Remote opportunity at
Omada HealthPrincipal Actuary
Omada Health seeks a Principal Actuary to establish internal actuarial capabilities and shape how the company prices, measures, and communicates the economic value of its programs.…
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About This Role
Omada Health seeks a Principal Actuary to establish internal actuarial capabilities and shape how the company prices, measures, and communicates the economic value of its programs. Operating as a hands-on individual contributor reporting to the Vice President of Strategic Finance, the person in this role will collaborate across Strategy, Clinical, Commercial, and Finance teams. Duties involve applying actuarial rigor to savings methodologies, return-on-investment frameworks, and performance guarantees. This position requires…
Job Description
Omada Health seeks a Principal Actuary to establish internal actuarial capabilities and shape how the company prices, measures, and communicates the economic value of its programs. Operating as a hands-on individual contributor reporting to the Vice President of Strategic Finance, the person in this role will collaborate across Strategy, Clinical, Commercial, and Finance teams. Duties involve applying actuarial rigor to savings methodologies, return-on-investment frameworks, and performance guarantees.
This position requires an individual who can build independent models while managing external engagement, including direct discussions with benefits consultants and payer actuaries. Responsibilities span designing exposure models, evaluating risk terms, monitoring performance guarantee exposures, and contributing to finalist meetings and renewals. Preferred backgrounds include healthcare actuarial work across government markets, Medicare Advantage, risk-bearing digital health companies, or consulting environments.
Omada Health operates as a virtual-first organization focused on reversing chronic disease delivery through human-led care teams, connected devices, and technology supporting conditions like diabetes, obesity, hypertension, and musculoskeletal issues.
Responsibilities
- Collaborate with Clinical and Commercial departments to formulate return-on-investment models for government and Medicare markets, support Star Ratings analyses, and inform program evaluations
- Create and price at-risk terms and performance guarantees by developing exposure models, measurement triggers, and customer commitment guardrails
- Act as the primary actuarial representative during renewals, requests for proposals, and finalist meetings with employers, payers, and consultants
- Track and model performance guarantee exposure across the customer roster, supplying reserve and accrual inputs to the Accounting team
- Evaluate unit economics and pricing under the influence of pharmacy trends, medical trends, and GLP-1 utilization
- Formulate reusable, version-controlled methodology documentation and models
- Set independent actuarial methodology and assess the soundness of guarantees while collaborating within established governance channels for final terms and pricing
Requirements
- Hold either an ASA or FSA designation in good standing from the Society of Actuaries
- Possess a bachelor degree in economics, mathematics, actuarial science, statistics, or a related quantitative discipline
- Accumulate at least 10 years of healthcare actuarial background within consulting, payer organizations, risk-bearing digital health providers, or government markets
- Demonstrate hands-on facility with pharmacy and medical claims, including the creation of claims-based savings and matched-cohort studies that passed third-party reviews
- Bring past practice in designing or assessing performance guarantees, shared savings models, value-based arrangements, or return on investment metrics
- Show proficiency in advanced Excel and SQL for independent data extraction, modeling, and result validation
- Utilize artificial intelligence in analytical workflows responsibly, ensuring output validation and confidentiality protection
- Communicate and defend methodologies clearly to employer finance leaders, benefits consultants, and payer actuaries
Qualifications
- Possess FSA and MAAA credentials in addition to an ASA
- Show direct involvement with pharmacy trend economics and GLP-1 management
- Bring background in Medicaid managed care, Medicare Advantage, risk adjustment, or government markets
- Have prior work history at a point solution vendor or digital health enterprise selling to payers and employers
- Apply Python or R for automation and modeling, or maintain an actuarial consulting background handling multiple client methodologies
Core Skills
Benefits
- Competitive salary paired with an annual cash bonus
- Equity grants and an employee stock purchasing plan
- Remote first work environment
- Flexible Time Off
- Parental leave
- Health, dental, and vision insurance with above-market employer contributions
- 401k retirement savings plan
- Lifestyle Spending Account
- Mental Health Support Solutions
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the remote work policy for this position?
The posting specifies a remote-first work-from-home culture.
What qualifications are required for the Principal Actuary role?
Candidates must hold an ASA or FSA designation from the Society of Actuaries in good standing, a bachelor degree in a quantitative field such as actuarial science or mathematics, and at least ten years of healthcare actuarial experience.
What salary does this role offer?
Exact salaries depend on geographic zones: Zone 1 ranges from $228,160 to $285,200, Zone 2 ranges from $218,240 to $272,800, and Zone 3 ranges from $198,400 to $248,000. Actual offers are determined by skills, experience, and internal equity.
What type of employment is this?
The posting indicates full-time employment.
Sample Interview Questions
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