Principal Actuary

Principal Actuary Sana’s vision is simple yet bold: make healthcare easy.  We all know navigating healthcare in the U.S. is confusing, costly, and frustrating -- and our members are used to feeling that pain. That’s why we’re building something different: affordable health plans designed around Sana Care, our integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them. Whether it’s a quick prescription refill or guidance through a complex medical journey, Sana Care makes it feel effortless to get the right care at the right time. And for employers and brokers, we’ve built intuitive tools to make managing health benefits just as seamless. We’re seeking a Principal Actuary to play a critical role in Sana’s core actuarial and underwriting functions, including pricing, reserving, quoting, renewals, reinsurance, plan design, regulatory strategy, and actuarial support for strategic initiatives. The ideal candidate brings experience in the small-group health market and a track record of building scalable pricing and risk frameworks to support sustainable growth. Equally important, this person brings a collaborative, flexible, and entrepreneurial mindset well-suited to a fast-growing startup. Reporting to the Head Actuary, the Principal Actuary will help shape Sana’s actuarial strategy and execution while partnering closely with our Revenue, Finance, Product & Engineering, Legal, Care Team, and Operations teams. If you love solving hard problems that make people’s lives easier, come build with us. What you will do:

Own and evolve key components of Sana’s pricing, reserving, underwriting, and rate manual, ensuring accuracy, scalability, and consistency as the business grows

Design, build, and maintain actuarial models and tools to analyze pricing, loss ratios, reserves, and performance trends across small-group products

Partner closely with Product, Data, and Engineering to ensure pricing applications, data pipelines, and analytics tools support Sana’s actuarial and underwriting needs

Develop, document, and update pricing assumptions and actuarial factors, clearly communicating impacts and tradeoffs to cross-functional stakeholders

Support new business and renewal quoting, applying sound actuarial judgment to complex pricing, underwriting, and reserving processes and decisions

Contribute meaningfully to plan design, rating methodologies, and underwriting rules, balancing competitiveness, risk, and unit economics

Support reinsurance strategy and execution, including monitoring performance and collaborating with brokers and partners.

Deliver regular and ad hoc analyses and reporting on underwriting performance, loss ratios, and emerging risks for internal leaders and external partners

Provide actuarial input on regulatory filings and compliance-related analyses as needed.

Drive continuous improvement in predictive modeling, analytics, and actuarial processes, helping Sana take disciplined risks and improve underwriting performance

Serve as a trusted actuarial partner across Revenue, Finance, Care Team, Operations, and Product on strategic initiatives and ambiguous problems

Mentor and support other actuarial team members through technical guidance, review, and knowledge sharing

About you:

5-7+ years of actuarial experience with meaningful exposure to small-group, level-funded, and/or medical stop loss insurance

Credentialed actuary (ASA or FSA) or actively pursuing fellowship, with strong actuarial judgment and ownership mindset

Experience in insurance pricing, including building and maintaining rate manuals, pricing tools, etc.

Highly analytical and comfortable working directly with data to identify trends, assess risk, and inform decisions

Proficient in SQL, Excel, and modern analytics tools, and experienced with at least one data science or modeling language (e.g., Python, R, SAS)

Understand the actuarial and reporting needs of external partners (e.g., reinsurers, carriers, brokers, regulators) and can produce clear, credible analyses from complex data

Work effectively across functions and can translate actuarial concepts for non-actuarial stakeholders in Revenue, Finance, Product, Legal, and Operations

Bring a builder’s mindset -- you are comfortable improving existing tools while designing new processes and frameworks from the ground up

Comfortable operating in a fast-moving, ambiguous startup environment, where priorities evolve and roles are not rigidly defined

Communicate clearly and thoughtfully, whether collaborating asynchronously, writing documentation, or working through complex problems live

Care deeply about Sana’s mission and are motivated by the opportunity to make healthcare work better for people and employers

Show humility, curiosity, and follow-through, earning trust through strong judgment, accountability, and collaboration

Benefits:

Remote company with a fully distributed team – no return-to-office mandates

Flexible vacation policy (and a culture of using it)

Medical, dental, and vision insurance with 100% company-paid employee coverage

401(k), FSA, and HSA plans

Paid parental leave

Short and long-term disability, as well as life insurance

Competitive stock options are offered to all employees

Transparent compensation & formal career development programs

Paid one-month sabbatical after 5 years

Stipends for setting up your home office and an ongoing learning budget

Direct positive impact on members’ lives – wait until you see the positive feedback members share every day