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RN Medicare QA Reviewer - Remote UM Specialist

Remote / Online - Candidates ideally in
Orem, Utah County, Utah, 84057, USA
Listing for: Clover Health
Remote/Work from Home position
Listed on 2026-07-06
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 92000 - 120000 USD Yearly USD 92000.00 120000.00 YEAR
Job Description & How to Apply Below

Clover Health is seeking a Registered Nurse (RN) Medicare Quality Assurance Reviewer to join our Utilization Management team. This role involves providing clinical support and ensuring compliance with Medicare guidelines. The ideal candidate will have a valid RN license and at least 3 years of experience in Medicare Utilization Management.

The position features a competitive salary range of $92,000—$120,000, comprehensive benefits, and a remote-first culture supporting work-life balance and professional development.

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