AI-Driven Clinical & Reimbursement Policy Analyst
industriasaBrooklyn (NY)
AI-Driven Clinical & Reimbursement Policy Analyst
Posted 2 days ago
industriasaBrooklyn (NY)
SENIORITY
Lead
About the role
Clover Health is seeking an AI-forward Business Analyst, Clinical & Reimbursement Policy to own the lifecycle of clinical and reimbursement policies and translate CMS guidelines into actionable logic.
You will lead AI-enabled monitoring initiatives, manage external vendors, and collaborate with Clinical, Claims, and Compliance teams to ensure accurate adjudication in a remote-first environment.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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