远程工作雷达

首席精算师

Chief Actuary

职能支持限定地区(需当地身份)与中国几乎无重叠,需长期倒时差
公司Clover Health
薪资$274,000/年
工作地点United States
地域资格限定地区(需当地身份)
时区要求与中国几乎无重叠,需长期倒时差
用工类型permanent
发布时间13 天前
数据来源4dayweek.io
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。
作息提示:与中国几乎无重叠,需长期倒时差。

Clover Health的财务团队是一支战略合作伙伴,提供财务和运营洞察,以支持决策制定和高效资本配置。在卓越、责任和协作的核心价值观指导下,我们提供可执行的建议,以改善健康结果并降低成本,同时确保财务完整性和创新。

精算工作是Clover一些最重要决策的核心——从定价和预测到准备金、医疗经济学和长期战略。作为首席精算师,您将在公司增长的关键阶段领导并发展这一职能,帮助塑造我们如何利用人工智能、自动化和高级分析来提升整个业务的决策能力。

这不是一个传统的首席精算师职位。我们寻找一位能够将深厚的精算专业知识与现代技术相结合的人才,构建AI驱动的工作流程,改变精算工作的执行方式,同时在高度监管的环境中保持严谨性、透明度和治理要求。您将与财务、临床、增长、运营和产品部门的领导者紧密合作,影响公司战略,同时打造一流的精算组织。

**作为首席精算师,您将:**

- 领导Clover的企业精算职能,包括定价、预测、准备金、医疗经济学、D部分、Stars分析和投标策略。
- 制定精算的长期愿景,通过人工智能、自动化和可扩展的分析基础设施来现代化该职能。
- 构建AI驱动的工作流程,减少人工工作量,加快洞察生成,并提高精算决策质量,同时确保可解释性、治理和监管合规性。
- 领导年度医保优势投标策略和定价流程,权衡增长、竞争力、利润率、风险和资本需求,以支持企业规划和高管决策。
- 承担精算意见、准备金充足性及相关监管精算要求的责任,包括接管目前由外部精算合作伙伴支持的职责。
- 指导准备金方法、未决赔款准备金(IBNR)开发、预测和新兴经验分析,提供及时可靠的财务洞察。
- 与财务领导层合作,加强预测、计划、资本管理和企业绩效衡量。
- 与相关部门合作

查看英文原文

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 organization, including organizational design, performance management, workforce capacity, and development of actuarial and analytical talent.
- Build strong partnerships across Finance, Clinical, Operations, Growth, Data Science, and Engineering to ensure actuarial insights are embedded in strategic decision-making.
- Establish and maintain actuarial governance, model review, documentation, control, and validation standards that support regulatory compliance, financial integrity, and sound executive decision-making.

**Success in this role looks like:**

**First 90 Days**

- Build trusted relationships across Finance and key business partners.
-  Assess the current actuarial organization, tools, and operating model.
- Develop a roadmap for AI adoption and workflow automation across the actuarial function.
- Gain deep familiarity with Clover's pricing, forecasting, reserving, and medical economics processes.

**First 6 Months**

- Begin implementing AI-enabled actuarial workflows that improve efficiency and insight generation.
- Strengthen forecasting, reserving, and bid processes through improved automation and cross-functional collaboration.
- Successfully assume ownership of additional actuarial responsibilities, including reserve oversight and governance.
- Establish a clear long-term organizational vision for the actuarial function.

**Long Term**

- Build one of the industry's most modern actuarial organizations by combining deep actuarial science with AI-enabled decision support.
- Improve forecasting accuracy, operational efficiency, and enterprise decision-making through advanced analytics and automation.
- Develop a highly engaged, high-performing actuarial team that is recognized as a strategic partner across the organization.

**You should get in touch if:**

- You are a Fellow of the Society of Actuaries (FSA) and a Member of the American Academy of Actuaries.
- You have significant leadership experience in Medicare Advantage actuarial functions, including pricing, reserving, forecasting, and bid development.
- You are an AI evangelist and have demonstrated experience deploying AI workflows across your functional areas. Moreover, you are enthusiastic about applying automation and modern tooling to fundamentally improve the actuarial function.
- You have experience leading large, cross-functional initiatives that influence executive decision-making.
- You are equally comfortable discussing actuarial methodology with technical experts and communicating business implications to executives and non-technical stakeholders.
- You have a track record of building, mentoring, and developing high-performing actuarial teams.
- You thrive in fast-moving environments where you can build, innovate, and shape the future of an organization.

* * *

**Benefits Overview**:

- **Financial Well-Being**: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
- **Physical Well-Being**: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
- **Mental Well-Being**: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
- **Professional Development**: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

_Additional Perks:_

- 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
- And much more!

* * *

**About Clover:** We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

* * *

#LI-REMOTE

_Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an_ [_E-Verify_](https://e-verify.uscis.gov/esp/media/resourcesContents/E-Verify_Participation_Poster.pdf) _company._

Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.

A reasonable estimate of the base salary range for this role is:

$274,000—$356,000 USD

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