Chief Actuary

The role

The Chief Actuary will lead the enterprise actuarial function, including pricing, forecasting, and reserving. This role involves modernizing the function through AI, automation, and advanced analytics to drive strategic decision-making.

What you will do

• 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 by modernizing the function through AI, automation, and scalable analytical infrastructure.
• Build AI-enabled workflows to improve actuarial decision-making while ensuring governance and regulatory compliance.
• Lead the annual Medicare Advantage bid strategy and pricing process.
• Assume responsibility for actuarial opinions, reserve adequacy, and related regulatory actuarial requirements.
• Guide reserving methodology, IBNR development, forecasting, and emerging experience analysis.
• Partner with Finance leadership to strengthen forecasting, planning, capital management, and enterprise performance measurement.
• Collaborate with Medical Economics to identify healthcare cost trends and develop strategies to manage medical expense.
• Drive adoption of modern analytics tools and AI capabilities across the actuarial organization.
• Lead, develop, and scale a high-performing actuarial organization.

Required qualifications

• Fellow of the Society of Actuaries (FSA)
• Member of the American Academy of Actuaries
• Significant leadership experience in Medicare Advantage actuarial functions, including pricing, reserving, forecasting, and bid development
• Demonstrated experience deploying AI workflows across functional areas
• Experience leading large, cross-functional initiatives that influence executive decision-making
• Track record of building, mentoring, and developing high-performing actuarial teams

Nice to have

• AI evangelist

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
• Access to mental health resources
• Flexible time-off policy
• Learning programs, mentorship, and professional development funding
• Employee Stock Purchase Plan (ESPP)

Before you apply

• Will consider qualified applicants with arrest and conviction records pursuant to the San Francisco Fair Chance Ordinance
• E-Verify company

About the company

Clover Health is reinventing health insurance by combining the power of data with human empathy. They use custom software and analytics to empower clinical staff to provide personalized care.