Investigator, SIU
Clover Health(22 days ago)
About this role
Clover Health is seeking an Investigator to join their Special Investigation Unit, focusing on detecting and investigating healthcare fraud, waste, and abuse. The role involves developing audit strategies, working with providers and regulatory agencies, and ensuring compliance within a fast-paced healthcare environment.
Required Skills
- FWA
- Healthcare
- Compliance
- Auditing
- Medicare
- Regulations
- Investigation
- Data Analysis
- Payer Requirements
- Policy Development
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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