Actuary

Actuary 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. WHAT YOU'LL ACCOMPLISH In your first 3 months, you will: - 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 In your first 6 months, you will: - 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 In your first year, you will: - 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 WHO YOU ARE - A Trust Builder: You communicate complex actuarial concepts with clarity to non-technical stakeholders (Sales, CS, Finance) while commanding peer-level credibility when negotiating with external Chief Actuaries. You embody "Effective Communication" by making the technical accessible without dumbing it down. - A Learn-it-All: You don't just apply established actuarial methods—you're curious about how AI tools (like Claude Code) can transform your work and eager to develop expertise in emerging areas like value-based care contracting. - Resilient & Strategic: You thrive in ambiguous, high-stakes environments where you're designing new frameworks (not just applying old ones). You can "Make Results Happen" even when data is imperfect or client objections seem insurmountable. You think long-term, designing solutions that scale. - A Data-Driven Advocate: You let the data tell the story, designing rigorous matched-cohort analyses and claims-based ROI studies that withstand scrutiny. You balance intellectual honesty with business pragmatism, knowing when to push back on unrealistic client demands. BASIC 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 tra ... (truncated, view full listing at source)