Senior Investigator
Clover Health(22 days ago)
About this role
Clover is seeking a Senior Investigator to oversee and improve its healthcare fraud, waste, and abuse detection and investigation processes. The role involves leading audit strategies, ensuring regulatory compliance, and working with regulatory and law enforcement agencies as part of a growing healthcare and technology startup.
Required Skills
- FWA
- Auditing
- Regulatory Compliance
- Investigation
- Healthcare
- CMS
- Process Improvement
- Data Analysis
- Fraud Statutes
- Law Enforcement
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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