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Omada HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive healthcare actuarial expertise, particularly in Medicare Advantage and government markets, with strong capabilities in ROI modeling, performance guarantees, and advanced analytical skills using SQL and Excel. Proven ability to communicate complex methodologies effectively to diverse stakeholders while maintaining intellectual honesty and commercial judgment.
Highest-signal resume keywords
ASA Or FSA DesignationHealthcare Actuarial ExperienceROI ModelingSQL And Advanced Excel SkillsPerformance Guarantees Design
Tech Stack
Tools & technologiesAbout the role
Key responsibilities & impact- Build Omada Health’s internal actuarial capability and establish how the company measures, communicates, and prices the economic value of its programs.
- Develop ROI models for Medicare and government markets and support analyses related to Star Ratings and future program studies.
- Design and price performance guarantees and at-risk terms, including pricing and exposure models, triggers, measurement terms, and actuarial guardrails.
- Serve as the actuarial voice in finalist meetings, RFPs, and renewals with payers, employers, and benefits consultants.
- Model and monitor performance guarantee exposure across the customer portfolio and provide accrual and reserve inputs to Accounting.
- Pressure-test pricing and unit economics, including GLP-1 utilization, pharmacy trend, and medical trend.
- Establish reusable, version-controlled models and methodology documentation.
- Build actuarial understanding across Finance, Strategy, Commercial, and Clinical and support audit and disclosure review.
- Independently set actuarial methodology and assess guarantee soundness while partnering through governance on pricing, contract terms, risk acceptance, accounting conclusions, and external claims.
- Report to the VP of Strategic Finance and partner across Finance, Clinical, Commercial, and Strategy.
Requirements
What you’ll need- 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.
- Intellectual honesty, commercial judgment, and clear written communication.
- Bonus: FSA and MAAA credentials, GLP-1 and pharmacy trend economics, Medicare or government markets, digital health or point solution vendor experience, Python or R, actuarial consulting background.
Benefits
Comp & perks- Competitive salary with generous annual cash bonus
- Equity grants
- Employee stock purchasing plan (ESPP)
- Remote first work from home culture
- Flexible Time Off
- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ROI ModelingPerformance Guarantees DesignClaims-Based Savings StudiesData ExtractionModel BuildingStatistical AnalysisQuantitative AnalysisRisk AssessmentGLP-1 Utilization AnalysisPharmacy Trend Analysis
Soft Skills
Clear Written CommunicationIntellectual HonestyCommercial JudgmentPresentation SkillsCollaboration
Tools & Technologies
SQLExcelAI Analytical WorkflowsPythonR
Certifications & Qualifications
ASAFSAMAAA
Industry Keywords
Healthcare ActuarialMedicare AdvantageGovernment MarketsDigital HealthValue-Based ArrangementsPayer ConsultingRisk-Bearing OrganizationsPerformance GuaranteesShared SavingsEmployer Finance