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Role Summary

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HIGHLIGHTS

Lead actuarial analyst role on the MA Risk Adjustment team at a healthcare company. You will translate risk adjustment data into financial insights, analyze CMS data, and model program impacts. This role requires 4+ years of risk adjustment experience, 3+ actuarial exams passed, and proficiency in Excel and SQL.

JOB DESCRIPTION SUMMARY

  • Translate MA risk adjustment data into actionable financial insights
  • Analyze CMS data and model program/policy impacts
  • Perform end-to-end RAF reconciliation and implement controls
  • Hybrid-remote flexibility based in Washington, D.C.
  • Eligible for actuarial study program with exam support

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • Medicare Advantage or ACA
  • CMS data and reconciliation
  • MMR, MOR, MAO-004 analysis

KEY REQUIREMENTS

  • 4+ years in risk adjustment analytics
  • 3+ actuarial exams passed
  • Proficient in Excel and SQL
  • Analyze MMR, MOR, MAO-004 and claims data
  • Must be eligible to work in US without sponsorship

TECH STACK

  • Excel
  • Power_BI
  • Redshift
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Role Summary

Loading...

HIGHLIGHTS

Lead actuarial analyst role on the MA Risk Adjustment team at a healthcare company. You will translate risk adjustment data into financial insights, analyze CMS data, and model program impacts. This role requires 4+ years of risk adjustment experience, 3+ actuarial exams passed, and proficiency in Excel and SQL.

JOB DESCRIPTION SUMMARY

  • Translate MA risk adjustment data into actionable financial insights
  • Analyze CMS data and model program/policy impacts
  • Perform end-to-end RAF reconciliation and implement controls
  • Hybrid-remote flexibility based in Washington, D.C.
  • Eligible for actuarial study program with exam support

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • Medicare Advantage or ACA
  • CMS data and reconciliation
  • MMR, MOR, MAO-004 analysis

KEY REQUIREMENTS

  • 4+ years in risk adjustment analytics
  • 3+ actuarial exams passed
  • Proficient in Excel and SQL
  • Analyze MMR, MOR, MAO-004 and claims data
  • Must be eligible to work in US without sponsorship

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 near-ASA with 4+ years of Medicare Advantage risk adjustment experience, strong in SQL and Excel, who enjoys translating data into insights and presenting to senior leadership.

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsuranceStudy SupportExam Fees CoveredGenerous VacationPaid Parental Leave
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 near-ASA with 4+ years of Medicare Advantage risk adjustment experience, strong in SQL and Excel, who enjoys translating data into insights and presenting to senior leadership.

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsuranceStudy SupportExam Fees CoveredGenerous VacationPaid Parental Leave
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.
Washington, District of Columbia, United States•1h ago
HybridMedicare AdvantageACA Exchange

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