Senior Strategic Configuration Analyst

Clover Health
United States
Workplace: RemoteFull timeFunction: Solutions Engineering & Sales EngineeringExperience: 5+ yearsSkills: ["Communication","Attention to detail","Problem-solving","Collaboration","Documentation"]

Senior Strategic Configuration Analyst at Clover Health will own the technical validation and rigorous testing of configuration logic for Medicare Advantage claim edits (LCD, NCD, NCCI) and provider contracts. You’ll design and execute test plans, model complex scenarios, analyze defects and risk, manage validation environments, and use AI-enabled testing to ensure zero-defect deployments and high-precision payments.

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FursaFursa
Clover Health
Clover Health
4 months ago

Senior Strategic Configuration Analyst

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Source: Company careers pageValidated by: Fursa AI
Last checked: 21 hours agoStatus: Live

Job Summary

Senior Strategic Configuration Analyst at Clover Health will own the technical validation and rigorous testing of configuration logic for Medicare Advantage claim edits (LCD, NCD, NCCI) and provider contracts. You’ll design and execute test plans, model complex scenarios, analyze defects and risk, manage validation environments, and use AI-enabled testing to ensure zero-defect deployments and high-precision payments.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Sr. Manager level

Key Responsibilities

  • •Testing framework design and execution: Architect and execute comprehensive test plans to validate benefits, provider contract terms, and edits (LCD, NCD, NCCI) within systems.

Pay and Benefits

Equity and Bonus:Equity
Perks:401kEquityRemote WorkParental Leave

Key Requirements

  • •5+ years of experience in Medicare Advantage or healthcare plan configuration, testing, or technical quality assurance.
Experience:5+ yearsHealthcareMedicare Advantage
Skills:CommunicationAttention to detailProblem-solvingCollaborationDocumentation
Languages:English
Tech Stack:HealthEdge HRPHealthEdge SourceLCDNCDNCCILLMsClaudeGeminiChatGPT

Company Brief

Clover Health
Clover Health is a technology-driven health insurance company offering Medicare Advantage plans that combine clinical care coordination, data analytics, and value-based care to improve outcomes and reduce costs for seniors.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Jersey City, United States
Founded: 2014
WebsiteLinkedIn