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.
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