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Role Summary

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HIGHLIGHTS

Lead Actuarial Analyst role at Strive Health focusing on Medicare Advantage risk adjustment. You will analyze CMS data, forecast revenue impact, and translate complex data into actionable strategies for clinical and financial success. The role requires 3+ actuarial exams and 4+ years of risk adjustment analytics experience.

JOB DESCRIPTION SUMMARY

Analyze RA performance data for revenue impact and ROI
Forecast CMS data trends and model scenarios
Perform reconciliation from submissions to CMS acceptance
Develop business cases to support investment decisions
Ideal for actuarial students with 4+ years RA analytics

DOMAIN EXPERTISE

Risk adjustment analytics
Medicare Advantage
CMS data analysis
Medical claims data

KEY REQUIREMENTS

4+ years risk adjustment analytics experience
4+ years with MMR, MOR, MAO-004 and medical claims
3+ actuarial exams passed
High proficiency in Excel and SQL
No work visa sponsorship available

TECH STACK

Excel
Power_BI
Redshift

Salary Pro Post a Job

Log in

Role Summary

Loading...

HIGHLIGHTS

Lead Actuarial Analyst role at Strive Health focusing on Medicare Advantage risk adjustment. You will analyze CMS data, forecast revenue impact, and translate complex data into actionable strategies for clinical and financial success. The role requires 3+ actuarial exams and 4+ years of risk adjustment analytics experience.

JOB DESCRIPTION SUMMARY

Analyze RA performance data for revenue impact and ROI
Forecast CMS data trends and model scenarios
Perform reconciliation from submissions to CMS acceptance
Develop business cases to support investment decisions
Ideal for actuarial students with 4+ years RA analytics

DOMAIN EXPERTISE

Risk adjustment analytics
Medicare Advantage
CMS data analysis
Medical claims data

KEY REQUIREMENTS

4+ years risk adjustment analytics experience
4+ years with MMR, MOR, MAO-004 and medical claims
3+ actuarial exams passed
High proficiency in Excel and SQL
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 senior-level actuarial student with 3+ exams and 4+ years of Medicare Advantage risk adjustment analytics experience, skilled in SQL and Excel, who thrives in a hybrid environment translating complex data into business strategies.

Student

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHigh 401(k) MatchHealth InsuranceDental InsuranceVision InsuranceHybrid WorkPaid Parental LeaveStudy SupportExam Fees CoveredExam BonusesTuition Reimbursement

Active Screening

Standard Review

9d

9 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary

$99k - $124k

Years of Experience

4+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Ideal for a senior-level actuarial student with 3+ exams and 4+ years of Medicare Advantage risk adjustment analytics experience, skilled in SQL and Excel, who thrives in a hybrid environment translating complex data into business strategies.

Student

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHigh 401(k) MatchHealth InsuranceDental InsuranceVision InsuranceHybrid WorkPaid Parental LeaveStudy SupportExam Fees CoveredExam BonusesTuition Reimbursement

Active Screening

Standard Review

9d

9 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Solutions, Inc.

Health/Insurer/IC Level

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Solutions, Inc.

Pittsburgh, Pennsylvania · Hybrid · 1w ago

Medicare Advantage

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