Actuarial Analyst

Summary

Clover Health is reinventing health insurance by combining data, software, and human empathy to improve healthcare outcomes for its members. The Actuarial Analyst will participate in a rotational program supporting financial forecasting, reserving, pricing, medical economics, risk adjustment, and value-based care through quantitative analysis and actuarial modeling. The role partners with actuaries and business leaders to deliver data-driven insights and improve financial and operational performance.

Responsibilities

• Perform quantitative analyses that support key actuarial functions, including financial forecasting, medical cost analysis, revenue optimization, reserving, pricing, risk adjustment, and value-based care initiatives
• Develop and maintain analytical models using actuarial principles, statistical methods, and large healthcare datasets to evaluate financial performance, identify trends, and support strategic decision-making
• Partner with actuaries and cross-functional business leaders to analyze operational and financial performance, investigate emerging trends, and develop data-driven recommendations
• Prepare reports, dashboards, and executive presentations that communicate complex analytical findings and support business planning, forecasting, and performance monitoring
• Support enterprise financial planning by analyzing medical costs, revenue drivers, risk adjustment performance, utilization trends, and other key business metrics across the Medicare Advantage business
• Identify opportunities to improve processes and automate analyses using SQL, Excel, Python, and other AI analytical tools
• Participate in rotational assignments across multiple actuarial disciplines to develop broad business knowledge and technical expertise while contributing to strategic initiatives across the organization
• Support special projects and innovation initiatives that improve healthcare affordability, operational performance, member outcomes, and enterprise financial results

Skills

• 2-4 years of experience in healthcare finance, analytics, actuarial, consulting, strategy, operations, or a related field
• Successful completion of one or more Society of Actuaries (SOA) exams is required
• Strong quantitative, analytical, and problem-solving skills with the ability to work with large datasets and complex business questions
• SQL and Excel skills required
• Strong communication and presentation skills with the ability to translate complex analyses into actionable business insights
• Experience in Medicare Advantage, managed care, or value-based healthcare preferred
• Experience with Python, R, AI tools, Github, and business intelligence platforms preferred

Qualifications

Must Haves

• 2-4 years of experience in healthcare finance, analytics, actuarial, consulting, strategy, operations, or a related field
• Successful completion of one or more Society of Actuaries (SOA) exams is required
• Strong quantitative, analytical, and problem-solving skills with the ability to work with large datasets and complex business questions
• SQL and Excel skills required
• Strong communication and presentation skills with the ability to translate complex analyses into actionable business insights

Nice to Haves

• Experience in Medicare Advantage, managed care, or value-based healthcare preferred
• Experience with Python, R, AI tools, Github, and business intelligence platforms preferred

Benefits

• Equity opportunities
• A performance-based bonus program
• 401k matching
• Regular compensation reviews
• Comprehensive medical, dental, and vision coverage
• No-Meeting Fridays
• Monthly company holidays
• Access to mental health resources
• A generous flexible time-off policy
• A remote-first culture that supports collaboration and flexibility, allowing team members to thrive from any location
• Learning programs
• Mentorship
• Professional development funding
• Regular performance feedback and reviews
• 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