Senior Manager, Quality Improvement

Clover Health(3 months ago)

RemoteFull TimeSenior$140,000 - $171,000Quality and Clinical Improvement

About this role

Clover Health is seeking a Senior Manager of Quality Improvement with a healthcare background to oversee its quality improvement programs, ensure regulatory compliance, and lead efforts to improve care delivery. The role involves collaborating with clinical and regulatory teams to maintain audit readiness and enhance quality outcomes for Medicare Advantage programs.

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Required Skills

Regulatory Compliance
Quality Improvement
Data Analysis
Project Management
Leadership
CMS
Medicare Advantage
Audit Readiness
Root Cause Analysis
Performance Monitoring

Qualifications

RN License
Bachelor’s Degree in Nursing
Minimum 3 years in Medicare Advantage or similar setting

About Clover Health

cloverhealth.com

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.

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