AI-Driven Clinical & Reimbursement Policy Analyst

industriasaBrooklyn, NY

2 days ago

Occupations

Medical and Health Services Managers Health Informatics Specialists Clinical Data Managers

Industries

All Other Insurance Related Activities Direct Health and Medical Insurance Carriers Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

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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.

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JOB OVERVIEW

Experience level

Lead

Location

Brooklyn, NY

Occupation

Medical and Health Services Managers

Industry

All Other Insurance Related Activities

Posted

2 days ago

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