AI Analyst, Revenue & Cost Management

Clover Health(1 month ago)

RemoteFull TimeMedior$120,000 - $140,000Actuarial

About this role

The AI Analyst at Clover acts as the subject matter expert bridging healthcare claims and finance operations with the AI modeling team. The role translates complex business rules and data constraints into modeling requirements, validates model outputs, and measures financial outcomes of cost mitigation and revenue optimization efforts. It supports payment integrity, revenue capture initiatives, and performs root-cause analyses on emerging claims cost trends.

View Original Listing

Required Skills

Claims Expertise
Payment Integrity
Revenue Optimization
Financial Analysis
SQL
Python
R
Excel
Data Validation
Risk Adjustment

+5 more

Qualifications

Bachelor's Degree in Actuarial Science, Health Economics, or Finance

About Clover Health

cloverhealth.com

Clover Health is a Medicare Advantage provider offering HMO and PPO plans—many with $0 monthly premiums—bundling expanded benefits like dental, vision, and hearing. Headquartered in Jersey City, NJ, the company serves Medicare beneficiaries across multiple U.S. markets. Clover emphasizes a technology- and data-driven approach to care management, aiming to support providers, coordinate primary care, and improve member outcomes. It positions itself as a member-focused alternative designed to lower costs and simplify access to preventive and routine services.