Vice President, Commercial Actuary

Hello Heart

13d

About The Position

Hello Heart is seeking a strategic and highly visible VP, Commercial Actuary to lead actuarial strategy and health economics efforts that support our commercial growth. In this role, you will develop and present economic and outcomes analyses that demonstrate the value of Hello Heart to employers, consultants, and health plans. Reporting into our VP, Data and AI, you will serve as the company’s actuarial voice with external stakeholders and help shape how our solution is evaluated financially and clinically. You will partner closely with Sales, Consultant Relations, Medical Affairs, Customer Success, Finance, and Growth teams to support client engagements, product innovation, and market expansion.

Requirements

5+ years of actuarial experience within a healthcare organization, health plan, or related healthcare services environment
Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) certification
Experience analyzing healthcare datasets including medical claims, pharmacy claims, and population health data
Strong analytical, communication, and presentation skills with the ability to clearly explain complex analyses to large audiences
Experience developing health economic analyses, actuarial models, or outcomes research to support commercial healthcare products
Understanding of Medicare Advantage Star Ratings, healthcare quality metrics, and associated audit processes
Experience collaborating cross functionally with commercial, clinical, and data teams
Ability to operate independently in a fast paced, high growth environment while managing multiple priorities
Ability to travel domestically up to 20~30%

Responsibilities

Serve as the actuarial subject matter expert in client meetings, consultant engagements, conferences, and industry speaking opportunities.
Lead the development of health economic and outcomes research, including analyses, studies, and presentation materials for external stakeholders and potential publication.
Analyze large healthcare datasets including medical and pharmacy claims to quantify clinical and financial impact.
Lead the design and management of performance guarantees, including reserving strategy and internal education for commercial teams.
Support value-based contracting and specialty incentive programs through actuarial modeling and financial analysis.
Act as the primary point of contact for external cost savings studies conducted with consultants or strategic partners.
Support new product launches through modeling of expected clinical outcomes and financial impact.
Identify and evaluate market opportunities where actuarial insights can strengthen Hello Heart’s positioning.
Partner with Medical Affairs and other internal teams on strategic planning and evidence development.
Communicate complex statistical findings clearly to executives, clients, consultants, and industry audiences.
Track healthcare industry trends, competitor positioning, and regulatory developments relevant to actuarial analysis.
Represent actuarial perspectives in cross-functional decision making and external forums.