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Salary
$99k - $124k
Experience
4+ Years

Role Summary

Role type

Analytical individual contributor

Closer to a modelling-heavy individual contributor than a capital strategy role because the emphasis is operational risk adjustment analytics rather than enterprise capital or ORSA.

Senior Medicare Advantage risk adjustment analytics role in Denver, Colorado. You’ll analyze CMS and medical claims data, reconcile submissions through acceptance, model financial impacts, and present recommendations to senior leadership. The hybrid role requires two days onsite weekly and 4+ years of relevant experience plus three actuarial exams.

Requirements

Must have

  • 4+ years of experience in risk adjustment analytics
  • 4+ years of experience analyzing MMR, MOR, MAO-005 claims data
  • 3+ actuarial exams passed
  • High degree of proficiency in Microsoft Excel and SQL
  • Bachelor's degree in a quantitative or health-related field

Skills & Domain

ToolsExcelPower_BIRedshiftTableau
DomainMedicare Advantage (MA)Risk Adjustment

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Services LLC

Insurtech/Manager Level
Strive Health Services LLC

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Services LLC

Denver, Colorado, United States · Onsite · Today

Medicare Advantage

Job Overview

Salary
$99k - $124k
Experience
4+ Years

Ideal Candidate Profile

Ideal for a senior Health/Medicare Advantage risk adjustment analyst with 4+ years of experience and at least three actuarial exams passed. The strongest fit will be comfortable with Excel, SQL, CMS data reconciliation, financial modelling and communicating recommendations to senior leaders.

Benefits

401kMedicalDentalVisionPaid Time OffProfessional Development

Exam support

Exam fees covered · Study materials covered

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