Chief Actuary

The Finance team at Clover Health is a group of strategic partners providing financial and operational insights that drive informed decision-making and efficient capital allocation. Guided by core values of excellence, accountability, and collaboration, they provide actionable recommendations to improve health outcomes and reduce costs while ensuring financial integrity and innovation. Actuarial is central to important decisions including pricing, forecasting, reserving, medical economics, and long-term strategy. As Chief Actuary, you will lead and evolve this function during a pivotal stage of the company's growth, shaping how AI, automation, and advanced analytics are deployed to improve decision-making across the business. This role combines deep actuarial expertise with modern technology, building AI-enabled workflows that transform actuarial work while maintaining rigor, transparency, and governance in a regulated environment. You will partner with leaders across Finance, Clinical, Growth, Operations, and Product to influence company strategy and build a best-in-class actuarial organization. Responsibilities: — Lead Clover's enterprise actuarial function including pricing, forecasting, reserving, medical economics, Part D, Stars analytics, and bid strategy. — Establish a long-term vision for actuarial, modernizing the function through AI, automation, and scalable analytical infrastructure. — Build AI-enabled workflows to reduce manual effort, accelerate insight generation, and improve actuarial decision-making with explainability, governance, and regulatory compliance. — Lead the annual Medicare Advantage bid strategy and pricing process, balancing growth, competitiveness, margin, risk, and capital requirements. — Assume responsibility for actuarial opinions, reserve adequacy, and regulatory actuarial requirements, including transitioning responsibilities from external partners. — Guide reserving methodology, IBNR development, forecasting, and emerging experience analysis to provide timely, reliable financial insights. — Partner with Finance leadership to strengthen forecasting, planning, capital management, and enterprise performance measurement. — Collaborate with Medical Economics to identify healthcare cost trends, evaluate interventions, and develop strategies to improve member outcomes while managing medical expense. — Drive adoption of modern analytics tools and AI capabilities across the actuarial organization. — Serve as a trusted advisor to executive leadership, translating complex actuarial concepts into clear business recommendations. — Lead, develop, and scale a high-performing actuarial organization including organizational design, performance management, workforce capacity, and talent development. — Build strong partnerships across Finance, Clinical, Operations, Growth, Data Science, and Engineering to embed actuarial insights in strategic decision-making. — Establish and maintain actuarial governance, model review, documentation, control, and validation standards supporting regulatory compliance and financial integrity. Success milestones: First 90 Days: — Build trusted relationships across Finance and key business partners. — Assess current actuarial organization, tools, and operating model. — Develop a roadmap for AI adoption and workflow automation. — Gain deep familiarity with pricing, forecasting, reserving, and medical economics processes. First 6 Months: — Implement AI-enabled actuarial workflows to improve efficiency and insight generation. — Strengthen forecasting, reserving, and bid processes through automation and collaboration. — Assume ownership of additional actuarial responsibilities including reserve oversight and governance. — Establish a clear long-term organizational vision. Long Term: — Build a modern actuarial organization combining actuarial science with AI-enabled decision support. — Improve forecasting accuracy, operational efficiency, and enterprise decision-making through advanced analytics and automation. — Develop a highly engaged, high-performing actuarial team recognized as a strategic partner. Requirements: — Fellow of the Society of Actuaries (FSA) and Member of the American Academy of Actuaries. — Significant leadership experience in Medicare Advantage actuarial functions including pricing, reserving, forecasting, and bid development. — Experience deploying AI workflows and enthusiasm for automation and modern tooling. — Experience leading large cross-functional initiatives influencing executive decision-making. — Ability to discuss actuarial methodology with technical experts and communicate business implications to executives and non-technical stakeholders. — Proven track record of building, mentoring, and developing high-performing actuarial teams. — Ability to thrive in fast-moving environments and shape the future of the organization. Benefits: — Competitive base salary and equity opportunities. — Performance-based bonus program, 401k matching, and regular compensation reviews. — Comprehensive medical, dental, and vision coverage. — Mental health initiatives including No-Meeting Fridays, monthly company holidays, mental health resources, and flexible time-off policy. — Remote-first culture supporting collaboration and flexibility. — Learning programs, mentorship, professional development funding, and regular performance feedback. — Employee Stock Purchase Plan (ESPP) with discounted equity opportunities. — Reimbursement for office setup expenses. — Monthly cell phone and internet stipend. — Paid parental leave for all new parents. About Clover: Clover Health reinvents health insurance by combining data power with human empathy to keep members healthier. They create custom software and analytics to empower clinical staff to provide personalized care. Diversity & Inclusion are key to their success, embracing diverse identities and perspectives. Clover is an Equal Opportunity Employer and an E-Verify company. Final pay is based on factors including internal equity, market data, education, work experience, and certifications.