Business Analyst, Clinical & Reimbursement Policy

Clover Health · Remote (USA) · Full-time

Salary: USD 107,000 – 130,000 / year

Description

At Clover Health, we’re focused on improving the health of our members by leveraging technology and data-driven insights to provide personalized, high-quality care. As a Medicare Advantage plan, we aim to empower our members by helping them navigate the complexities of healthcare and live healthier lives. We are passionate about making healthcare easier, more affordable, and more accessible for everyone. We are looking for an AI-forward Business Analyst, Clinical & Reimbursement Policy to serve as the strategic bridge between regulatory requirements and automated execution. In this high-impact role, you will be responsible for the end-to-end lifecycle of Clover’s clinical and reimbursement policies, ensuring they are accurately interpreted, regularly updated, and seamlessly integrated into our claims environment. You will act as a primary Subject Matter Expert (SME), translating complex Medicare guidelines—including National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs)—into actionable logic. You will also play a critical role in vendor management, partnering with external vendors to enhance policy oversight. Your mission is to accelerate Clover's transi…

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Questions about this job

Where is this Business Analyst, Clinical & Reimbursement Policy job located?

It is listed as Remote (USA), so it can be done from home.

Who is hiring?

The employer shown on the listing is Clover Health.

What is the salary?

The listing shows: USD 107,000 – 130,000 / year. Confirm the exact pay, overtime and payment date with the employer before accepting.

Is it full-time or part-time?

The listing type is Full-time.

When was this job posted?

It was posted on 27 October 2026. Jobs that stay open too long are closed automatically, so apply soon if you are interested.

How do I apply?

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