Chief Actuary

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee Clover's enterprise actuarial operations, encompassing pricing, forecasting, reserving, medical economics, Part D, Stars analytics, and bid strategy.

• Define a long-term vision for the actuarial function and modernize it through AI, automation, and scalable analytical frameworks.

• Create AI-driven workflows that minimize manual tasks, speed up insight generation, and enhance actuarial decision-making while ensuring explainability, governance, and compliance with regulations.

• Direct the annual Medicare Advantage bid strategy and pricing process.

• Take charge of actuarial opinions, reserve adequacy, and associated regulatory actuarial obligations.

• Guide methodologies for reserving, IBNR development, forecasting, and analysis of emerging experiences.

• Collaborate with Finance leadership on forecasting, planning, capital management, and measuring enterprise performance.

• Work alongside Medical Economics on healthcare cost trends, interventions, member outcomes, and medical expenses.

• Promote the adoption of advanced analytics tools and AI capabilities throughout the actuarial division.

• Advise executive leadership by converting actuarial concepts into actionable business recommendations.

• Lead, develop, and expand the actuarial organization, focusing on organizational design, performance management, workforce capacity, and talent development.

• Foster partnerships across Finance, Clinical, Operations, Growth, Data Science, and Engineering.

• Set up and uphold actuarial governance, model review, documentation, control, and validation protocols.

• Within the first 90 days, build relationships, evaluate the organization and tools, create an AI adoption roadmap, and familiarize yourself with pricing, forecasting, reserving, and medical economics processes.

• Within the first 6 months, put AI-enhanced workflows into action, refine forecasting/reserving/bid processes, take on additional actuarial responsibilities, and establish a long-term organizational vision.

• Ultimately, develop a modern AI-enabled actuarial organization, enhance forecasting accuracy and efficiency, and cultivate a high-performing strategic actuarial team.

⛳️ Requirements

• Fellow of the Society of Actuaries (FSA).

• Member of the American Academy of Actuaries.

• Extensive leadership experience in Medicare Advantage actuarial functions, covering pricing, reserving, forecasting, and bid development.

• Proven experience in implementing AI workflows across various functional areas.

• Passion for using automation and modern tools to enhance the actuarial function.

• Experience leading significant cross-functional initiatives that impact executive decision-making.

• Comfortable discussing actuarial methodologies with technical professionals and conveying business implications to both executives and non-technical stakeholders.

• A history of building, mentoring, and nurturing high-performing actuarial teams.

• Ability to excel in dynamic environments where you can innovate, build, and influence the future of the 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.