Actuary
Listed on 2026-06-23
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Finance & Banking
Risk Manager/Analyst, 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 AccomplishIn 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, up leveling 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
- 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.
- 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)
- Direct experience working with large payer…
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