Remote Director, AI-Driven Fraud Prevention & Investigations

Clover Health is seeking a Director, AI-Enabled Fraud Prevention & Investigations to lead AI-driven investigations within its Legal department. The role blends hands-on provider fraud investigations with building AI-powered tooling to streamline processes, using data from claims and medical records, in collaboration with SIU and business stakeholders. The position emphasizes innovation, defensible documentation, and cross-functional collaboration, with a remote-first culture and opportunities to