Lead Actuarial Analyst, MA Risk Adjustment at Strive Health

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

This position is archived. Acturhire has detected that this position is no longer accepting applications.

Role Summary

Senior health actuarial analytics role focused on Medicare Advantage (MA) risk adjustment in Pittsburgh, PA (hybrid). Lead analyses of CMS and claims data to quantify RAF leakage, forecast revenue impacts, and build business cases for operational investments. Requires strong Excel and SQL skills and 3+ actuarial exams passed.

Key Requirements

4+ years of experience in risk adjustment analytics
4+ years analyzing MMR, MOR, MAO-004, and medical claims data
3+ actuarial exams passed
High proficiency in Microsoft Excel and SQL
Eligible to work in the US without sponsorship

Skills & Domain

ToolsExcelPower_BIRedshiftOther_BI_Tool

DomainRisk adjustment analyticsAnalyzing MMR, MOR, MAO-004 and medical claims dataMedicare Advantage (MA) RAF leakage reconciliationDeveloping forecasts and financial impact analyses

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

This position is archived. Acturhire has detected that this position is no longer accepting applications.

Role Summary

Key Requirements

4+ years of experience in risk adjustment analytics
4+ years analyzing MMR, MOR, MAO-004, and medical claims data
3+ actuarial exams passed
High proficiency in Microsoft Excel and SQL
Eligible to work in the US without sponsorship

Skills & Domain

ToolsExcelPower_BIRedshiftOther_BI_Tool

DomainRisk adjustment analyticsAnalyzing MMR, MOR, MAO-004 and medical claims dataMedicare Advantage (MA) RAF leakage reconciliationDeveloping forecasts and financial impact analyses

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