Chief Actuary

Chief Actuary

Clover Health is seeking a Chief Actuary to lead and evolve the actuarial function during a pivotal stage of the company's growth. This role involves combining deep actuarial expertise with modern technology, building AI-enabled workflows that transform how actuarial work gets done while maintaining the rigor, transparency, and governance required in a highly regulated environment.

Responsibilities:

• 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, modernizing 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, framing tradeoffs among growth, competitiveness, margin, risk, and capital requirements.
• Assume responsibility for actuarial opinions, reserve adequacy, and related regulatory actuarial requirements.
• 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 that 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.
• Build strong partnerships across Finance, Clinical, Operations, Growth, Data Science, and Engineering.
• Establish and maintain actuarial governance, model review, documentation, control, and validation standards.

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 across functional areas.
• Experience leading large, cross-functional initiatives that influence executive decision-making.
• Comfort 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.
• Thrive in fast-moving environments where you can build, innovate, and shape the future of an organization.

How to Apply: Please apply via the link on Clover Health's careers page: https://www.cloverhealth.com/