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Role Summary

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HIGHLIGHTS

Lead Actuarial Analyst role in Medicare Advantage Risk Adjustment at Strive Health, based in Pittsburgh with hybrid flexibility. You will analyze CMS data, evaluate financial performance, and translate complex data into actionable strategies to support clinical and financial success. The role offers a strong actuarial study program and a salary range of $99,000-$124,000.

JOB DESCRIPTION SUMMARY

  • Analyze MA risk adjustment data for financial insights and forecasting
  • Perform CMS data analysis and RAF reconciliation
  • Develop business cases and model scenarios for operational decisions
  • Hybrid role with in-person needs in Pittsburgh office/clinic
  • Ideal for senior analyst with 4+ years risk adjustment and 3+ exams

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • Medicare Advantage risk adjustment
  • CMS data analysis
  • Medical claims data analysis

KEY REQUIREMENTS

  • 4+ years in risk adjustment analytics
  • 3+ actuarial exams passed
  • High proficiency in Excel and SQL
  • Experience with MMR, MOR, MAO-004 and medical claims data
  • Bachelor's degree in quantitative or health-related field

TECH STACK

  • Excel
  • Power_BI
  • Redshift
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Role Summary

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HIGHLIGHTS

Lead Actuarial Analyst role in Medicare Advantage Risk Adjustment at Strive Health, based in Pittsburgh with hybrid flexibility. You will analyze CMS data, evaluate financial performance, and translate complex data into actionable strategies to support clinical and financial success. The role offers a strong actuarial study program and a salary range of $99,000-$124,000.

JOB DESCRIPTION SUMMARY

  • Analyze MA risk adjustment data for financial insights and forecasting
  • Perform CMS data analysis and RAF reconciliation
  • Develop business cases and model scenarios for operational decisions
  • Hybrid role with in-person needs in Pittsburgh office/clinic
  • Ideal for senior analyst with 4+ years risk adjustment and 3+ exams

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • Medicare Advantage risk adjustment
  • CMS data analysis
  • Medical claims data analysis

KEY REQUIREMENTS

  • 4+ years in risk adjustment analytics
  • 3+ actuarial exams passed
  • High proficiency in Excel and SQL
  • Experience with MMR, MOR, MAO-004 and medical claims data
  • Bachelor's degree in quantitative or health-related field

TECH STACK

  • Excel
  • Power_BI
  • Redshift

Job Overview

Salary
$99k - $124k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior actuarial analyst with 4+ years in Medicare Advantage risk adjustment, 3+ SOA exams, strong SQL and Excel skills, and the ability to translate complex data into actionable business insights.

Benefits

Health InsuranceDental InsuranceVision InsuranceBonus Eligible401(k) PlanGenerous VacationPaid Parental LeaveStudy SupportExam Fees CoveredExam Bonuses
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$99k - $124k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior actuarial analyst with 4+ years in Medicare Advantage risk adjustment, 3+ SOA exams, strong SQL and Excel skills, and the ability to translate complex data into actionable business insights.

Benefits

Health InsuranceDental InsuranceVision InsuranceBonus Eligible401(k) PlanGenerous VacationPaid Parental LeaveStudy SupportExam Fees CoveredExam Bonuses
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Solutions, Inc.

Health/Other/IC Level
S

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Solutions, Inc.
Pittsburgh, Pennsylvania, United States•1h ago
HybridMedicare Advantage

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