Director, Actuarial & Performance Guarantees

The posting, as Twin Health wrote it

Twin Health

At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health.

We start by building a dynamic model of each person’s metabolism — drawing on thousands of data points from CGMs, smartwatches, and meal logs — that maps their personal path to better health. Guided by a dedicated clinical care team, our members have lowered their A1C below the diabetes range, achieved lasting weight loss, and reduced or even eliminated medications, all while living healthier, happier lives.

Working here

Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members. We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment.

Twin has been recognized not only for our innovation but also for our culture, including: Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights’ Digital Health 150, and named one of Newsweek’s Top Most Loved Workplace® .

With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally. Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world.

Join us as we reinvent the standard of care in metabolic health.

Opportunity

This role is a unique opportunity to own how Twin puts its outcomes on the line. Twin stands behind its results with performance guarantees, and you’ll be the credentialed actuarial owner of those commitments from first design through final settlement.

As Director, Actuarial & Performance Guarantees, you’ll help shape Twin’s deals from the start, validating the business case we present to clients. You’ll lead the development of Twin’s performance guarantees and serve as the actuarial voice in partner contracting. You’ll also oversee measurement and settlement of every guarantee in market. You’ll partner closely with Accounting and Finance to ensure the company forecasts guarantee outcomes accurately and recognizes revenue appropriately. This is a highly visible role reporting into Value, Access & Pricing leadership, working directly with senior leadership, sales, finance, clinical, and data teams. Your work will shape how health plans, employers, and health systems evaluate Twin.

Responsibilities

• Shape deals from the start by partnering with sales and pricing on deal structure, fees at risk, and guarantee terms, so that each opportunity is commercially attractive and actuarially sound before it reaches contracting, including

[…]
ms, and external partners.

• Passion: Twin’s purpose to transform lives by empowering people to reverse, prevent and improve chronic metabolic diseases excites you.
• This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Compensation and Benefits

The compensation range for this position is $205,000 - $215,000 annually. This position is bonus eligible.

Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin

• A competitive compensation package in line with leading technology companies
• A 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, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan

Salary range for US jobs
US Salary Range
$205,000 — $215,000 USD

We have been made aware of fraudulent interview requests being sent using the Twin Health's name. All communications will come from official Twin Health channels and a twinhealth.com email address. We will never ask you to complete a text interview or request financial details during the interview process.