Lead Actuarial Analyst, MA Risk Adjustment Impact

Strive Health Services LLC; Washington (District of Columbia); Hybrid; 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 Services LLC is looking for a Lead Actuarial Analyst in Washington, DC. This role aims to transform chronic conditions by evaluating financial performance and implementing data-driven strategies. Candidates should have 4+ years in risk adjustment analytics, proven communication skills, and passed 3+ actuarial exams. The position offers a salary range of $99,000 - $124,000 plus a 10% annual bonus, alongside benefits such as medical insurance and hybrid-remote flexibility.

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.

Responsibilities

• Translate RA performance data into clear financial insights.
• Analyze CMS data to identify areas of opportunity.
• Interpret trends and assess program impacts.
• Enable data-driven decisions linking performance to financial outcomes.
• Perform end-to-end reconciliation from submissions to CMS acceptance.
• Develop business cases for opportunity assessments.
• Prepare and deliver reports to senior leadership.

Skills

Risk adjustment analytics

Data analysis

Microsoft Excel

SQL

Communication

Education

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

Tools

Power BI

Redshift

dbt docs

Job description

Strive Health Services LLC is looking for a Lead Actuarial Analyst in Washington, DC. This role aims to transform chronic conditions by evaluating financial performance and implementing data-driven strategies. Candidates should have 4+ years in risk adjustment analytics, proven communication skills, and passed 3+ actuarial exams. The position offers a salary range of $99,000 - $124,000 plus a 10% annual bonus, alongside benefits such as medical insurance and hybrid-remote flexibility.