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Role Summary

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HIGHLIGHTS

Lead AI Strategist role in Clover Health's Actuarial organization focusing on healthcare payer finance. You will design and deploy ML models for revenue optimization (risk adjustment) and claims payment integrity, building anomaly detection, graph analytics, and forecasting systems. Senior technical IC role, remote-first, with a strong emphasis on Python, SQL and production ML experience in a payer setting.

JOB DESCRIPTION SUMMARY

  • Lead design and deployment of ML models for risk adjustment and claims integrity
  • Build anomaly detection, graph analytics, and time-series forecasting systems
  • Work on large-scale healthcare claims and encounter data in a payer setting
  • Remote-first, senior technical IC role within the Actuarial organization
  • Requires 4+ years hands-on quantitative and production ML experience

DOMAIN EXPERTISE

  • Healthcare payer claims and encounters data
  • Risk adjustment and encounter analysis
  • Claims payment integrity and recovery
  • Designing and deploying production ML solutions for finance

KEY REQUIREMENTS

  • 4+ years of quantitative, hands-on experience delivering production AI solutions
  • 4+ years of domain experience with healthcare payer claims and encounters data
  • Expert-level fluency in Python and SQL
  • Proven experience implementing and maintaining ML models in production
  • Ability to design technical strategy for in-house payment integrity systems

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Lead AI Strategist role in Clover Health's Actuarial organization focusing on healthcare payer finance. You will design and deploy ML models for revenue optimization (risk adjustment) and claims payment integrity, building anomaly detection, graph analytics, and forecasting systems. Senior technical IC role, remote-first, with a strong emphasis on Python, SQL and production ML experience in a payer setting.

JOB DESCRIPTION SUMMARY

  • Lead design and deployment of ML models for risk adjustment and claims integrity
  • Build anomaly detection, graph analytics, and time-series forecasting systems
  • Work on large-scale healthcare claims and encounter data in a payer setting
  • Remote-first, senior technical IC role within the Actuarial organization
  • Requires 4+ years hands-on quantitative and production ML experience

DOMAIN EXPERTISE

  • Healthcare payer claims and encounters data
  • Risk adjustment and encounter analysis
  • Claims payment integrity and recovery
  • Designing and deploying production ML solutions for finance

KEY REQUIREMENTS

  • 4+ years of quantitative, hands-on experience delivering production AI solutions
  • 4+ years of domain experience with healthcare payer claims and encounters data
  • Expert-level fluency in Python and SQL
  • Proven experience implementing and maintaining ML models in production
  • Ability to design technical strategy for in-house payment integrity systems

TECH STACK

  • No tech stack specified

Job Overview

Salary
$200k - $230k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A senior technical IC with 4+ years in a healthcare payer actuarial or data science role, expert Python/SQL skills, and proven production ML experience in risk adjustment and claims payment integrity.

Benefits

Annual BonusEquity/Stock Options401(k) PlanHigh 401(k) MatchRemote FirstHome Office StipendPaid Parental LeaveMentorship ProgramTraining BudgetWellness Program
Shortlist Forming
Closing Soon
19d
19 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$200k - $230k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A senior technical IC with 4+ years in a healthcare payer actuarial or data science role, expert Python/SQL skills, and proven production ML experience in risk adjustment and claims payment integrity.

Benefits

Annual BonusEquity/Stock Options401(k) PlanHigh 401(k) MatchRemote FirstHome Office StipendPaid Parental LeaveMentorship ProgramTraining BudgetWellness Program
Shortlist Forming
Closing Soon
19d
19 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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