Actuary
About The Position
The Opportunity Imagine being the actuarial voice that turns clinical innovation into undeniable financial value. As Hinge Health scales from a wellness benefit to a medical insurance product with value-based care at its core, you'll be the critical bridge between our Clinical Research, Finance, and Commercial teams—positioning the economic value of our digital MSK solutions in a way that wins over the most skeptical health plan actuaries and secures millions in "at-risk" contracts. You'll serve as the primary subject matter expert in high-stakes negotiations with BUCA plans, ACOs, and Integrated Health Systems, defending our ROI methodologies and designing the financial frameworks that enable Hinge Health to participate in shared-risk arrangements—ultimately expanding access to care for millions.
Requirements
- Bachelor's degree and career Associate of the Society of Actuaries (ASA)
- 8-10+ years of experience in health insurance, specifically with claims data analysis, pricing, and underwriting
- Deep expertise in Medicare Advantage (MA), Fully Insured, and ASO financial models
- Proven ability to translate complex actuarial concepts for non-technical audiences and influence senior stakeholders
Nice To Haves
- Fellow of the Society of Actuaries (FSA) and Member of the American Academy of Actuaries (MAAA)
- Direct experience working with large payer organizations (e.g., Optum, UHG, Anthem, BCBS plans)
- Proficiency in financial modeling (Excel) and data analysis tools; familiarity with healthcare data warehouses (e.g., Databricks) and claims datasets
- Experience with AI tools (e.g., Claude Code) or willingness to develop AI-assisted workflows
Responsibilities
- Establish yourself as the go-to actuarial SME for the Commercial team by participating in 3-5 finalist meetings with prospective health plans
- Audit and refine our current Business Case Analysis (BCA) framework to ensure it reflects best-in-class actuarial standards
- Build relationships with key stakeholders across Clinical Research, Finance, Customer Success, and Sales to understand how actuarial insights can accelerate deals
- Lead methodology negotiations with at least two major health plan actuarial teams, securing agreement on ROI validation frameworks that protect Hinge Health's interests while building client trust
- Model financial risk for "at-risk" contracts, establishing reserves and pricing structures for shared-savings arrangements
- Deliver customized BCAs for high-priority prospects using claims data, Book of Business benchmarks, and external trend data—directly contributing to closing deals worth $5M+ in ARR
- Own the actuarial strategy for Hinge Health's transition to value-based care, designing risk-transfer models and VBC contracting terms that balance growth with financial prudence
- Standardize our Enhanced Claims Data Analysis (CDA) process, establishing data requirements and analytical frameworks that prove hard-dollar savings to our largest clients
- Create and deliver "VBC 101" and "Actuarial Playbook" educational content, upleveling the Commercial and Customer Success teams' ability to speak credibly about financial outcomes
- Represent Hinge Health at industry conferences (e.g., SOA Health Conference), positioning the company as a thought leader in digital health economics
Benefits
- Comprehensive medical, dental, and vision coverage
- Help with gender-affirming care
- Tools for family and fertility planning
- Travel reimbursements if healthcare isn't available where you live
- Traditional or Roth 401k retirement plan options with a 2% company match
- Yearly stipend for learning and development
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What This Job Offers
Job Type
Full-time
Career Level
Senior
