Principal Actuary

Remotefull timeRemote

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senior

$228k–$285k

H1B: no

Omada Health Principal Actuary at Omada Health to build internal actuarial capability and develop ROI models, pricing, and performance guarantees for healthcare programs. Partners across Finance, Clinical, Commercial, and Strategy teams with customer-facing actuarial responsibilities.

Responsibilities

Partner with Clinical and Commercial teams to develop ROI models for Medicare and government markets, support analyses related to Star Ratings, and inform future studies and evaluations of Omada’s programs and services.
Design and price performance guarantees and at-risk terms. Build pricing and exposure models, define clear triggers and measurement terms, and establish actuarial guardrails for customer commitments.
Serve as the actuarial voice in finalist meetings, RFPs, and renewals with payers, employers, and benefits consultants; explain and defend measurement methodology actuary-to-actuary.
Model and monitor performance guarantee exposure across the customer portfolio. Identify contracts at risk and 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 on Omada’s programs and customers.
Establish reusable, version-controlled models and methodology documentation. Build actuarial understanding across Finance, Strategy, Commercial, and Clinical, and support audit and disclosure review.

Qualification

Bachelor’s degree in actuarial scienceStrong SQL and advanced Excel skillsPython or R for modeling and automation

Required

ASA or FSA designation from the Society of Actuaries, in good standing.
Bachelor’s degree in actuarial science, mathematics, statistics, economics, or a comparable quantitative field.
10 or more years of healthcare actuarial experience across Medicare Advantage, government markets, payer, consulting, or a risk-bearing digital health or provider organization.
Hands-on experience with medical and pharmacy claims, including building matched-cohort and claims-based savings studies that have withstood third-party scrutiny.
Experience designing or evaluating performance guarantees, shared savings, ROI, or other value-based arrangements, including quantifying downside exposure.
Strong SQL and advanced Excel skills, with the ability to independently extract data, build models, and validate results.
Strong experience using AI in analytical workflows, with clear validation of outputs and appropriate handling of confidential information.
Ability to present and defend methodology to payer actuaries and analysts, benefits consultants, and employer finance leaders.

Preferred

FSA and MAAA credentials rather than ASA alone.
Direct experience with GLP-1 and pharmacy trend economics, including specialty drug management.
Experience in Medicare or government markets, including Medicare Advantage, Medicaid managed care, or risk adjustment methodologies.
Experience at a digital health or point solution vendor selling into employers and payers.
Python or R for modeling and automation, and/or an actuarial consulting background spanning multiple client methodologies.

Benefits

Dental
Vision
401(k)
Equity/RSU
Parental Leave
Wellness

Company

Omada Health

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Source: greenhouse

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Remote-friendly

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