Clover Health (501+ Employees, 63% 2 Yr Employee Growth Rate)

11% 1-Year Employee Growth Rate | 63% 2-Year Employee Growth Rate | LinkedIn | $1.3B Venture Funding

What Is Employee Growth Rate & Why Is It Important?

Clover is reinventing health insurance by working to keep people healthier.

We don't just provide health insurance—we deliver the kind of healthcare that people deserve. The Actuarial team at Clover is made up of collaborative and strategic thinkers that are excited about the impact technology can have on healthcare. We're looking for Actuaries who are interested in taking the actuarial discipline into the new era.

We're looking for a Senior Actuary who is interested in enhancing Clover’s ability to make smart and data driven business decisions to join our team.  In this role, you will report to the MAPD Actuarial Director and focus on supporting bid pricing efforts, internal tool development initiatives, and serve as the team expert on Medicare Part D.  

As a Senior Actuary, you will:

  • Serve as the Medicare pricing team’s expert on Part D and develop analyses and recommendations with regards to product design, formulary design, regulatory trends, PBM terms, rebates, and guarantees, and market landscape analysis.
  • Present and communicate actuarial analyses to actuarial and other business leaders in the organization. 
  • Develop internal forecasts of the national average bid amount, national average member premium, and regional LIPSAs.
  • Build tools to evaluate the prospective Part D financial performance of Medicare products. 
  • Enables MAPD growth potential by supporting development of unique products, innovative benefits, and strategic growth initiatives. 
  • Partner with operational teams to ensure the proper implementation of products. 
  • Communicate key results to executives, functional leads, and consultants.
  • Be a key contributor to the MA financial goals, such as membership growth and medical cost ratio.
  • Lead certain actuarial aspects of Medicare Advantage and Part D (MAPD) bidding process.  Examples include, but are not limited to, reporting historical experience, base period reconciliation, methodology and assumption formulation, authoring supporting documentation, and preparing responses for desk reviewers and auditors.
  • Perform ad-hoc analyses as requested by business partners.
  • Contribute to cross functional efforts.  Examples include evaluation of new markets, evaluation of new products, benefit design, and overall MAPD strategy.

You will love this job if:

  • You are passionate about actuarial science and want to take your experience to the next level.
  • You dream about ways to make the healthcare system more efficient and are excited about the prospect of leveraging data science techniques to do so.
  • You are analytical and strategic and love working in a collaborative, transparent, flexible, and cross-functional work environment.
  • You want to make an impact. From project scope to priority to implementation, you'll have an impact on how decisions get made.

You should get in touch if:

  • You are an Associate or Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries; or you are on track to receive your credentials soon.
  • You have at least 3 years of Medicare Advantage and Part D bidding, preferably with MAPD plans with enhanced alternative plan designs and LIPSA-targeting plans. 
  • Knowledge of accrual calculations for reinsurance, LICS, and the Part D risk corridor.
  • You have proficiency in coding.  Examples include SAS, VBA, SQL, Python, and R (preferred).
  • You are a self-starter, have a high degree of internal drive and motivation, and desire to execute at a high level.
  • You are relentlessly focused on serving the needs of diverse business customers.

Tagged as: >50% 2 Yr Employee Growth, 501+ Employees, Hide US-Only Jobs, Venture Funded

Job Overview
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