Principal Actuary

Ladders; United States; Remote; USD 228,000 - 285,000; Full time

Benefits offered by this job

Remote-first

Competitive salary

Equity grants

401k plan

ESPP

Mental health support

Parental leave

Healthcare insurance

Employee stock purchase plan

Job summary

Ladders, a leader in the Healthcare space, seeks a Principal Actuary to shape actuarial strategy for value-based care and government programs, with compensation between $228,160–$285,200 annually. Location: Remote.

You will partner with Clinical and Commercial teams to build ROI models for Medicare and government markets, design pricing, and manage financial risk. This is a high-visibility role that supports RFP activity and cross-functional understanding of actuarial methods.

Qualifications

• 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+ years of healthcare actuarial experience in Medicare Advantage, government markets, or risk-bearing organizations.
• Hands-on experience with medical and pharmacy claims and savings studies.
• Experience designing or evaluating performance guarantees and value-based arrangements.
• Strong SQL and advanced Excel skills for data extraction and modeling.
• Experience using AI in analytical workflows.

Responsibilities

• Partner with Clinical and Commercial teams to develop ROI models for Medicare and government markets.
• Design and price performance guarantees and at-risk terms, establishing clear measurement triggers.
• Serve as the actuarial voice in finalist meetings and RFPs, defending measurement methodology.
• Model and monitor performance guarantee exposure across the customer portfolio.
• Pressure-test pricing and unit economics, analyzing trends affecting programs.
• Establish reusable models and documentation to build actuarial understanding across teams.

Skills

SQL

Excel

AI in analytics

Education

ASA or FSA designation

Bachelor's degree in actuarial science/math/ statistics/economics

Job description

For our client, we are seeking a Principal Actuary to join the team of a leader in the Healthcare space.

This role will shape actuarial strategy for value-based care and government-focused programs, with a strong emphasis on pricing, measurement, and financial risk management. The Principal Actuary will partner closely with clinical and commercial stakeholders to build models that inform deal terms, customer economics, and portfolio exposure. This is a highly visible position that also supports RFP activity, finalist conversations, and cross-functional understanding of actuarial methods across the organization.

The work combines technical actuarial depth with business partnership, requiring someone who can translate complex claims and performance dynamics into clear recommendations and reusable frameworks.

Location: Remote

Compensation: $228,160 – $285,200 annually

Responsibilities

• Partner with Clinical and Commercial teams to develop ROI models for Medicare and government markets
• Design and price performance guarantees and at-risk terms, establishing clear measurement triggers
• Serve as the actuarial voice in finalist meetings and RFPs, defending measurement methodology
• Model and monitor performance guarantee exposure across the customer portfolio
• Pressure-test pricing and unit economics, analyzing trends affecting programs
• Establish reusable models and documentation to build actuarial understanding across teams

Qualifications

• 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+ years of healthcare actuarial experience in Medicare Advantage, government markets, or risk-bearing organizations
• Hands‑on experience with medical and pharmacy claims and savings studies
• Experience designing or evaluating performance guarantees and value-based arrangements
• Strong SQL and advanced Excel skills for data extraction and modeling
• Experience using AI in analytical workflows

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 recharge and connect with loved ones
• Generous parental leave
• Health, dental, and vision insurance with above-market contributions
• 401k retirement savings plan
• Lifestyle Spending Account (LSA)
• Mental Health Support Solutions
• And more

Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.