Principal Actuary
New
O
Omada HealthDigital health
Location: Remote, USAFull-TimePrincipal
SalaryZone 1: $228,160 - $285,200; Zone 2: $218,240 - $272,800; Zone 3: $198,400 - $248,000
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Job Details
- Experience
- 10 or more years of healthcare actuarial experience
- Required Skills
- SQL
Requirements
- Hold an ASA or FSA designation from the Society of Actuaries, in good standing.
- Have a bachelor’s degree in actuarial science, mathematics, statistics, economics, or a comparable quantitative field.
- Bring 10 or more years of healthcare actuarial experience across Medicare Advantage, government markets, payer, consulting, or a risk-bearing digital health or provider organization.
- Have hands-on experience with medical and pharmacy claims.
- Have built matched-cohort and claims-based savings studies that have withstood third-party scrutiny.
- Have experience designing or evaluating performance guarantees, shared savings, ROI, or other value-based arrangements, including quantifying downside exposure.
- Have strong SQL and advanced Excel skills and be able to independently extract data, build models, and validate results.
- Have experience using AI in analytical workflows, validating outputs, and appropriately handling confidential information.
- Be able to present and defend methodology to payer actuaries and analysts, benefits consultants, and employer finance leaders.
- Bonus: FSA and MAAA credentials, GLP-1 and pharmacy trend economics experience, Medicare or government markets experience, digital health vendor experience, Python or R, or actuarial consulting experience.
Responsibilities
- Partner with Clinical and Commercial teams to develop ROI models for Medicare and government markets and support analyses related to Star Ratings.
- Design and price performance guarantees and at-risk terms, including pricing and exposure models, measurement terms, and actuarial guardrails.
- Represent actuarial methodology in finalist meetings, RFPs, and renewals with payers, employers, and benefits consultants.
- Model and monitor performance guarantee exposure across the customer portfolio and identify contracts at risk.
- Provide accrual and reserve inputs to Accounting.
- Pressure-test pricing and unit economics, including the effects of GLP-1 utilization, pharmacy trend, and medical trend.
- Establish reusable, version-controlled models and methodology documentation.
- Build actuarial understanding across Finance, Strategy, Commercial, and Clinical, and support audit and disclosure review.
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