Principal Actuary (Healthcare)

Location: Remote, USA

Base salary: $198,400–$248,000 for Zone 3, $218,240–$272,800 for Zone 2, or $228,160–$285,200 for Zone 1, plus an annual cash bonus.

Company

hirify.global delivers virtual-first chronic care using human-led care teams, connected devices, and AI-enabled technology for conditions including obesity, diabetes, hypertension, cholesterol, and musculoskeletal disorders.

What you will do

• Build ROI models for Medicare and government markets, support Star Ratings analyses, and inform studies and evaluations of healthcare programs and services.
• Design and price performance guarantees and at-risk arrangements, including pricing and exposure models, measurement triggers, and actuarial guardrails.
• Represent actuarial methodology in finalist meetings, RFPs, and renewals with payers, employers, benefits consultants, and payer actuaries.
• 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 GLP-1 utilization, pharmacy trend, and medical trend.
• Establish version-controlled models and methodology documentation, build actuarial understanding across functions, 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.
• At least 10 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 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.
• Ability to apply intellectual honesty, commercial judgment, clear written communication, constructive challenge, and evidence-based decision-making.

Nice to have

• 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 actuarial consulting experience spanning multiple client methodologies.

Culture & Benefits

• Remote-first work-from-home culture with Flexible Time Off.
• Annual cash bonus, equity grants, and an employee stock purchasing plan.
• Health, dental, and vision insurance with above-market employer contributions.
• Generous parental leave, a 401(k) retirement savings plan, Lifestyle Spending Account, and mental health support.
• Culture focused on trust, context, bold action, results, collaboration, inclusion, and improving healthcare.