[Hiring] Senior Manager, Actuarial Strategic Operations @Clover Health

Role 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.

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.
• Own Enterprise Performance Monitoring: Lead the team in developing and continuously evolving enterprise performance monitoring frameworks using leading and lagging indicators, dashboards, and KPIs.
• 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.
• 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.
• Scale the Command Center Capability: Lead the team in expanding automation, standardizing processes, strengthening data quality, and implementing AI-enabled solutions.
• 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.

Success in this role looks like:

• In your first 90 days: Build strong cross-functional partnerships with business leaders to understand priorities, align on objectives, and establish the Command Center as a trusted strategic partner.
• Establish the Command Center reporting framework by defining key performance indicators, leading and lagging metrics, and a consistent reporting cadence across functional areas.
• Develop executive dashboards and scorecards that provide timely visibility into initiative performance, financial impact, and execution risks.
• Assess team strengths, development needs, workload, and capacity, and establish clear roles, priorities, performance expectations, and operating rhythms.
• Establish regular 1:1s, team forums, quality reviews, and development plans that support accountability and team growth.
• 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: Lead executive operating reviews by delivering clear, data-driven insights on initiative performance, financial impact, emerging risks, and opportunities to senior leadership.
• Implement a proactive risk monitoring framework that leverages leading indicators to identify execution gaps early and recommend timely mitigation strategies.
• Establish yourself as a trusted strategic partner by providing actionable financial and operational insights that support executive decision-making, enterprise prioritization, and business planning.
• Build a high-performing team that consistently delivers rigorous, timely, and actionable financial and operational insights.
• Establish clear performance management and development practices, including measurable goals, regular feedback, and defined growth opportunities.
• 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.

Qualifications

• Associate or Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.
• 7-10 years of progressive experience in actuarial, healthcare finance, population health, analytics, consulting, strategy, or operations.
• Experience applying AI to improve analytical workflows, operational efficiency, or business decision-making is strongly preferred.
• Strong understanding of Medicare Advantage economics, including medical cost trends, utilization management, risk adjustment, provider reimbursement, or value-based care.
• Advanced SQL and Excel skills.
• Experience using Python or R, business intelligence platforms, and modern AI tools (e.g., ChatGPT, Claude, Gemini, or similar).
• Strong communication and executive presentation skills.
• Demonstrated experience leading and developing senior analysts or finance professionals.

Requirements

• Ability to influence senior cross-functional stakeholders.
• Build trusted business partnerships.
• Navigating competing priorities.
• Drive sustained results in a highly matrixed organization.

Benefits

• Competitive base salary and equity opportunities.
• Performance-based bonus program, 401k matching, and regular compensation reviews.
• Comprehensive medical, dental, and vision coverage.
• No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy.
• Remote-first culture that supports collaboration and flexibility.
• Learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities.
• Reimbursement for office setup expenses.
• Monthly cell phone & internet stipend.
• Paid parental leave for all new parents.