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Role Summary

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HIGHLIGHTS

Lead Actuarial Analyst role focused on Medicare Advantage risk adjustment at Strive Health, a Denver-based healthcare company. You will analyze CMS data, perform financial reconciliations, and provide actionable insights to senior leadership. The role requires 3+ actuarial exams and 4+ years of risk adjustment experience. Hybrid work model with 2 days in office.

JOB DESCRIPTION SUMMARY

  • Analyze CMS risk adjustment data and financial performance
  • Translate complex data into actionable business strategies
  • Perform end-to-end reconciliation from submissions to CMS acceptance
  • Hybrid role – 2 days/week in Denver HQ
  • Ideal for candidate with 3+ exams and 4+ years in risk adjustment

DOMAIN EXPERTISE

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

KEY REQUIREMENTS

  • 4+ years of risk adjustment analytics experience
  • 3+ actuarial exams passed
  • Proficiency in SQL and Microsoft Excel
  • Experience with MMR, MOR, MAO-004 and medical claims data
  • No work visa sponsorship available

TECH STACK

  • Excel
  • Power_BI
  • Redshift
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Role Summary

Loading...

HIGHLIGHTS

Lead Actuarial Analyst role focused on Medicare Advantage risk adjustment at Strive Health, a Denver-based healthcare company. You will analyze CMS data, perform financial reconciliations, and provide actionable insights to senior leadership. The role requires 3+ actuarial exams and 4+ years of risk adjustment experience. Hybrid work model with 2 days in office.

JOB DESCRIPTION SUMMARY

  • Analyze CMS risk adjustment data and financial performance
  • Translate complex data into actionable business strategies
  • Perform end-to-end reconciliation from submissions to CMS acceptance
  • Hybrid role – 2 days/week in Denver HQ
  • Ideal for candidate with 3+ exams and 4+ years in risk adjustment

DOMAIN EXPERTISE

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

KEY REQUIREMENTS

  • 4+ years of risk adjustment analytics experience
  • 3+ actuarial exams passed
  • Proficiency in SQL and Microsoft Excel
  • Experience with MMR, MOR, MAO-004 and medical claims data
  • No work visa sponsorship available

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 or near-ACAS with 4+ years of risk adjustment analytics experience, strong SQL skills, and a desire to work in a hybrid Denver-based role focused on Medicare Advantage.

Student

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsurancePaid Parental LeaveStudy SupportExam Fees CoveredProfessional Development Stipend
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 or near-ACAS with 4+ years of risk adjustment analytics experience, strong SQL skills, and a desire to work in a hybrid Denver-based role focused on Medicare Advantage.

Student

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsurancePaid Parental LeaveStudy SupportExam Fees CoveredProfessional Development Stipend
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
Strive Health Solutions, Inc.

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Solutions, Inc.
Denver, Colorado, United States•1h ago
HybridMedicare Advantage

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