Director, AI-Enabled Fraud Prevention & Investigations

Clover Health · Remote - USA · Remote-friendly

Don’t apply blind. See how your CV matches this role first — free, in 30 seconds.

You will leave NewLuxJob. We do not receive or handle applications.

Company
Clover Health
Location
Remote - USA
Salary
$150,000 — $240,000
Posted
June 24, 2026

About this job

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.

This is a short summary.

Want to know if you're a fit? Check your CV against this role — free, in 30 seconds.

Similar jobs

See if your CV fits this job

Paste your CV for an instant match score against this role — and get a tailored cover letter in one click.

  • Instant match score for this role
  • Tailored cover letter in one click
  • Free — no credit card
Check my CV — free
Director, AI-Enabled Fraud Prevention & Investigations — Clover Health | NewLuxJob