Chief Actuary

Clover Health; United States; Remote; USD 250,000 - 390,000; Full time

Job summary

Clover Health is seeking a Chief Actuary to lead and evolve its actuarial function with a focus on pricing, forecasting, reserving, and medical economics. The role emphasizes AI-enabled workflows, governance, and regulatory compliance to transform how actuarial work is done while maintaining rigor and transparency.

As a senior partner, you will collaborate with Finance, Clinical, Growth, Operations, and Product to drive strategy, efficiency, and capital allocation while guiding the organization

Qualifications

• Extensive actuarial expertise across pricing, forecasting, reserving and risk.
• Ability to lead analytics initiatives with AI-enabled workflows.
• Strong governance, regulatory and stakeholder communication skills.

Responsibilities

• Lead Clover's enterprise actuarial function across pricing, forecasting, reserving and medical economics.
• Set long-term vision for actuarial modernization with AI and scalable analytics.
• Build AI-enabled workflows that enhance efficiency and explainability.
• Lead Medicare Advantage bid strategy, pricing, and capital planning.
• Oversee actuarial opinions, reserve adequacy, and regulatory requirements.
• Guide forecasting, IBNR development, and experience analysis.
• Collaborate with Finance, Medical Economics, and Product to align strategy.
• Drive adoption of modern analytics tools across the actuarial organization.

Skills

Actuarial expertise

AI & automation

Analytics leadership

Cross-functional collaboration

Regulatory governance

Education

Actuarial designation (ASA/FSA)

Tools

AI tools integration

Job description

The Finance team at Clover Health is a group of strategic partners providing financial and operational insights that drive informed decision-making and efficient capital allocation. Guided by our core values of excellence, accountability, and collaboration, we provide actionable recommendations to improve health outcomes and reduce costs while ensuring financial integrity and innovation.

Actuarial is at the center of some of Clover's most important decisions—from pricing and forecasting to reserving, medical economics, and long-term strategy. As Chief Actuary, you’ll lead and evolve this function during a pivotal stage of the company’s growth, helping shape how we deploy AI, automation, and advanced analytics to improve decision‑making across the business.

This isn’t a traditional Chief Actuary role. We’re looking for someone who can combine 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. You’ll partner closely with leaders across Finance, Clinical, Growth, Operations, and Product to influence company strategy while building a best‑in‑class actuarial organization.

As a Chief Actuary, you will:

• 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 to support enterprise planning and executive decision‑making.
• Assume responsibility for actuarial opinions, reserve adequacy, and related regulatory actuarial requirements, including transitioning responsibilities currently supported by external actuarial partners.
• 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, helping the team operate faster, smarter, and with greater transparency.
• Serve as a trusted advisor to executive leadership, translating complex actuarial concepts into clear business recommendations.
• Lead, develop, and scale a high-performing actuarial organ