Operations Specialist, Payment Integrity
Clover Health(25 days ago)
About this role
Clover is dedicated to transforming health insurance by leveraging data and human empathy to improve health outcomes. Their team focuses on ensuring accurate claim payments and reducing unnecessary medical expenses, supporting their mission to keep members healthier.
Required Skills
- Excel
- Operations
- Process Improvement
- Claims
- Data Sharing
- Provider Network
- Reimbursement Models
- Customer Service
- Analytics
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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