# Actuary
**Company:** [Hinge Health](https://hotfix.jobs/companies/hinge-health)
**Location:** San Francisco, CA
**Salary:** $170K-$254K
**Experience:** 8+ years
**Skills:** Excel, Databricks, Claims Data Analysis, Roi Modeling, Actuarial Modeling, Medicare Advantage, Value-Based Care, Financial Risk Modeling, SQL, Python
**Posted:** 2026-03-25
> Actuary bridges clinical, finance, and commercial teams to model financial value of digital MSK solutions, negotiates ROI with health plans, and designs risk frameworks for value-based care contracts. Requires ASA designation, 8+ years health insurance experience, and claims analysis expertise.
## Job Description
## Responsibilities
- Establish yourself as the go-to actuarial SME for the Commercial team by participating in finalist meetings with prospective health plans.
- Audit and refine current Business Case Analysis (BCA) framework to actuarial standards.
- Build relationships with stakeholders across Clinical Research, Finance, Customer Success, and Sales.
- Lead methodology negotiations with health plan actuarial teams, securing ROI validation frameworks.
- Model financial risk for "at-risk" contracts, establishing reserves and pricing structures.
- Deliver customized BCAs for high-priority prospects using claims data and benchmarks.
- Own actuarial strategy for value-based care transition, designing risk-transfer models and contracting terms.
- Standardize Enhanced Claims Data Analysis (CDA) process.
- Create and deliver educational content like "VBC 101" and "Actuarial Playbook".
- Represent at industry conferences.

## Requirements
**Basic Requirements**
- Bachelor's degree and career Associate of the Society of Actuaries (ASA).
- 8-10+ years of experience in health insurance, specifically 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 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 (**Databricks**) and claims datasets.
- Experience with AI tools (e.g., **Claude Code**) or willingness to develop AI-assisted workflows.
**Apply:** https://hotfix.jobs/jobs/actuary-at-hinge-health-eae4e1e9-6440-4bb1-8bbb-8480330c651e
**Canonical:** https://hotfix.jobs/jobs/actuary-at-hinge-health-eae4e1e9-6440-4bb1-8bbb-8480330c651e