Principal Actuary

Omada Health is on a mission to bend the curve of chronic disease.

Job overview:

Omada is seeking a Principal Actuary to build our internal actuarial capability and help establish how we measure, communicate, and price the economic value of our programs. Reporting to the VP of Strategic Finance, you will be a hands-on individual contributor partnering across Finance, Clinical, Commercial, and Strategy.

You will bring actuarial rigor to savings and ROI methodology, performance guarantees, and at-risk arrangements. This role combines independent modeling with customer-facing work: you will build defensible analyses, explain trade-offs to business partners, and engage directly with payer actuaries and benefits consultants.

Your Impact:

• 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.

You will independently set actuarial methodology and assess guarantee soundness, while partnering through existing governance for final pricing, contract terms, material risk acceptance, accounting conclusions, and external claims.

About you:

• 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.

You bring intellectual honesty, commercial judgment, and clear written communication. You can challenge an unsupported assumption constructively, distinguish evidence from uncertainty, and translate complex analysis into decisions without compromising methodological integrity.

Bonus Points for:

• 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:

• 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
• ...and more!

It takes a village to change health care. As we build together toward our mission, we strive to embody the following values in our day-to-day work. We hope these hold meaning for you as well as you consider Omada!

• Cultivate Trust. We listen closely and we operate with kindness. We provide respectful and candid feedback to each other.
• Seek Context. We ask to understand and we build connections. We do our research up front to move faster down the road.
• Act Boldly. We innovate daily to solve problems, improve processes, and find new opportunities for our members and customers.
• Deliver Results. We reward impact above output. We set a high bar, we’re not afraid to fail, and we take pride in our work.
• Succeed Together. We prioritize Omada’s progress above team or individual. We have fun as we get stuff done, and we celebrate together.
• Remember Why We’re Here. We push through the challenges of changing health care because we know the destination is worth it.

About Omada Health: Omada Health (Nasdaq: OMDA) is reverse engineering the way healthcare is delivered in America, putting the space between doctor visits–where health is won or lost–at the center of care. Today's healthcare system poorly serves chronic conditions that require ongoing support outside of the exam room, like obesity, diabetes, hypertension, cholesterol, and musculoskeletal conditions. Omada’s virtual-first model combines human-led care teams, connected devices, and AI-enabled technology to deliver personalized care at scale, including support for GLP-1 therapy. Omada has served more than two million members since launch across 2,000+ employers, health plans, pharmacy benefit managers, and health systems. Learn more at omadahealth.com.

Omada is thrilled to share that we’ve been certified as a Great Place to Work! Please click here for more information.

We carefully hire the best talent we can find, which means actively seeking diversity of beliefs, backgrounds, education, and ways of thinking. We strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions. Omada is proud to be an equal opportunity workplace and affirmative action employer. We are committed to equal opportunity regardless of race, color, religion, sex, gender identity, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, domestic partner status, sexual orientation, or any other basis protected by local, state, or federal laws. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Below is a summary of salary ranges, by geographic zone, for this role*. These ranges represent a good faith estimate of the minimum and maximum base salary for the position in that zone at the time of posting. Please refer to thisresource for detail on zone designations.

Zone 1: $228,160 - $285,200

Zone 2: $218,240 - $272,800

Zone 3: $198,400 - $248,000

Please note that zones may be updated as market data changes but we will honor the range applicable to your zone (which is determined by your location) as of your application date.

*The actual offer, including the compensation package, will be within the posted range for the relevant zone and will be determined based on multiple factors, such as the candidate's skills and experience, and other business considerations such as internal equity.

Please click here for more information on our Candidate Privacy Notice.

Originally posted on Himalayas