Remote Principal Actuary — Value-Based Healthcare Pricing

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

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.