Hybrid-Remote Lead Actuarial Analyst, Risk Adjustment

Strive Health, LLC; Raleigh (NC); On-site; USD 99,000 - 124,000; Full time

Benefits offered by this job

Hybrid-Remote Flexibility

Comprehensive Benefits

Financial & Retirement Support

Time Off & Leave

Wellness & Growth

Job summary

Strive Health, LLC is looking for a Lead Actuarial Analyst in Raleigh, NC to evaluate financial performance and guide data-driven operational improvements. The role requires 4+ years of experience in risk adjustment analytics along with strong skills in SQL and Excel. You’ll be responsible for translating performance data into actionable financial insights, enabling better decision-making, and driving success for patients and markets. The position offers a hybrid work environment and competitive compensation with additional benefits.

Qualifications

• 4+ years of experience in risk adjustment analytics.
• 4+ years of experience analyzing MMR, MOR, MAO-004 and medical claims data.
• High degree of proficiency in Microsoft Excel and SQL.

Responsibilities

• Translate RA performance data into clear financial insights.
• Analyze CMS data to identify operational efficiency opportunities.
• Prepare and deliver reports, presentations, and recommendations.

Skills

Analytical problem-solving

Ownership

Intellectual curiosity

Communication

SQL proficiency

Microsoft Excel proficiency

Education

Bachelor’s degree in a quantitative or health-related field

Tools

Microsoft Excel

SQL

PBI

Redshift

dbt docs

Job description

Strive Health, LLC is looking for a Lead Actuarial Analyst in Raleigh, NC to evaluate financial performance and guide data-driven operational improvements. The role requires 4+ years of experience in risk adjustment analytics along with strong skills in SQL and Excel. You’ll be responsible for translating performance data into actionable financial insights, enabling better decision-making, and driving success for patients and markets. The position offers a hybrid work environment and competitive compensation with additional benefits.