Director, Actuarial Services (Healthcare)

Location: Remote US; willingness to travel up to 20% of the time.

Salary: $200,000–$225,000 annual base salary; bonus included in the stated annual compensation, excluding equity and benefits.

Company

hirify.global is an AI-powered heart health company building a platform that predicts and prevents cardiac events, serving U.S. health plans and employers.

What you will do

• Lead health economic studies, cost savings analyses, outcomes research, and financial value demonstrations.
• Partner with Sales, Consultant Relations, Customer Success, customers, consultants, and payers on proposals, performance reviews, renewals, and value conversations.
• Analyze medical and pharmacy claims data to evaluate utilization, medication adherence, costs, and financial outcomes.
• Develop risk-based pricing, value-based contracting, specialty incentive opportunities, performance guarantees, and related reserve requirements.
• Present actuarial findings to customers, consultants, executives, industry audiences, and conferences.
• Evaluate new products, market opportunities, competitor trends, Medicare Advantage quality measures, and emerging reimbursement models.

Requirements

• 7+ years of actuarial experience in healthcare, health insurance, or a related healthcare organization, including health economic and financial analyses.
• Client-facing or sales-support experience in consulting, a startup, or a similar environment, with experience presenting analyses to customers, consultants, or executives.
• Deep knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies.
• Proficiency in R and experience analyzing large medical and pharmacy claims datasets, including paid and allowed amounts, healthcare utilization, and medication adherence.
• Experience using artificial intelligence tools and agents for research, analysis, reporting, and complex workflows while evaluating output accuracy and reliability.
• Bachelor’s degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field.
• ASA or FSA credential from the Society of Actuaries.
• Experience with healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models.
• Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes.
• Strong written and verbal communication, storytelling, listening, stakeholder influence, prioritization, and independent execution skills.

Culture & Benefits

• Collaborative, creative, courageous, positive, diverse, and supportive culture.
• Full-time position with annual salary and bonus compensation; equity and benefits are excluded from the stated range.
• Remote work within the United States with travel of up to 20%.