About the role
Founding Wholesale Broker - Medical Malpractice at Hedge Specialty in San Francisco - In Office. On-site, full-time, paying $125k–$250k. Posted August 27, 2026.
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.
Prefer to apply yourself? Apply on Hedge Specialty’s site
Quick answers
How much does this Hedge Specialty job pay?
The posted pay is $125k–$250k.
Where is this job based?
San Francisco - In Office. The role is on-site.
How do you apply?
Apply on Hedge Specialty’s site using the link on this page. With a free Jobmagic account you can see how well you fit first.
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