Senior Manager, Actuarial AI & Enterprise Performance

Remote - USA. Posted 2 months ago

The role

The Senior Manager, Actuarial AI & Enterprise Performance leads the MA Plan Command Center team. This person manages governance, initiative portfolio management, and enterprise performance monitoring for the Medicare Advantage business using advanced analytics and AI.

What you will do

Lead the MA Plan Command Center Operating Model
Own Enterprise Performance Monitoring
Lead Financial Integration, AI-Enabled Analysis, and Executive Decision Support
Drive Cross-Functional Alignment
Scale the Command Center Capability
Lead and Develop the Actuarial Strategic Operations Team

Required qualifications

Associate or Fellow of the Society of Actuaries
Member of the American Academy of Actuaries
7-10 years of progressive experience in actuarial, healthcare finance, population health, analytics, consulting, strategy, or operations
Demonstrated success leading cross-functional initiatives and driving organizational change
Strong understanding of Medicare Advantage economics, including medical cost trends, utilization management, risk adjustment, provider reimbursement, or value-based care
Advanced SQL and Excel skills
Strong communication and executive presentation skills
Demonstrated experience leading and developing senior analysts or finance professionals

Nice to have

Experience applying AI to improve analytical workflows, operational efficiency, or business decision-making
Experience in managed care or healthcare actuarial functions
Demonstrated experience using Python or R, business intelligence platforms, and modern AI tools

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)

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.