Founding Wholesale Broker - Medical Malpractice

Hedge (YC P26); San Francisco (CA); On-site; USD 125,000 - 250,000; Full time

Benefits offered by this job

Equity stake

Health benefits

Job summary

Hedge is hiring a founding wholesale broker in San Francisco to build and own our medical malpractice practice. You will combine retail-agency relationships with healthcare risk judgment to generate durable revenue across physicians, facilities, and services.

You will own submissions, negotiate structures, and drive placements end-to-end, building underwriter relationships and repeatable playbooks as the business grows.

Qualifications

• You have at least three years of brokerage or underwriting experience in medical malpractice or healthcare liability.
• Be prepared to discuss your book, existing producer and carrier relationships, and historical premium volumes with specific numbers.

Responsibilities

• Build a focused retail-agency pipeline in medical malpractice and healthcare professional liability.
• Triage clinical operations, procedures, staffing models, patient mix, loss history, limits, retroactive dates, and regulatory details.
• Shape submissions and select the right carrier, MGA, and program path for each account.
• Negotiate occurrence and claims-made structures, prior acts, defense, consent-to-settle, exclusions, and excess layers.
• Explain coverage tradeoffs clearly and drive placements from intake through bind.
• Build durable underwriter relationships and convert placement knowledge into repeatable playbooks.

Skills

Brokerage experience

Healthcare risk understanding

Relationship building

Job description

THE OPPORTUNITY

Hedge is hiring a founding wholesale broker to build and own our medical malpractice practice. You will combine retail-agency relationships, healthcare risk judgment, placement craft, and relentless follow-through to produce durable revenue across physicians, allied health, healthcare facilities, behavioral health, senior care, and complex healthcare services.

Compensation And Upside

Target OTE is $500K. Base salary is $125K-$250K, creating a target cash range of $475K-$600K across the base range. Target variable compensation is $350K at $5M in annual new bound premium, with uncapped accelerators above target. Equity is 0.50% at hire, with up to an additional 0.25% performance grant.

What You Will Own

• Build a focused retail-agency pipeline in medical malpractice and healthcare professional liability
• Triage clinical operations, procedures, staffing models, patient mix, loss history, limits, retroactive dates, and regulatory details
• Shape complete submissions and select the right carrier, MGA, and program path for each account
• Negotiate occurrence and claims-made structures, prior acts, defense, consent-to-settle, exclusions, and excess layers
• Explain coverage tradeoffs clearly and drive placements from first intake through bind
• Build durable underwriter relationships and turn placement knowledge into repeatable playbooks

What Success Looks Like

• First 30 days: master Hedge's market access, healthcare appetite, submission standards, and current opportunity set
• By day 60: own a credible agency and submission pipeline with clear placement strategies
• By day 90: bind initial medical malpractice business and demonstrate repeatable conversion
• In 12 months: build a high-quality healthcare book and bind $5M in annual new premium

Who Thrives Here

You have at least three years of brokerage, underwriting, or closely related experience in medical malpractice or healthcare professional liability. You can discuss your book, producer relationships, carrier relationships, premium volume, and strongest healthcare classes with specific numbers. You are commercially sharp, technically credible, and disciplined about details.

WHY HEDGE

Hedge is building the operating system for commercial insurance distribution. You will work directly with the founders, own a consequential part of the company, and help define how the function works as we scale. We offer health benefits and meaningful equity.

WORK MODEL

This role is based in San Francisco and works in person with the team six days a week.

INTERVIEW PROCESS

• Application review
• A focused introductory conversation
• A production, book, and market-relationship deep dive
• A live placement working session using a realistic healthcare risk
• Final conversation with the founders

Hedge is an equal opportunity employer. We evaluate candidates based on ability, judgment, and potential, and we do not discriminate based on protected characteristics.