Principal Actuary
Omada Health
- Salary
- $198k - $285k
- Experience
- 10+ Years
Role Summary
Role type
Capital, risk, and healthcare strategy
Closer to a capital and risk strategy role than a standard pricing-underwriting partnership because it governs guarantee exposure, methodology, and value-based risk across customer arrangements.
Principal Health Actuary role with Omada Health, working remotely across the United States. Reporting to the VP of Strategic Finance, you will build pricing, ROI, performance guarantee, and risk methodologies for Medicare Advantage, government, payer, and employer markets while engaging directly with customers and payer actuaries.
Requirements
Strongly preferred
- 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, 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
- Intellectual honesty, commercial judgment, and clear written communication
Nice to have
- 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
- Actuarial consulting background spanning multiple client methodologies
Skills & Domain
ToolsExcel
DomainMedicare Advantage and government marketsMedical and pharmacy claims analysisPerformance guarantee and value-based arrangement designMatched-cohort savings studies