About the role

  • Actuary guiding financial strategies for digital musculoskeletal solutions at Hinge Health. Bridging clinical, finance, and sales to optimize ROI frameworks and unlock contracts worth millions.

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, positioning the company as a thought leader in digital health economics.

Requirements

  • Bachelor's Degree in Actuarial Science
  • 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.
  • Fellow of the Society of Actuaries (FSA) and Member of the American Academy of Actuaries (MAAA) preferred.
  • 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.

Benefits

  • Inclusive healthcare and benefits: help with gender-affirming care, tools for family and fertility planning, and travel reimbursements if healthcare isn't available where you live.
  • 401k retirement plan options which include a 2% company match.
  • A yearly stipend to invest in your growth.

Job title

Actuary

Job type

Experience level

SeniorLead

Salary

$169,600 - $254,400 per year

Degree requirement

Bachelor's Degree

Location requirements

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