Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

The Director of Analytics leads analytics strategies, data engineering, and statistical modeling to enhance decision-making for healthcare operations, managing a team and ensuring data integrity and quality.

As a Senior Investigator, you will lead and execute audit processes to combat healthcare fraud, ensuring compliance with regulatory standards and improving operational efficiency.

As an Investigator in the SIU, you will implement audit strategies to detect healthcare fraud and ensure compliance, supporting regulatory communications and managing audit workloads.

The Senior Manager of Quality Improvement oversees the Regulatory QI Program, ensures compliance, leads QOC investigations, manages performance monitoring, and supervises a team to foster continuous improvement in healthcare delivery.

Identify, develop, and deploy automated cost-saving audits using complex SQL against claims data. Build and maintain financial and ad-hoc reports, run medical record review and administrative hold concepts, lead cross-functional discussions, train teammates on SQL, triage operational tasks (Salesforce, audit letters, reimbursements), and partner with data/engineering to resolve data issues affecting payment integrity.

The Operations Specialist will support payment integrity processes, manage claim recovery workflows, resolve provider disputes, and collaborate across teams to enhance operational efficiency and regulatory compliance.

We are seeking an Engineering Manager to lead a team of engineers, ensure technical productivity, and foster a collaborative culture while supporting primary care physicians with our healthcare tool.

The Business Systems Solution Architect designs and optimizes systems across ERP, EPM, CRM, and CMS, ensuring alignment with business needs and compliance.

The Director of HEDIS Business Operations at Clover Health leads strategies to improve HEDIS outcomes, designs incentive programs, ensures alignment of business programs, and manages cross-functional initiatives for enhanced clinical quality.

As a Recruiter, you will manage full-cycle recruiting for key teams, build relationships with hiring managers, and enhance Clover's talent brand.