, generally accepted accounting principles, and relevant authoritative guidance.

We are looking for a highly motivated and committed individual to join our accounting team as a Senior Accountant. The Senior Accountant will be responsible for analyzing financial information, preparing accurate and timely financial reports and statements, as well as, ensuring appropriate internal control procedures. This individual will be expected to exhibit the highest professional standards, ethical principles, and attention to detail while working on numerous routine and ad hoc accounting support functions.

As a Senior Accountant, you will:

• Support the accounting team’s commitment to timely and accurate processing of accounting transactions in accordance with GAAP, Sarbanes Oxley and internal controls.
• Support the quarterly and annual financial reporting process, including ensuring the appropriate SEC disclosures and reporting practices are implemented.
• Support the external audit of the company’s annual financial statements, including preparation of audit schedules and responding to auditor questions and requests.
• Research all significant accounting matters that may arise, including new rule adoption projects. Prepare technical memos and be the internal expert to advise on accounting impacts for the business.
• Be responsible for month-end close procedures, including preparation of monthly journal entries, account reconciliations and analysis of results.
• Proactively identify issues and areas for improvement while helping to establish and maintain policies and procedures.
• Identify and implement process improvements to streamline accounting processes.
• Be responsible for leases, stock compensation, investments, assorted accrued expenses, and various balance sheet and income statement accounts.
• Partner with Strategic Finance to help analyze and document balance sheet and income statement activity and variances.
• Perform other special ad-hoc projects and analyses as directed by management.

Success in the role looks like:

• Demonstrate understanding of the accounting principles and GAAP/SEC requirements 
• Establish effective communication channels with key departments (actuarial, treasury, compliance, and legal) and external auditors.
• Consistently deliver accurate quarterly and annual financial statements, adhering to regulatory guidelines and SAP.
• Contribute to strategic planning by providing accurate financial insights and analysis that support business objectives and decision-making

You should get in touch if:

• You have a minimum of 5 years accounting experience that demonstrates knowledge and application of GAAP accounting policies and practices, with SEC reporting experience preferred.
• You have experience working with Intacct or similar financial management software.
• You have expert working knowledge of Microsoft Office (Word, Excel, PowerPoint) including Google suite.
• You have a CPA certification.
• You have at minimum a Bachelor's degree in Accounting, Finance or related field.
• You have Big 4 public accounting experience, preferred.

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

#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.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range

$72,000 - $123,000 USD

California/New Jersey/New York Pay Range

$72,000 - $135,000 USD

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.

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

The Clover Home Care team is responsible for ensuring patients have access to the right care at the right time, in the right setting. We are a group of caring and passionate professionals dedicated to improving the lives of our most vulnerable members by providing in-home primary care, annual wellness visits, supportive care services, behavioral health and community services coordination.

As an Associate Practice Manager, you will support the Senior Practice Manager and play a crucial role in overseeing administrative, care coordination, and field support staff to ensure quality and timely patient care. You will help establish, implement, and manage standard workflows and procedures to improve efficiency and effectiveness within the practice.

This role is remote, with occasional travel for company-sponsored meetings.

As an Associate Practice Manager you will:

• Assist in overseeing administrative, care coordination, and field support teams to ensure timely and high-quality patient care.
• Support the implementation and management of standardized workflows and procedures to enhance operational efficiency and effectiveness.
• Collaborate closely with the Medical Director and Senior Practice Manager to achieve practice goals and key performance metrics.
• Work cross-functionally with other departments and teams within Clover to ensure smooth practice operations.
• Assist in managing staffing, scheduling, training, and performance management for all areas under your responsibility.
• Participate in individual and team meetings to review progress, identify challenges, and develop strategies to achieve key business goals and metrics.
• Monitor reports and dashboards to identify trends and uncover opportunities for improvement.
• Ensure compliance with policies, procedures, regulatory requirements, billing protocols, and medical records administration.
• Develop and demonstrate expertise with the EMR and other systems to effectively support practice management.
• Facilitate the resolution of patient issues and concerns.
• Support the operations of additional home care programs and take on other projects and responsibilities as assigned.

