Principal Actuary

About the role

We are looking for a hands-on Principal Actuary who can quantify the financial "alpha" created by the intersection of plan design and high-quality care and translate that into product, pricing, and market strategy.

What you’ll do (Essential Responsibilities)

• Architect the Savings Engine: Advance the foundational actuarial models for Embold Edge that link physician quality to tangible medical cost reduction.
• External Market Authority: Act as the technical face of Embold Edge. You will engage with health plan actuaries, consultants, and other external stakeholders to validate our savings methodology and actuarial assumptions.
• Reporting Savings: You will work with Client Success and Client Reporting teams to develop quarterly and annual client deliverables and identify key program value levers and opportunities for improvement.
• Publication: Partner internally and external parties to publish program performance and contribute to the broader dialogue in the actuarial and employee benefits/HR community.
• Alternative Health Plan (AHP) Strategy: Design innovative financial structures for our health plan partners, including risk-sharing, performance-based pricing, and surplus-sharing models that reward quality.
• Rapid Prototyping: Work directly with the leadership across organizations to iterate on "next generation" solutions. You must be able to model outcomes for new products that don't have decades of legacy data.
• All other duties as assigned.

What you’ll bring (Qualifications)

• Credentialed Actuary: ASA or FSA required.
• Healthcare Modernizer: 7+ years of experience in healthcare actuarial roles. You must understand how traditional plans work so you can articulate exactly why Embold Edge is better.
• High Stakes Communication: Experience presenting to executive-level audiences (CFOs, CEOs, Board members). You can hold your own in a debate about trend, IBNR, and risk adjustment while staying focused on the growth mission.
• Collaboration Effectiveness: Demonstrated ability to drive cross-functional work forward in a fast-moving, complex organization through strong judgment, communication, and emotional intelligence.
• Data Fluency: Mastery of SQL and statistical modeling (Python/R) to extract insights from large-scale claims and provider data sets.
• Speed & Agility: Experience in a high-growth or "unit-based" environment where speed to market and iterative design are valued over rigid corporate cycles.
• A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health’s policies, values and ethics, and to protecting the sensitive data entrusted to us.