Clover Health - Senior Actuarial Analyst

• Within the first 90 days: You will learn Clover’s CMS HCC/RxHCC models and accurately support monthly close and revenue accrual processes, deliver clear and reliable analyses using claims and EDS data, and identify opportunities to improve or automate actuarial workflows. • Within the first 6 months: You will independently own components of risk score modeling, forecasting, and monthly close processes, build automated tools or dashboards that improve efficiency and insight, and provide actionable analysis to support bidding and risk adjustment strategy. • Future success: You will drive accurate revenue projections, serve as a trusted Medicare Risk Adjustment partner, continuously enhance automation and financial controls, and contribute strategic insights that support value-based care and long-term growth. • Future success: • You should get in touch if: • You have at least one year experience in health insurance; Medicare experience is preferred. • You have completed at least two actuarial exams. • You have an interest in building automated tools around actuarial analysis and experience building analytic dashboards. • You have basic programming skills, such as SQL, SAS, R, or Python. • You are a self-starter, have a high degree of internal drive and motivation, and desire to execute at a high level. • You have two years experience with Medicare Risk Adjustment, CMS EDS submissions, and healthcare claims data. • You have at least two years of programming experience. Examples include SQL, R, Python, SAS, VBA.