Hybrid Risk Adjustment Analytics Lead | Drive Financial Impact

Strive Health Services LLC; Denver (CO); Hybrid; USD 99,000 - 124,000; Full time

Benefits offered by this job

Hybrid-Remote Flexibility

Comprehensive Benefits

401k with employer match

Paid holidays

Professional development stipend

Job summary

Strive Health in Denver, CO is seeking a Lead Analyst, Risk Adjustment Analytics to join our insights-driven team. You will evaluate financial performance, uncover opportunities, and translate complex data into actionable strategies, influencing how Strive supports patients, clinicians, and markets.

This hybrid role requires strong analytical skills, experience with risk adjustment data, and the ability to communicate findings to senior leadership.

Qualifications

• 4+ years of experience in risk adjustment analytics.
• 4+ years of experience analyzing MMR, MOR, MAO-004 and medical claims data.
• 3+ actuarial exams passed.
• High degree of proficiency in Microsoft Excel and SQL.
• Experience with Power BI, Redshift, dbt docs is a plus.
• Bachelor’s degree in a quantitative or health-related field.

Responsibilities

• Translate RA performance data into clear financial insights (i.e. revenue impact, payment accuracy, ROI, forecasting).
• Analyze CMS data to identify areas of opportunity to increase operational efficiency.
• Interpret trends, model scenarios, and assess program and policy impacts.
• Enable data-driven decisions by linking operational performance to enterprise financial outcomes.
• Perform end-to-end reconciliation from submissions to CMS acceptance, RAF leakage, and implement controls.
• Develop business cases to assess opportunity, determine target metrics, and provide data driven insights to support investment decisions.
• Prepare and deliver clear and concise reports, presentations, and recommendations to senior leadership, illustrating the findings and implications of analyses conducted.

Skills

Analytical thinking

Ownership

Communication

Education

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

Tools

Excel

SQL

Power BI

Redshift

dbt

Job description

Strive Health in Denver, CO is seeking a Lead Analyst, Risk Adjustment Analytics to join our insights-driven team. You will evaluate financial performance, uncover opportunities, and translate complex data into actionable strategies, influencing how Strive supports patients, clinicians, and markets.

This hybrid role requires strong analytical skills, experience with risk adjustment data, and the ability to communicate findings to senior leadership.