Senior Actuarial Analyst

About the role

We're looking for a tech-savvy actuarial analyst interested in enhancing Clover’s ability to make smart, data-driven business decisions to join our team. You will work with large, complex healthcare datasets and leverage automation to improve accuracy, efficiency, and transparency across actuarial processes.

Responsibilities

• Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
• Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
• Build reports to track ROI on various risk adjustment initiatives.
• Support actuarial teams in the development of risk scores for forecast and bidding purposes.
• Provide actuarial support on a wide variety of topics including risk adjustment, pricing, forecasting, reserving, trend analysis, and value-based care.
• Communicate analysis, findings, and supporting data meaningfully to leadership and partnering teams.
• Build automated actuarial tools and data pipelines.
• Support compliance under Sarbanes Oxley, including through process and tool design, peer review and control testing.
• Be accountable for key work products under the supervision of experienced actuaries.
• Collaborate with internal departments, including but not limited to, Data Science, Finance, Actuarial, Operations, Provider Network Management, Engineering, and external vendors on risk adjustment activities.
• Be eligible to participate in Clover’s Actuarial Student Program.

Requirements

• At least two (2) years using SQL plus Python or R in your day-to-day work, comfortable pulling and validating data yourself and building automated tools.
• At least one (1) year of experience in health insurance.
• Completed at least two (2) actuarial exams.
• Experience with Medicare Risk Adjustment, CMS EDS submissions, and HCC/RxHCC models is a strong plus.

Qualifications

• Self-starter with a high degree of internal drive and a desire to execute at a high level.

Skills

• SQL
• Python or R
• Healthcare data analysis
• Data visualization
• Actuarial modeling
• Compliance and regulatory requirements

Benefits

• Financial Well-Being: Competitive base salary and equity opportunities, performance-based bonus program, 401k matching, and regular compensation reviews.
• Physical Well-Being: Comprehensive medical, dental, and vision coverage.
• Mental Well-Being: No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy.
• Professional Development: Learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Pay

A reasonable estimate of the base salary range for this role is: $96,000 - $125,000 USD

Schedule

Remote-first culture, enabling collaboration with global teams.