Senior Manager, Actuarial Strategic Operations

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $157.7k - $205k / year

⏰ Full Time

🟠 Senior

🧐 Strategy

🦅 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 the MA Plan Command Center operating model, including governance, initiative portfolio management, prioritization, valuation, execution tracking, executive reporting, and continuous improvement of analytical and AI-enabled workflows • Translate enterprise priorities into team goals, allocate resources based on business impact and capacity, and ensure timely, high-quality decision support • Develop and continuously evolve enterprise performance monitoring frameworks using leading and lagging indicators, dashboards, and KPIs • Establish analytical and quality standards and use performance trends to identify risks, prioritize work, and guide leadership decisions • Lead integration of operational, actuarial, and financial performance into recommendations for executive leadership • Guide responsible AI-enabled analytical methods while maintaining governance, data integrity, and financial discipline • Ensure analyses challenge strategic assumptions, surface material risks and opportunities, and provide actionable options • Partner with leaders across Finance, Actuarial, Medical Economics, Clinical Operations, Revenue, Pharmacy, Product, and Analytics • Establish ownership, decision rights, and accountability across initiatives; resolve competing priorities • Expand automation, standardize processes, strengthen data quality, and implement AI-enabled solutions • Lead, coach, and develop financial operations and Actuarial professionals • Set priorities and performance expectations, allocate work, provide feedback and development opportunities, address performance concerns, and build team capabilities • Establish reporting frameworks, executive dashboards, scorecards, risk monitoring, operating reviews, and sustainable talent models

🎯 Requirements

• Associate or Fellow of the Society of Actuaries • Member of the American Academy of Actuaries • 7-10 years of progressive experience in actuarial, healthcare finance, population health, analytics, consulting, strategy, or operations • Demonstrated success leading cross-functional initiatives and driving organizational change • Strong understanding of Medicare Advantage economics, including medical cost trends, utilization management, risk adjustment, provider reimbursement, or value-based care • Advanced SQL and Excel skills • Demonstrated experience using Python or R, business intelligence platforms, and modern AI tools such as ChatGPT, Claude, or Gemini is strongly preferred • Strong communication and executive presentation skills • Ability to translate complex analyses into actionable business insights • Experience leading and developing senior analysts or finance professionals • Experience setting priorities, allocating work, providing feedback and coaching, addressing performance concerns, and building team capability • Ability to influence senior cross-functional stakeholders, build trusted business partnerships, navigate competing priorities, and drive sustained results in a highly matrixed organization • Experience applying AI to improve analytical workflows, operational efficiency, or business decision-making is strongly preferred • Experience in managed care or healthcare actuarial functions is preferred

🏖️ 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 • Collaboration with global teams • Paid parental leave for all new parents