Principal Actuary

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