UNKNOWN

FEED

This role is an extension of our Special Investigations Unit (SIU) that sits within Legal-you will spend your days investigating suspected fraud against Clover''s Medicare Advantage business and ensuring that those investigations are coordinated, well-documented, and supported by the right legal advice from the Legal department. Collaborate Across Functions: Work with Clover''s clinical, compliance, claims, payment integrity, provider relations, revenue operations, and SIU teams to gather information, validate findings, and translate investigative outcomes into operational improvements, provider education, and member impact.

YEAR

Clover Health Investments Corp

Director, Fraud Investigations

Personal Competencies: Effective communication and interpersonal skills, with the ability to successfully articulate strategies, experimental results and analysis to various constituents such as governance committees, project teams, clinical sub-teams, and other senior management to build enthusiasm, passion and commitment, and to gain approval /sponsorship for projects. Coordinate with Clinical Operations the execution of operational aspects of assigned clinical studies (including identification, selection, qualification and management of clinical investigators and third party vendors, test article release to sites, site monitoring activities, ongoing review of key study data, etc.).

AnaptysBio Inc

Senior Vice President, Clinical Development

Our current groups include: Africa, Middle East, Central Asia (AMECA), Black Employees at Lilly (BE@Lilly), Chinese Culture Network (CCN), EnAble, Evolve, Lilly Indian Network (LIN), Organization of Latinx at Lilly (OLA), Pride (LGBTQ+ Allies), Veterans Leadership Network (VLN) and Women's Initiative for Leading at Lilly (WILL). Headquartered in Indianapolis, Indiana, our over 50,000 employees around the globe take on complex challenges to discover and deliver life-changing medicines, strengthen how health is understood and managed, and support the communities we serve.

Corporate Investigator Jobs in California

Director, Fraud Investigations Clover Health Investments Corp

Senior Vice President, Clinical Development AnaptysBio Inc

Director - Clinical Pharmacologist/Clinical Research Physician Eli Lilly and Co

Similar Job Searches

Stand out to leading employers.