Senior Manager, Actuarial Strategic Operations
New
C
Clover HealthMedicare Advantage
United StatesFull-TimeManager
Salary$157,700—$205,000 USD
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Job Details
- Experience
- 7-10 years of progressive experience in actuarial, healthcare finance, population health, analytics, consulting, strategy, or operations
- Required Skills
- PythonSQLMicrosoft ExcelR
Requirements
- Be an Associate or Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.
- Have 7–10 years of progressive experience in actuarial, healthcare finance, population health, analytics, consulting, strategy, or operations.
- Demonstrate success leading cross-functional initiatives and driving organizational change.
- Bring strong understanding of Medicare Advantage economics, including medical cost trends, utilization management, risk adjustment, provider reimbursement, or value-based care.
- Have advanced SQL and Excel skills.
- Have experience with Python or R, business intelligence platforms, and modern AI tools; these are strongly preferred.
- Communicate and present effectively to executives, translating complex analyses into actionable business insights.
- Have experience leading and developing senior analysts or finance professionals, including setting priorities, allocating work, coaching, and building team capability.
- Be able to influence senior cross-functional stakeholders, build trusted partnerships, navigate competing priorities, and drive sustained results in a matrixed organization.
- Experience applying AI to analytical workflows, operational efficiency, or business decision-making is strongly preferred.
Responsibilities
- Set the direction and operating standards for Actuarial Strategic Operations, including governance, portfolio management, prioritization, valuation, execution tracking, and executive reporting.
- Develop and evolve enterprise performance monitoring frameworks using leading and lagging indicators, dashboards, and KPIs.
- Integrate operational, actuarial, and financial performance into recommendations for executive leadership.
- Lead adoption of responsible AI-enabled analytical methods while maintaining governance, data integrity, and financial discipline.
- Partner with leaders across Finance, Actuarial, Medical Economics, Clinical Operations, Revenue, Pharmacy, Product, and Analytics.
- Establish initiative ownership, decision rights, and accountability, and resolve competing priorities.
- Expand automation, standardize processes, strengthen data quality, and implement AI-enabled solutions for reporting and analysis.
- Lead, coach, and develop the financial operations and Actuarial team, setting priorities, allocating work, and providing feedback.
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