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 teamsâpositioning 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 arrangementsâultimately expanding access to care for millions.
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 dataâdirectly 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
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 methodsâyou'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 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
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
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
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.
At Hinge Health, we're using technology to scale and automate the delivery of healthcare â 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 â from acute injury, to chronic pain, to post-surgical rehabilitation â 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 2,550 employers. The company is headquartered in San Francisco with additional offices in Montreal and Bangalore.
Learn more at www.hingehealth.com
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 isn't 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.
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 p
hinge-health