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Medical Director, Utilization Management (Part Time - Weekends) at Clover Health - ApplyBlast

Medical Director, Utilization Management (Part Time - Weekends)

Clover Health

9 months ago

3.7 on Glassdoor

Remote

Part Time

Director

2 applicants

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About this role

The Medical Director, Utilization Management at Clover Health provides clinical leadership within the utilization management program to support high-quality, cost-effective care aligned with the company’s Medicare Advantage plans. The role focuses on ensuring clinical consistency with company policies, regulatory requirements, and Clover’s data-driven care model. This is a part-time weekend coverage position within a remote-first organization.

Skills

Qualifications

MDDOBoard Certification in Internal MedicineBoard Certification in Family MedicineBoard Certification in Emergency Medicine

About Clover Health

cloverhealth.com

Headquarters

Nashville, Tennessee, United States

Company Size

501-1000 employees

Founded

2014

View Profile

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.