# Director, Actuarial & Performance Guarantees at Twin Health

- Company: Twin Health
- What the company does: Twin Health helps employees and health plan members improve their metabolic health for normalized blood sugar, reduced medications, and sustained weight loss. Backed by Peak XV and ICONIQ.
- Company website: https://www.twinhealth.com/
- Type: Startups (AI role)
- Level: Principal and up
- Location: New York, NY
- Work setup: On-site
- Pay: $205K to $215K base salary per year (USD)
- Posted: 2026-10-30
- Apply by: 2026-12-14
- Apply: https://job-boards.greenhouse.io/twinhealth/jobs/6238515004?utm_source=1752vc&utm_medium=careers
- Page: https://www.1752.vc/careers/jobs/twin-health-director-actuarial-and-performance-guarantees/

## About the role

Join us as we reinvent the standard of care in metabolic health. 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. Found on 1752vc Careers, the job board for startup and VC roles.

## What they're looking for

- Credentials: Fellow of the Society of Actuaries (FSA) and Member of the American Academy of Actuaries (MAAA) required
- Financial Acumen: Experience partnering with Accounting on revenue recognition, accruals, or reserving for at-risk or contingent arrangements. Familiarity with ASC 606 variable consideration is strongly preferred
- Technical Proficiency: Advanced skills in SQL and a statistical programming language (R or Python), with comfort working directly in a modern data warehouse
- Communication: Ability to translate complex actuarial findings into clear recommendations for senior leadership, sales teams, 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

Tags: Health Economics

Source: 1752vc Careers, https://www.1752.vc/careers/jobs/twin-health-director-actuarial-and-performance-guarantees/