Medical Director, Utilization Management (Part Time - Weekends)
Clover Health
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
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.
Recent company news
Quiver QuantitativeClover Health Partners with Kno2 to Enhance Interoperability in Healthcare Data Exchange
2 days ago
Stock TitanMedicare patients get real-time access to Clover Health claims data
2 days ago
Fierce HealthcareClover Health CEO said company sees opportunity in complex MA environment
2 weeks ago
MarketBeatVanguard Group Inc. Sells 1,186,026 Shares of Clover Health Investments, Corp. $CLOV
5 days ago
Yahoo FinanceClover Health Investments Q4 Earnings Call Highlights
2 weeks ago
About Clover Health
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Clover Health.
Salary
$166k – $232k
per year
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