Director, Actuarial & Performance Guarantees

The role

The Director, Actuarial & Performance Guarantees will own the design, development, and settlement of performance guarantees. This person will shape deals, validate business cases, and lead the actuarial voice in partner contracting.

What you will do

• Shape deals by partnering with sales and pricing on deal structure and guarantee terms.
• Validate client business cases by reviewing savings projections and ROI models.
• Lead performance guarantee design including savings structures and payout mechanics.
• Price guarantee risk by modeling expected payout distributions.
• Serve as the actuarial lead in contracting and negotiations.
• Own guarantee execution from data inputs through settlement and dispute resolution.
• Partner with Accounting and Finance on forecasting and revenue recognition.
• Govern actuarial methodology and produce actuarial memos.
• Collaborate with sales, clinical, and data engineering teams.
• Build the actuarial function by establishing processes and mentoring analysts.

Required qualifications

• Fellow of the Society of Actuaries (FSA) required.
• Member of the American Academy of Actuaries (MAAA) required.
• 8+ years of health actuarial experience.
• 3+ years designing, pricing, or reconciling performance guarantees, value-based contracts, or vendor ROI arrangements.
• Direct Medicare Advantage actuarial experience.
• Working knowledge of the MA bid process, CMS-HCC risk adjustment, Star Ratings, medical loss ratio requirements, and supplemental benefits.
• Experience shaping deal structures and negotiating actuarial terms with health plans, employers, or consultants.
• Experience partnering with Accounting on revenue recognition, accruals, or reserving.
• Strong grounding in claims-based savings measurement, risk adjustment, and comparison group methods.
• Advanced skills in SQL and a statistical programming language (R or Python).
• Ability to translate complex actuarial findings into clear recommendations.
• Authorized to work for any employer in the U.S.

Nice to have

• Familiarity with ASC 606 variable consideration

Benefits

• Competitive compensation package
• Remote and accomplished global team
• Opportunity for equity participation
• Unlimited vacation with manager approval
• 16 weeks of 100% paid parental leave for delivering parents
• 8 weeks of 100% paid parental leave for non-delivering parents
• 100% Employer sponsored healthcare, dental, and vision for you
• 80% coverage for your family
• Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan

Before you apply

• Applicants must be authorized to work for any employer in the U.S.
• Unable to sponsor or take over sponsorship of an employment Visa at this time.

About the company

Twin Health empowers people to improve and prevent chronic metabolic diseases with AI Digital Twin technology. The company is scaling rapidly across the U.S. and globally.