Success in this role looks like:

In the first 90 days, you'll complete onboarding, understand your responsibilities, assess workflows, and start building strong team relationships while ensuring compliance and addressing immediate issues. By 6 months, your focus will shift to optimizing workflows, managing staff effectively, and achieving key performance indicators (KPIs) for patient care and operational efficiency. Long-term success involves sustaining improvements, leading strategic initiatives, fostering team development, and consistently achieving high patient satisfaction while adapting to changes in healthcare.

You should get in touch if:

• You're passionate about improving healthcare and want to make a real difference in patients' lives.
• You thrive in a dynamic environment and enjoy leading teams to success.
• You have a knack for optimizing processes and love finding creative solutions to complex problems.
• You bring at least 3 years of healthcare management experience, with a track record of leading both clinical and administrative teams.
• You have an Associate's degree or higher (Bachelor's preferred), and being a Registered Nurse would be a plus.
• You have a talent for building strong relationships with diverse groups, from physicians to administrative staff.
• You're known for your organizational abilities and project management expertise.
• You approach challenges with flexibility and a hands-on attitude.

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 anE-Verifycompany.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range

$84,800 - $117,00 USD

California/New Jersey/New York Pay Range

$84,800 - $130,000 USD

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

The Clinical Pharmacist will work to support clinical initiatives and Medicare Part D regulatory requirements. You will solve unique medication-related issues for Clover members as a crucial part of our multidisciplinary clinical team. You will address a range of clinical needs from educating members on the importance of adherence to completing intensive medication management reviews and addressing barriers to drug therapy. This role also includes performing daily oversight activities of the Pharmacy Benefits Manager’s (PBM) delegated functions. 

As a Pharmacy Program Associate, you will:

• Provide clinical support to members and healthcare providers to enhance medication management and improve health outcomes.
• Maintain precise and comprehensive documentation of clinical interventions, patient interactions, and medication recommendations.
• Identify opportunities for cost-effective or lower-risk medication treatment plans.
• Support Pharmacy Benefits Manager (PBM) oversight and ensure compliance with CMS regulatory requirements related to Part D benefit administration.
• Contribute to quality improvement initiatives within case management and other clinical programs, enhancing member experience and medication adherence.
• Collaborate on process improvements, driving initiatives that elevate the member experience and support medication adherence.
• Assist with projects aimed at improving Medicare Part C & D Star Ratings, HEDIS, CAHPS, and other quality performance metrics.
• Analyze Part D/pharmacy data to evaluate program effectiveness, reporting findings to managers and internal/external stakeholders.
• Administer Clover Health’s Drug Formulary and support the Medication Therapy Management Program (MTMP).
• Participate in cross-functional meetings as a pharmacy/Part D subject matter expert (SME).
• Act as a resource for pharmacy program specialists and associate team members.
• Collaborate with leadership to allocate team resources effectively across day-to-day operations and key project initiatives.
• Continuously seek ways to improve processes and add value within the team.
• Perform other duties as required.

You will love this job if:

• You are nimble, and comfortable working in a constantly evolving environment. 
• You embrace ambiguity and speed while maintaining a bias towards action.
• Are able to demonstrate strong prioritization and self-management abilities.
• You want to make a positive difference; you're passionate about helping members live healthier lives.
• You have impeccable attention to detail and follow-up skills.
• You have a passion for new technology and ability to learn it quickly.
• You enjoy a collaborative environment.
• You are a great problem-solver.

You should get in touch if:

• You have a Bachelor's or Pharm-D degree and an active, unrestricted pharmacy license.
• You have knowledge of Medicare Part D regulations, including formulary management and Star Ratings.
• You have at least 2+ years of experience in managed care, retail, or mail-order pharmacy (geriatric or long-term care experience is a plus).
• You have at least 3+ years in pharmacy, managed care, or PBM settings.
• You have a strong clinical judgment, documentation skills, and a customer-focused mindset.
• You have a results-driven approach, attention to detail, and the ability to thrive in a remote setting.
• You are proficient with PC applications and excellent communication skills.

