Actuary

About This Role

Being the actuarial voice that translates clinical innovation into financial value is the core of this role. As Hinge Health scales from a wellness benefit to a medical insurance product with value-based care at its core, you will bridge the gap between Clinical Research, Finance, and Commercial teams. This position is responsible for positioning the economic value of digital MSK solutions to health plan actuaries and securing at-risk contracts.

Responsibilities

• Establish yourself as the go-to actuarial subject matter expert for the Commercial team by participating in 3-5 finalist meetings with prospective health plans
• Audit and refine the 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 the Enhanced Claims Data Analysis (CDA) process, establishing data requirements and analytical frameworks that prove hard-dollar savings to 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

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 have:

• 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)