Senior Director, Actuarial - Risk Adjustment

Location: Fully remote within the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Work is completed from a home office with occasional travel for team meetings and company events.

Base pay: $196,733–$258,212 per year in most locations; $218,592–$286,902 per year in California, Connecticut, New Jersey, New York, and Washington.

Company

hirify.global is a health insurance company built around a full-stack technology platform and a focus on member care.

What you will do

• Lead ACA risk adjustment financial reporting, monthly close activities, forecasting, external audits, and regulatory reviews.
• Develop projections and strategic insights on risk scores and risk adjustment performance.
• Analyze market morbidity drivers and their financial implications with internal and external stakeholders.
• Deliver executive-facing reporting and translate actuarial analysis into strategic recommendations.
• Partner with Finance, Market P&L, Risk Adjustment Operations, Medical Economics, and Data Science.
• Direct advanced analytics initiatives and lead, coach, and develop actuarial professionals.

Requirements

• Bachelor’s degree in a STEM field or four years of equivalent experience.
• 12+ years of quantitative analysis experience in the healthcare industry.
• 5+ years of collaboration with and influence on an Executive Leadership Committee.
• Experience in pricing or another analytics-driven leadership role.
• Strong expertise in government-program risk adjustment, preferably in the ACA Marketplace.
• Must reside in an eligible U.S. location; the listed states and U.S. Territories are excluded.

Nice to have

• Experience leading actuarial financial reporting, claims reserving, and risk adjustment.
• Qualification or willingness to become qualified as an appointed actuary.
• Fellowship in the Society of Actuaries or progress toward fellowship.
• Knowledge of ACA healthcare laws, regulations, and compliance requirements.
• Strong process management, communication, collaboration, and relationship-building skills.

Culture & Benefits

• Full-time employment with medical, dental, and vision benefits.
• Unlimited vacation, paid sick time, paid parental leave, and 11 paid holidays.
• 401(k) participation, life and disability insurance, paid wellness time, and reimbursements.
• Equity grants and annual performance bonuses.
• Equal-opportunity workplace focused on belonging and authentic participation.