AI Strategist, Revenue & Cost Management
Clover Health(1 month ago)
About this role
The Lead AI Strategist in Clover’s Actuarial organization will be the primary technical leader driving the research, design, and deployment of AI/ML models to enable proactive, predictive financial control. The role focuses on revenue optimization (risk adjustment), medical cost mitigation (claims integrity), and building in-house capabilities to detect and prevent financial loss. This position supports strategic R&D to replace external vendor logic with transparent, scalable internal solutions and informs executive stakeholders on emerging cost trends.
Required Skills
- Machine Learning
- Anomaly Detection
- Graph Analytics
- Time-Series
- Python
- SQL
- ML Deployment
- Claims Analytics
- Risk Adjustment
- Predictive Analytics
+2 more
About Clover Health
cloverhealth.comClover 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.
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