About Hello Heart:
Hello Heart is on a mission to make heart attacks a thing of the past.
We’re an AI company focused exclusively on heart health, building a platform that predicts and prevents cardiac events before they happen—identifying risk up to 10 days in advance versus 10 years in traditional clinical models.
This is already working at scale. Hello Heart has been shown to reduce inpatient hospital days by 47% and deliver ~$1,800 in annual savings per member. Hello Heart is the cardiac prevention partner to over 80% of large U.S. health plans and serves hundreds of public and private employers.
We’re defining how the #1 cause of death—heart disease—is managed in the AI era. Join us.
About the role:
Hello Heart is looking for a strategic and commercially minded Director, Actuarial Services to deliver actuarial strategy, health economic analyses, and financial value demonstration across our business.
In this highly visible role, you will serve as an actuarial expert, translating complex healthcare data into clear, compelling insights that demonstrate the clinical and financial value of our heart health solution. You will partner with customers, consultants, health plans, and internal stakeholders to strengthen our value proposition, support commercial growth, and inform strategic decision-making.
Reporting into our VP, Commercial Actuary, you will collaborate closely with Medical Affairs, Consultant Relations, Sales, Growth, Customer Success, and Finance. You will lead health economic research, develop risk-based pricing models, oversee performance guarantees and related reserves, and represent Hello Heart in high-impact client and consultant engagements.
This is an opportunity to shape how we measure, communicate, and deliver value while advancing our mission to empower people to understand and improve their heart health.
Responsibilities
Partner with Sales, Consultant Relations, and Customer Success to strengthen proposals and communicate Hello Heart's economic value.
As a client-facing member of the team, join client and consultant calls, performance reviews, and renewal value conversations, providing strategy, decisions, and key input as a credible face of Hello Heart.
Advocate for sound actuarial practices, appropriate methodologies, and effective processes that support high-quality analyses and informed decision-making.
Serve as one of Hello Heart's primary actuarial subject matter experts, providing strategic guidance on healthcare economics, financial outcomes, pricing, and market opportunities.
Lead health economic studies, cost savings analyses, and outcomes research that quantify the impact of Hello Heart and support commercial growth.
Leverage medical claims, pharmacy claims, and other large datasets to evaluate healthcare utilization, medication adherence, costs, and financial outcomes.
Develop and maintain competitive performance guarantee offerings, assess associated financial risks, oversee reserve requirements, and educate internal stakeholders.
Develop risk-based pricing approaches and support value-based contracting and specialty incentive opportunities.
Present actuarial and health economic findings to customers, consultants, payers, industry audiences, other external stakeholders, and at conferences.
Serve as the primary actuarial contact for independent cost savings studies, research collaborations, and analyses conducted with consultants and external partners.
Evaluate the anticipated clinical and financial impact of new products and services, identify market opportunities, and provide actuarial input into strategic planning.
Develop executive-ready presentations, research materials, and publications that make complex statistical findings accessible and actionable.
Track healthcare market dynamics, competitor trends, Medicare Advantage quality measures, and emerging reimbursement models to inform business decisions.
Qualifications
7+ years of actuarial experience within healthcare, health insurance,…