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 anE-Verifycompany.

A reasonable estimate of the base salary range for this role is $75,000 USD to $91,000 USD. 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.

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

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.

As a Security Analyst, you will forge and nurture trusted relationships with internal teams (Software Engineering, SRE, DS/ML, Product) and external customers (e.g., payers, accountable care organizations, integrated delivery networks, auditors). You will partner closely with the entire organization to develop policies and procedures, operationalize, train, and enable secure operations.  Theis ideal candidate for this role will understand the needs of data/information security and is eager to grow their career in the areas of operations, governance, risk and compliance.

As a Security Analyst, you will:

• Operationalize, configure, and monitor security applications such as EDR, DLP, Vulnerability Management, and CSPM systems.
• Assist with incident response activities, including tabletop exercises.
• Support the implementation and maintenance of GRC frameworks.
• Assist in internal risk assessments and audits to ensure adherence with security policies.
• Serve as security point-of-contact for audit/certification programs such as HITRUST, SOC 2, and HIPAA.
• Assess and improve systems for compliance with security requirements, policies, guidelines and standards (see above).
• Interface with external customers on CA security reviews and assessments.
• Participate in security awareness and training programs to promote security-first mindset across the organization.

You will love this job if:

• You are passionate about transforming healthcare delivery through new technologies and want to make an impact.
• You have a bias toward action and seek to intervene before issues arise.
• You are comfortable navigating ambiguity and working in an evolving environment.
• You are a problem solver and a team player. You love working within teams and helping them work more efficiently.
• You are a strong communicator and able to influence behaviors to help drive desired outcomes.
• You are empathetic and seek to build enduring relationships with our customers and users.
• You are analytical and use data to drive actions and evaluate outcomes.

You should get in touch if:

• You have 1+ years of experience in a security role with priority operations, risk and/or compliance.
• You have good knowledge of cybersecurity frameworks and standards (e.g., NIST, ISO, CIS).
• You have familiarity with security tools such as EDR, DLP, Vulnerability Management, and CSPM systems, 
• You have familiarity with log analysis, SIEM systems and network traffic monitoring.
• You have a good understanding of IAM/PAM concepts and tools.
• You have the ability to write, review, and update security policies, and procedure documentation.
• You have excellent written and verbal communication skills and are able to craft clear and comprehensive reports and research to present to engineering and other stakeholders.
• You stay up-to-date with the latest research on threats, attack vectors, and security trends and are keen to apply them to our environment.

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 or from our office, 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

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

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.

As a Security Engineer, you will forge and nurture trusted relationships with internal technology teams (Software Engineering, SRE, DS/ML, Product) and external customers (e.g., payers, accountable care organizations, integrated delivery networks). You will partner closely with the entire technology organization to architect, design, implement, and maintain system security and controls. This ideal candidate for this role will understand the needs of software development, technical system design, and data/information security.

As a Security Engineer, you will:

• Implement, operationalize and monitor security applications such as EDR, DLP, SAST, Vulnerability Management, and CSPM systems.
• Serve as a SME for security related code and technical design reviews.
• Identify and collaborate with engineering and SRE to resolve areas of security vulnerability in our software, systems and infrastructure.
• Assess and improve systems for compliance with security requirements, policies, guidelines and standards
• Interface with external customers on CA security reviews and assessments
• Work to improve our general security posture and processes ranging from secure development practices to SecDevOps
• Contribute to the planning, definition and implementation of new security solutions or related development

You will love this job if:

• You are passionate about transforming healthcare delivery through new technologies and want to make an impact.
• You have a bias toward action and seek to intervene before issues arise.
• You are comfortable navigating ambiguity and working in an evolving environment.
• You are a problem solver and a team player. You love working within teams and helping them work more efficiently.
• You are a strong communicator and able to influence behaviors to help drive desired outcomes.
• You are empathetic and seek to build enduring relationships with our customers and users.
• You are analytical and use data to drive actions and evaluate outcomes.

