Director, Actuarial & Performance Guarantees

Location: Remote, based in the United States; applicants must be authorized to work for any U.S. employer. New York, NY is listed as a location.

Salary: $205,000–$215,000 annually, plus bonus eligibility.

Company

hirify.global is a digital health company using AI Digital Twin technology, clinical care, and data from connected health devices to help people prevent and improve chronic metabolic diseases such as type 2 diabetes and obesity.

What you will do

• Shape deal structures, fees at risk, guarantee terms, and arrangements aligned with Medicare Advantage economics, bid cycles, and quality programs.
• Validate savings projections, ROI models, population assumptions, and client business cases.
• Design and price savings and clinical performance guarantees, including measurement windows, comparison populations, credibility thresholds, payout mechanics, and risk scenarios.
• Lead actuarial contracting work, negotiate guarantee terms, review contract language, and defend methodologies with payers, consultants, and partner analytics teams.
• Own guarantee execution from data inputs through measurement, reconciliation, settlement, and dispute resolution.
• Partner with Accounting and Finance on ASC 606 variable consideration, forecasts, accruals, true-ups, methodology governance, and audit-ready actuarial documentation while building the actuarial function.

Requirements

• Fellow of the Society of Actuaries (FSA) and Member of the American Academy of Actuaries (MAAA) required.
• 8+ years of health actuarial experience, including 3+ years designing, pricing, or reconciling performance guarantees, value-based contracts, or vendor ROI arrangements.
• Direct Medicare Advantage actuarial experience required, including knowledge of the MA bid process, CMS-HCC risk adjustment, Star Ratings, medical loss ratio requirements, supplemental benefits, and vendor program impacts from a plan perspective.
• Experience shaping deal structures, negotiating actuarial terms with health plans, employers, or consultants, and defending business cases and methodologies under external review.
• Experience partnering with Accounting on revenue recognition, accruals, reserving, or other at-risk or contingent arrangements.
• Strong grounding in claims-based savings measurement, risk adjustment, and comparison group methods, including difference-in-differences and matched cohort designs and their limitations.
• Advanced SQL skills and proficiency in R or Python, with comfort working directly in a modern data warehouse.
• Ability to communicate complex actuarial findings clearly to senior leadership, sales teams, and external partners.
• Must be authorized to work for any employer in the United States. hirify.global cannot sponsor or take over sponsorship of an employment visa.

Nice to have

• Familiarity with ASC 606 variable consideration.
• Passion for transforming lives by helping people reverse, prevent, and improve chronic metabolic diseases.

Culture & Benefits

• Remote role with a global team and a flexible work environment.
• Bonus eligibility and opportunity for equity participation.
• Unlimited vacation with manager approval.
• Paid parental leave: 16 weeks at 100% for delivering parents and 8 weeks at 100% for non-delivering parents.
• Employer-sponsored healthcare, dental, and vision coverage, with family coverage and HSA/FSA options.
• 401(k) retirement savings plan.