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Senior Manager, Actuarial Strategic Operations

Clover Health

Remote - USA Remote Posted 3w ago
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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. The MA Plan Actuarial Strategic Operations team serves as the operational and financial nerve center for Clover's Medicare Advantage business. Embedded within the Actuarial organization, the team combines deep business expertise with advanced analytics and AI to integrate financial, operational, and actuarial insights, monitor enterprise performance, evaluate strategic initiatives, and deliver timely recommendations that improve affordability, member outcomes, and financial performance. At Clover, AI is part of how we work. We expect leaders to thoughtfully incorporate tools such as Claude, ChatGPT, Gemini, and emerging enterprise AI technologies into their daily workflows to improve analytical quality, accelerate execution, and enable better decisions. The Senior Manager, Actuarial Strategic Operations serves as the strategic and people leader of Clover’s MA Plan Command Center, leading a team of Actuarial and financial operations professionals responsible for governance, initiative portfolio management, financial integration, performance monitoring, and enterprise decision support across Medicare Advantage. This role partners across Finance, Actuarial, Clinical, Revenue, Pharmacy, and Operations to assess drivers of performance, align strategy, and ensure enterprise initiatives deliver expected outcomes. As a leader of the Command Center, you will champion automation and AI-enabled ways of working that enhance analytical workflows, reporting, and executive decision support. This role is accountable for the performance, development, and capacity of the Command Center team. The Senior Manager will translate enterprise priorities into clear team objectives, allocate resources across high-impact work, establish quality and execution standards, and develop the team’s financial, analytical, business partnership, and AI-enabled capabilities. As a Senior Manager, Actuarial Strategic Operations, you will: * Lead the MA Plan Command Center Operating Model: Set the direction and operating standards for Actuarial Strategic Operations, including governance, initiative portfolio management, prioritization, valuation, execution tracking, executive reporting, and continuous improvement of analytical and AI-enabled workflows. Translate enterprise priorities into clear team goals, allocate resources based on business impact and capacity, and ensure the team delivers timely, high-quality decision support. * Own Enterprise Performance Monitoring: Lead the team in developing and continuously evolving enterprise performance monitoring frameworks using leading and lagging indicators, dashboards, and KPIs. Establish analytical and quality standards, ensure consistent application across functional areas, and use performance trends to identify risks, prioritize team work, and guide leadership decisions. * Lead Financial Integration, AI-Enabled Analysis, and Executive Decision Support: Set the standards for integrating operational, actuarial, and financial performance into clear recommendations for executive leadership. Lead the team in adopting responsible AI-enabled analytical methods that improve speed, rigor, scalability, and decision quality while maintaining appropriate governance, data integrity, and financial discipline. Ensure analyses challenge strategic assumptions, surface material risks and opportunities, and provide actionable options that support enterprise priorities and financial objectives. * Drive Cross-Functional Alignment: Serve as the senior Command Center partner to leaders across Finance, Actuarial, Medical Economics, Clinical Operations, Revenue, Pharmacy, Product, and Analytics. Establish clear ownership, decision rights, and accountability across initiatives, resolve competing priorities, and ensure the team’s work is aligned with budgeting, forecasting, strategic planning, and enterprise performance objectives.  * Scale the Command Center Capability: Lead the team in expanding automation, standardizing processes, strengthening data quality, and implementing AI-enabled solutions that improve reporting, accelerate analysis, reduce manual effort, and scale the Command Center operating model. Ensure new tools and processes are adopted, governed, documented, and sustained across the team.  *  Lead and Develop the Actuarial Strategic Operations Team: Lead, coach, and develop a team of financial operations and Actuarial professionals responsible for complex modeling, analysis, business partnership, and executive decision support. Set clear priorities and performance expectations, allocate work based on business impact and capacity, provide regular feedback and development opportunities, address performance concerns, and build the capabilities needed to support Clover’s evolving Medicare Advantage strategy. Success in this role looks like: In your first 90 days * You will build strong cross-functional partnerships with business leaders to understand priorities, align on objectives, and establish the Command Center as a trusted strategic partner. * You will establish the Command Center reporting framework by defining key