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 youll be the critical bridge between our Clinical Research Finance and Commercial teamspositioning 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.

Youll 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 arrangementsultimately expanding access to care for millions.

What Youll 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 Healths 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 datadirectly contributing to closing deals worth $5M in ARR

In your first year you will:

• Own the actuarial strategy for Hinge Healths 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 dont just apply established actuarial methodsyoure 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 youre 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

• Bachelors 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

Preferred Requirements

• 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)

• 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

What Success Looks Like

• Win Rate: Directly contributing to securing key at-risk health plan contracts by gaining actuarial buy-in from external teams

• Methodology Alignment: Successfully negotiating favorable ROI measurement terms that accurately reflect program value without exposing the company to undue risk

• Strategic Impact: Modeling financial viability for new product lines (e.g. HingeSelect) and influencing the roadmap for value-based care contracting

Hinge Health Hybrid Model

This is a hybrid role based in the San Francisco office requiring in-person attendance three days per week for a full 8-hour business day. On remote days employees are expected to work during core business hours with flexibility. This role will require remote availability on some company holidays to meet payroll processing deadlines and an alternate day off may be selected. The office is part of a dog-friendly workplace program and while travel is not regularly required occasional off-site/on-site events may occur. Physical demands are minimal and primarily involve standard office activities such as sitting typing and video conferencing.

About Hinge Health

At Hinge Health were using technology to scale and automate the delivery of healthcare starting with musculoskeletal (MSK) conditions which affect over 1.7 billion people worldwide. With an AI-powered human-centered care model Hinge Health leverages cutting-edge technology to improve outcomes experiences and costs to help people move beyond their pain.

The platform addresses a broad spectrum of MSK care from acute injury to chronic pain to post-surgical rehabilitation through personalized evidence-based care. As the preferred partner to 50 health plans PBMs and other ecosystem partners Hinge Health is available to over 20 million people across more than 2550 employers. The company is headquartered in San Francisco with additional offices in Montreal and Bangalore.

Learn more at

What Youll Love About Us

• Inclusive healthcare and benefits: On top of comprehensive medical dental and vision coverage we offer employees and their family members help with gender-affirming care tools for family and fertility planning and travel reimbursements if healthcare isnt available where you live.

• Planning for the future: Start saving for the future with our traditional or Roth 401k retirement plan options which include a 2% company match.

• Modern life stipends: Manage your own learning and development with a yearly stipend to invest in your growth.

Culture & Engagement

Hinge Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We make employment decisions without regards to race color religion sex sexual orientation gender identity national origin age veteran status disability status pregnancy or any other basis protected by federal state or local law. We also consider qualified applicants regardless of criminal histories consistent with legal requirements. We provide reasonable accommodations for candidates with disabilities. If you feel you need assistance or an accommodation due to a disability let us know by reaching out to your recruiter.

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