Director, AI-Enabled Fraud Prevention & Investigations

Remote - USARemote (US)director$150K – $240K

via Greenhouse

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About this role

Clover Health is investing in our fraud detection and investigation capabilities and is seeking a Director, AI-Enabled Fraud Prevention & Investigations to join our Legal department as a senior individual contributor. This hybrid role combines: (1) managing hands-on investigations of potential provider fraud with (2) building AI-powered tools and processes to make investigations more efficient and help catch potential future fraud earlier. You will develop and pilot new AI-enabled investigatory processes for Clover’s Medicare Advantage business, and own resulting investigations, in collaboration with Clover’s Special Investigations Unit (SIU) and other stakeholders. This is a non-attorney role.…

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Skills match

For this role: python, sql, teams

Level fit

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Domain experience

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Recency

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Location fit

This role is remote-eligible. We factor in your stated location and time-zone overlap.

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Skills in this role

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