Director, Actuarial & Performance Guarantees
Twin Health
Director, Actuarial & Performance Guarantees
New York, New York, United States · Remote · 17h ago
Medicare Advantage
- Salary
- $205k - $215k
- Experience
- 8+ Years
Role Summary
Role type
Pricing partner on live health deals
Closer to a live-deal pricing partner than a capital or reserving role, because the deciding work is guarantee negotiation and commercial structuring.
Director-level US Health actuarial role focused on Medicare Advantage performance guarantees, pricing, and value-based contracting. You will design and price guarantee structures, validate savings cases, negotiate actuarial terms, oversee settlement, and support ASC 606 forecasting. The role is remote, based in the U.S., with a listed salary of $205,000-$215,000.
Requirements
Must have
- FSA and MAAA required
- Direct Medicare Advantage actuarial experience with knowledge of MA bid process, CMS-HCC risk adjustment, Star Ratings, MLR, and supplemental benefits
- Authorization to work in the U.S. without sponsorship
Strongly preferred
- 8+ years of health actuarial experience including 3+ years designing, pricing, or reconciling performance guarantees
- Proven experience shaping deal structures and negotiating actuarial terms with health plans, employers, or consultants, and defending business cases under external review
- Experience partnering with Accounting on revenue recognition, accruals, or reserving for at-risk arrangements
- Familiarity with ASC 606 variable consideration
- Strong grounding in claims-based savings measurement, risk adjustment, and comparison group methods (difference-in-differences, matched cohorts)
- Advanced SQL skills
- Proficiency in R or Python
- Ability to work directly in a modern data warehouse
- Ability to translate complex actuarial findings to non-technical audiences
Skills & Domain
DomainMedicare Advantage actuarial experiencePerformance guarantee design and pricingClaims-based savings measurementRisk adjustment and comparison group methods