You should get in touch if:

• You have 1+ years of experience in a security role with priority on engineering.
• You have experience investigating, and triaging incidents.
• You have a basic understanding of operating systems (Linux, OSX, etc.) and networking fundamentals.
• You have a strong understanding of at least one of the following technologies: Python, JavaScript/TypeScript, Shell Scripting (You will be tested on one).
• You are comfortable with conducting code reviews for security vulnerabilities on a frequent basis.
• You have assessed the security of APIs and systems by analyzing authentication, authorization mechanisms, input validation, and potential vulnerabilities.
• You have excellent written and verbal communication skills and are able to craft clear and comprehensive reports and research to present to engineering and other stakeholders.
• You stay up-to-date with the latest research on threats, attack vectors, and security trends and are keen to apply them to our environment.
• You have knowledge of cybersecurity frameworks and standards (e.g., NIST, ISO, CIS).

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 or from our office, 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

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

Clover Health is a Medicare Advantage plan transforming healthcare delivery. While many payers rely on outdated methods, we take a data-driven approach to improve our members' lives.

This role is the primary point of contact between Clover Health’s hospital and ancillary  partners, including Fee-For-Service and Pay-for-Performance providers. It requires expertise in provider relations, claims, HEDIS, contract reimbursement, and partnership development to engage high-priority providers, such as managed care and revenue cycle departments, ensuring provider satisfaction and education on Clover's initiatives.

Under general supervision, you’ll work directly with external providers to educate, advocate, and foster compliance with Clover policies while delivering top-tier customer service. You’ll also drive timely issue resolution, support growth initiatives, manage HEDIS Gaps-in-Care, and resolve complex issues involving senior leadership. Additionally, you’ll serve as a subject matter expert for other departments.

We are currently considering candidates located in the Central and Eastern time zones of the United States for this position.

As a Hospital & Ancillary Relations Manager you will:

• Be the face of Clover to providers, driving engagement and fostering strong relationships that support our mission to improve healthcare.
• Shape provider partnerships, working closely with key players to implement innovative strategies that benefit both providers and our members.
• Lead process improvements, tackling challenges head-on to streamline operations and enhance collaboration with hospitals across various markets.
• Solve problems on the spot, offering guidance, resolving issues, and ensuring satisfaction for both providers and internal stakeholders.
• Deliver impactful training and education to healthcare teams, helping them understand and embrace Clover’s initiatives.
• Drive meaningful discussions with senior leadership, providers, and physicians to resolve complex healthcare issues, from utilization management to quality of care.
• Promote provider success, leveraging Clover’s advanced tools and programs to improve efficiency, patient satisfaction, and compliance with healthcare regulations.

Success in this role looks like:

In the first 30 days, you'll build relationships with key teams, establish regular check-ins with Network leads, and begin planning market priorities. By 60 days, you'll fully operationalize these priorities, lead contract review sessions, and provide performance updates to leadership. By 90 days, you'll have operationalized network management objectives, developed strong cross-functional relationships, and initiated improvements in network processes.

You should get in touch if:

• You're based in the Central or Eastern time zone of the United States.
• You have experience in network management, provider relations, or managed care, and are passionate about building strong partnerships with providers.
• You’re skilled in Medicare Inpatient and Outpatient claims with a knack for digging into data and solving problems.
• You’re a natural leader who loves inspiring and motivating others to work together and achieve great results.
• You understand provider contracts, healthcare economics, and the broader competitive landscape, and can easily connect clinical and business ideas.
• You’ve tackled complex claims and billing issues, improving performance and efficiency.
• You know how to bring people together, create buy-in, and get things done with a diverse group of team members.
• You’re comfortable using data to drive decisions and shape the big picture.
• You’re knowledgeable about healthcare topics like claims processing, EHRs, billing, coding, and reimbursement models.

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 anE-Verifycompany.

For California, Colorado, New Jersey, New York, or Washington residents, a reasonable estimate of the base salary range for this role can be found below. For candidates residing in other geographic areas, the range will be adjusted based on location. 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.

Colorado/Washington Pay Range

$83,200 - $114,300 USD

California/New Jersey/New York Pay Range

$83,200 - $127,000 USD