Principal Actuary

Omada Health is seeking a Principal Actuary to build its internal actuarial capability and help establish how it measures, communicates, and prices the economic value of its programs.

The successful candidate will be a hands-on individual contributor partnering across Finance, Clinical, Commercial, and Strategy. They will bring actuarial rigor to savings and ROI methodology, performance guarantees, and at-risk arrangements.

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.

Requirements:

• 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.

Benefits:

• Competitive salary with generous annual cash bonus
• Equity grants
• Employee stock purchasing plan (ESPP)
• Remote first work from home culture
• Flexible Time Off to help you rest, recharge, and connect with loved ones
• Generous parental leave
• Health, dental, and vision insurance (and above market employer contributions)
• 401k retirement savings plan
• Lifestyle Spending Account (LSA)
• Mental Health Support Solutions