Director, Network Operations

At Clover Health, we’re focused on improving the health of our members by leveraging technology and data-driven insights to provide personalized, high-quality care. As a Medicare Advantage plan, we aim to empower our members by helping them navigate the complexities of healthcare and live healthier lives. We are passionate about making healthcare easier, more affordable, and more accessible for everyone. We are looking for an AI-forward Director of Network Operations to architect the strategic roadmap for our provider data ecosystem, credentialing frameworks, and network adequacy models. In this high-impact leadership role, you will champion a culture of "Data Integrity at Scale," serving as the enterprise authority on Provider Data Management (PDM)—which is a critical focus area for our organization. While leading a high-performing remote workforce, you will act as the strategic bridge between advanced data platforms, external vendors, and internal operational areas. You will own the optimization of our PDM infrastructure, drive continuous improvement in directory accuracy, and provide rigorous oversight for our third-party credentialing and BPaaS partners. By engineering a highly reliable PDM experience, you will directly reduce provider friction and ensure our members interact with a compliant, highly accurate provider network. As a Director, Network Operations, you will: H...