Remote opportunity at
Clover HealthChief Actuary
Clover Health seeks a Chief Actuary to lead its enterprise actuarial department on a remote basis. The company operates as a health insurance provider that utilizes…
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About This Role
Clover Health seeks a Chief Actuary to lead its enterprise actuarial department on a remote basis. The company operates as a health insurance provider that utilizes data analytics and software to enhance member health outcomes and medical cost management. This position sits within the finance organization and directs key functions including pricing, forecasting, reserving, medical economics, Part D, Stars analytics, and Medicare Advantage bid strategy. This role departs from traditional…
Job Description
Clover Health seeks a Chief Actuary to lead its enterprise actuarial department on a remote basis. The company operates as a health insurance provider that utilizes data analytics and software to enhance member health outcomes and medical cost management. This position sits within the finance organization and directs key functions including pricing, forecasting, reserving, medical economics, Part D, Stars analytics, and Medicare Advantage bid strategy.
This role departs from traditional actuarial leadership by demanding the integration of modern technology, automation, and artificial intelligence into everyday operations. The ideal candidate will combine advanced technical math skills with a passion for building scalable infrastructure and AI-enabled workflows. Working closely with executive leadership across clinical, operations, product, growth, and finance departments, the person in this position will translate complex data into actionable business strategies and direct regulatory compliance tasks.
The first ninety days will focus on relationship building, assessing existing analytics tools, and planning the integration of automated workflows. Within six months, the leader will begin executing these technological upgrades while taking full ownership of reserve governance and bid frameworks. Ultimately, this leadership role aims to establish a cutting-edge actuarial unit that drives corporate decision-making and operational excellence.
Responsibilities
- Manage the enterprise actuarial division encompassing pricing, forecasting, reserving, medical economics, Part D, Stars analytics, and bid strategy.
- Formulate and implement the long-term vision for modernizing the actuarial practice through automation, advanced analytics, and artificial intelligence.
- Design and deploy AI-enabled workflows that preserve regulatory compliance, transparency, and governance while accelerating insights.
- Oversee the annual Medicare Advantage bid strategy and pricing processes to balance growth, financial margins, competitiveness, and capital needs.
- Take full accountability for reserve adequacy, actuarial opinions, and related regulatory standards, absorbing duties previously held by outside partners.
- Guide reserving practices, IBNR calculations, forecasting models, and emerging financial experience reviews.
- Partner closely with finance leadership to reinforce enterprise performance measurement, planning, capital management, and forecasting.
- Collaborate with the medical economics team to spot healthcare cost trends and evaluate clinical interventions.
- Mentor, scale, and develop a high-performing team of actuarial professionals while overseeing workforce capacity and organizational design.
- Advise executives by translating complex mathematical concepts into straightforward business recommendations.
Requirements
- Fellow of the Society of Actuaries credential
- Member of the American Academy of Actuaries designation
- Extensive leadership background within Medicare Advantage actuarial departments covering pricing, reserving, forecasting, and bid development
- Demonstrated practical experience deploying AI workflows and automation tools across a functional business unit
- Track record of directing large cross-functional initiatives that sway executive-level decision making
- Experience building, mentoring, and managing high-performing actuarial teams
Core Skills
Benefits
- Competitive base salary and equity opportunities
- Performance-based bonus program
- 401k matching
- Regular compensation reviews
- Comprehensive medical, dental, and vision insurance coverage
- Flexible time-off policy
- No-Meeting Fridays and monthly company holidays
- Mental health resources and support initiatives
- Employee Stock Purchase Plan offering discounted equity
- Reimbursement for office setup expenses
- Monthly cell phone and internet stipend
- Paid parental leave for all new parents
- Professional development funding, mentorship, and learning programs
Frequently Asked Questions
What is the remote work policy for this position?
The position features a remote-first culture that permits team members to operate from any location.
What is the employment type?
The posting specifies that this is a full-time role.
What is the salary range for the Chief Actuary role?
The estimated base salary range spans from $274,000 to $356,000 USD, determined by factors such as market data, internal equity, work history, education, and certifications.
What professional designations are required?
Candidates must hold the Fellow of the Society of Actuaries and be a Member of the American Academy of Actuaries.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.