Healthjoy
Healthjoy

Principal Actuary

financefull-timeUSA, Remote
SALARY
Not listed
WORK TYPE
remote
JOB TYPE
full-time
INDUSTRY
healthcare
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About the role

Your Impact

We are hiring a Principal Actuary to lead the actuarial side of how we design, price, and measure our products. You will report directly to the CFO and work closely with our executive, product, and data science teams. We already have strong data science and analytics capabilities; this role adds dedicated actuarial leadership to that work.

Some of what this role will work on is not public yet. We will share the specifics during the interview process. What we can say here is that the work sits at the center of where the company is headed, and the math has to be good enough to convince skeptical outside reviewers.

  • Own how we measure value. Build and defend the methodology we use to measure the financial results of our programs. It needs to hold up when an outside actuary, a benefits consultant, or an underwriter takes it apart.
  • Build risk and forecasting models. Partner with our data science team on models that forecast medical cost and utilization for self-funded populations, and own the actuarial assumptions behind them.
  • Design Health Reimbursement Arrangements. Design employer-funded HRAs and incentive programs, including funding levels, rollover rules, reimbursement and substantiation, keeping members HSA-eligible, and staying compliant with IRS rules, including Section 105(h) nondiscrimination testing.
  • Support pricing. Help structure our pricing, including performance guarantees, reconciliation mechanics, and the reserves behind them.
  • Support plan design. Work with employers, brokers, consultants, TPAs, and stop-loss partners on plan design questions across our book of business.
  • Stand behind the numbers. You will sit across the table from actuaries at consulting firms and underwriting partners. You will explain our methods and answer the hard questions.

Your Experience

  • ASA or FSA (MAAA preferred) with at least 7+ years of health actuarial experience, ideally on commercial or employer-sponsored plans
  • A strong understanding of self-funded plan economics, including stop-loss, lasering, and claims forecasting
  • Hands-on experience designing and modeling employer-funded Health Reimbursement Arrangements
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Principal Actuary at Healthjoy — Remote