Chief Actuary

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $274k - $356k / year

⏰ Full Time

🔴 Lead

📊 Actuary

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Clover Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🛡️ Insurance

🤖 Artificial Intelligence

Healthcare • Insurance • Artificial Intelligence

Clover Health is a healthcare technology company helping members live their healthiest lives with our Medicare Advantage plans. Focused on seniors who have historically lacked access to affordable and high-quality healthcare, Clover aims to provide care sustainably by improving medical outcomes while simultaneously lowering avoidable costs. They leverage a proprietary software platform, the Clover Assistant, to aggregate patient data and offer real-time recommendations to healthcare providers. Their services include affordable Medicare Advantage plans, a home care program, and they manage care for Medicare Advantage members across several U. S. states.

📋 Description

• Lead Clover's enterprise actuarial function, including pricing, forecasting, reserving, medical economics, Part D, Stars analytics, and bid strategy • Establish the long-term vision for actuarial and modernize the function through AI, automation, and scalable analytical infrastructure • Build AI-enabled workflows that reduce manual effort, accelerate insight generation, and improve actuarial decision-making while ensuring explainability, governance, and regulatory compliance • Lead the annual Medicare Advantage bid strategy and pricing process • Assume responsibility for actuarial opinions, reserve adequacy, and related regulatory actuarial requirements • Guide reserving methodology, IBNR development, forecasting, and emerging experience analysis • Partner with Finance leadership on forecasting, planning, capital management, and enterprise performance measurement • Collaborate with Medical Economics on healthcare cost trends, interventions, member outcomes, and medical expense • Drive adoption of modern analytics tools and AI capabilities across the actuarial organization • Advise executive leadership by translating actuarial concepts into business recommendations • Lead, develop, and scale the actuarial organization, including organizational design, performance management, workforce capacity, and talent development • Build partnerships across Finance, Clinical, Operations, Growth, Data Science, and Engineering • Establish and maintain actuarial governance, model review, documentation, control, and validation standards • In the first 90 days, build relationships, assess the organization and tools, develop an AI adoption roadmap, and learn pricing, forecasting, reserving, and medical economics processes • In the first 6 months, implement AI-enabled workflows, strengthen forecasting/reserving/bid processes, assume additional actuarial responsibilities, and establish the long-term organizational vision • Long term, build a modern AI-enabled actuarial organization, improve forecasting accuracy and efficiency, and develop a high-performing strategic actuarial team

🎯 Requirements

• Fellow of the Society of Actuaries (FSA) • Member of the American Academy of Actuaries • Significant leadership experience in Medicare Advantage actuarial functions, including pricing, reserving, forecasting, and bid development • Demonstrated experience deploying AI workflows across functional areas • Enthusiasm for applying automation and modern tooling to improve the actuarial function • Experience leading large, cross-functional initiatives that influence executive decision-making • Comfortable discussing actuarial methodology with technical experts and communicating business implications to executives and non-technical stakeholders • Track record of building, mentoring, and developing high-performing actuarial teams • Ability to thrive in fast-moving environments where you can build, innovate, and shape the future of an organization

🏖️ Benefits

• Competitive base salary • Equity opportunities • Performance-based bonus program • 401k matching • Regular compensation reviews • Comprehensive medical, dental, and vision coverage • No-Meeting Fridays • Monthly company holidays • Mental health resources • Generous flexible time-off policy • Remote-first culture supporting collaboration and flexibility • Learning programs • Mentorship • Professional development funding • Regular performance feedback and reviews • Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities • Reimbursement for office setup expenses • Monthly cell phone & internet stipend • Remote-first culture, enabling collaboration with global teams • Paid parental leave for all new parents