Business Analyst, Clinical & Reimbursement Policy

**Business Analyst, Clinical & Reimbursement Policy at Clover Health (Remote - USA)** **What you'll do** - Own the development and maintenance of clinical and reimbursement policies - Serve as the authority on Medicare guidelines, interpreting NCDs and LCDs - Manage external vendor performance regarding policy monitoring and accuracy - Implement AI initiatives to automate reimbursement policy monitoring **What they're looking for** - Expertise in Medicare regulations and coding guidelines - Experience with vendor management and performance reviews - Skills in system integration between clinical, claims, and compliance teams - Ability to lead AI-driven initiatives for policy automation **Details** - Location: Remote - USA - Type: Not specified - Salary: Not specified