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

Role Summary

Role type

Data analytics crossover

Closer to a data-analytics crossover than a regulatory reporting role because operational and financial insight outweighs formal filings or valuation cycles.

Senior Health actuarial role in Raleigh, North Carolina, focused on Medicare Advantage risk adjustment analytics. You’ll analyze CMS and medical claims data, evaluate revenue and payment accuracy, model scenarios, and translate findings into recommendations for senior leadership. The role is hybrid and offers a $99,000-$124,000 salary range plus a 10% target bonus.

Requirements

Must have

  • Eligible to work in the US without visa sponsorship

Strongly preferred

  • 4+ years of risk adjustment analytics experience
  • 4+ years analyzing MMR, MOR, MAO-004 and medical claims data
  • 3+ actuarial exams passed
  • Proficiency in Microsoft Excel and SQL
  • Bachelor's degree in quantitative or health-related field

Nice to have

  • Experience with Power BI, Redshift, dbt docs

Skills & Domain

ToolsExcelPower_BIRedshift
DomainRisk adjustment analyticsAnalyzing MMR, MOR, MAO-004 and medical claims dataCMS data analysisMedicare Advantage risk adjustment

Job Overview

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

Ideal Candidate Profile

Ideal for a senior Health actuarial analyst with 4+ years in Medicare Advantage risk adjustment, 3+ exams passed, and strong Excel and SQL skills. The strongest fit will be comfortable translating complex analytics into business recommendations and managing recurring and ad hoc work.

Student

Benefits

Bonus EligibleAnnual BonusHealth InsuranceDental InsuranceVision InsurancePension 401k

Exam support

Exam fees covered

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Services LLC

Health/Other/IC Level
Strive Health Services LLC

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health Services LLC

Raleigh, North Carolina, United States · Hybrid · Today

Medicare Advantage

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