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, or a related healthcare organization, including experience conducting health economic and financial analyses.
- Client-facing or sales-support experience, such as in consulting or a startup, with a track record of presenting analyses to customers, consultants, or executives.
- A credible storyteller and strong listener who builds trust quickly.
- Deep knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies, with the ability to apply findings to commercial and strategic decisions.
- Proficiency in R and experience analyzing large medical and pharmacy claims datasets, including paid and allowed amounts, healthcare utilization, and medication adherence measures.
- Demonstrated ability to leverage artificial intelligence tools and agents to streamline research, analysis, reporting, and complex workflows while critically evaluating outputs for accuracy and reliability.
- Bachelor's degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential.
- Experience developing or evaluating healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models.
- Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes.
- Strong written and verbal communication skills, including the ability to translate complex actuarial and statistical concepts into compelling presentations for executive and external audiences.
- Proven ability to influence cross-functional stakeholders, manage competing priorities, and independently drive high-impact initiatives in a fast-paced environment.
- Willingness to travel up to 20% of the time.
The United States base salary range for this full-time position is $200,000 to $225,000. Salary ranges are determined by role and level. Individual compensation is based on job-related skills, experience, and relevant education or training. Compensation details listed in United States job postings reflect annual salary and bonus only and do not include equity or benefits.
Hello Heart has a positive, diverse, and supportive culture - we look for people who are collaborative, creative, and courageous. Oh, and if you want to see some recent evidence of the fun things we do at Hello Heart, check out our Instagram page.
Skills Required
- 7+ years of actuarial experience in healthcare, health insurance, or a related healthcare organization
- Experience conducting health economic and financial analyses
- Client-facing or sales-support experience presenting analyses to customers, consultants, or executives
- Knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies
- Proficiency in R
- Experience analyzing large medical and pharmacy claims datasets
- Ability to use artificial intelligence tools and agents for research, analysis, reporting, and workflows
- Bachelor's degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field
- ASA or FSA credential
- Experience with healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models
- Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes
- Strong written and verbal communication skills, including executive and external presentations
- Ability to influence cross-functional stakeholders, manage competing priorities, and independently drive initiatives
- Willingness to travel up to 20% of the time
Hello Heart Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Hello Heart and has not been reviewed or approved by Hello Heart.
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Healthcare Strength — Healthcare benefits are considered strong, with an employer-verified health insurance rating of 4.7/5 and a benefits rating of 3.9/5 on one platform. Feedback suggests medical, dental, and vision coverage is comprehensive for employees and dependents.
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Equity Value & Accessibility — Equity/stock options are commonly included in compensation packages, signaling accessible ownership opportunities typical of venture-backed startups. This element is often cited alongside base pay as part of a competitive total rewards mix.
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Leave & Time Off Breadth — Time off policies are characterized as flexible or unlimited PTO, encouraging rest and balance. This breadth of leave is presented as part of a comprehensive startup package.
Hello Heart Insights
What We Do
Hello Heart is the only digital therapeutics company to focus exclusively on heart disease, the #1 cause of death for men and women in the US. Through a connected mobile app that uses AI, behavioral science, and personalized digital coaching to drive lifestyle changes, Hello Heart empowers people to embrace healthier behavior, which can reduce the risks of high blood pressure and heart disease. It also helps users catch readings that are extremely high, encourage them to talk to their doctor and catch potential risk in time. Validated in peer-reviewed studies, Hello Heart is easy to use and works alongside an employer’s benefits ecosystem. Founded in 2013, Hello Heart is a member of the American Heart Association’s Innovators’ Network, and is part of the CVS Health Point Solutions Management Program. Visit www.helloheart.com for more information.