performance indicators, leading and lagging metrics, and a consistent reporting cadence across functional areas. * You will develop executive dashboards and scorecards that provide timely visibility into initiative performance, financial impact, and execution risks. * You will assess team strengths, development needs, workload, and capacity, and establish clear roles, priorities, performance expectations, and operating rhythms. * You will establish regular 1:1s, team forums, quality reviews, and development plans that support accountability and team growth. * You will clarify how work is allocated across the Command Center and establish standards for financial analysis, modeling, executive reporting, and AI-enabled workflows. After 6 months * You will lead executive operating reviews by delivering clear, data-driven insights on initiative performance, financial impact, emerging risks, and opportunities to senior leadership.  * You will implement a proactive risk monitoring framework that leverages leading indicators to identify execution gaps early and recommend timely mitigation strategies.  * You will establish yourself as a trusted strategic partner by providing actionable financial and operational insights that support executive decision-making, enterprise prioritization, and business planning.  * You will build a high-performing team that consistently delivers rigorous, timely, and actionable financial and operational insights.  * You will establish clear performance management and development practices, including measurable goals, regular feedback, and defined growth opportunities.  * You will demonstrate effective delegation and capacity planning across a portfolio of enterprise priorities, adjusting resources as business needs evolve. Future success in this role includes: * Influence enterprise prioritization by providing data-driven insights that inform strategic investment decisions and resource allocation across the Medicare Advantage business. * Drive automation and reporting excellence by continuously improving reporting processes, enhancing data quality, and increasing the efficiency and scalability of the Command Center operating model.  *  Establish the Command Center as the enterprise source of truth for initiative performance, execution monitoring, and financial insights that support executive decision-making. * Develop a sustainable Command Center talent model with clear roles, strong succession coverage, and the capabilities needed to support Clover’s evolving Medicare Advantage strategy.  *  Create a culture of ownership, analytical excellence, constructive challenge, and continuous improvement across the team.  *  Build team credibility with senior leaders by ensuring consistent quality, sound judgment, and measurable impact across enterprise decisions and initiatives. You will love this role if: * You enjoy solving complex and ambiguous business challenges through data-driven analysis, AI-enabled exploration, and strategic problem solving.  *  You are energized by influencing business strategy through financial insights, rapid experimentation, and actionable recommendations powered by modern analytical and AI tools.  *  You thrive in highly collaborative environments, partnering across executive leadership and cross-functional teams to solve enterprise challenges and adopt new ways of working. * You enjoy building new capabilities, AI-enabled workflows, and scalable operating models that improve organizational performance and create lasting business value. You should get in touch if: * You are an Associate or Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. * You have experience: 7-10 years of progressive experience in actuarial, healthcare finance, population health, analytics, consulting, strategy, or operations, with demonstrated success leading cross-functional initiatives and driving organizational change. Experience applying AI to improve analytical workflows, operational efficiency, or business decision-making is strongly preferred.  * You have industry Knowledge: Strong understanding of Medicare Advantage economics, including medical cost trends, utilization management, risk adjustment, provider reimbursement, or value-based care. Experience in managed care or healthcare actuarial functions is preferred. * You have technical Skills: Advanced SQL and Excel skills. Demonstrated experience using Python or R, business intelligence platforms, and modern AI tools (e.g., ChatGPT, Claude, Gemini, or similar) to accelerate analysis, automate workflows, and enhance decision support is strongly preferred. * You have strong communication and executive presentation skills, with the ability to translate complex analyses into actionable business insights.  * You have demonstrated experience leading and developing senior analysts or finance professionals, including setting priorities, allocating work, providing feedback and coaching, addressing performance concerns, and building team capability. Proven ability to influence senior cross-functional stakeholders, build trusted business partnerships, navigate competing priorities, and drive sustained results in a highly matrixed 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 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: $157,700—$205,000 USD

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