Lead Actuarial Analyst, Risk Adjustment Analytics

Strive Health; Washington; 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 is seeking a Lead Actuarial Analyst, MA Risk Adjustment, to join our insights-driven team in Washington. You will evaluate financial performance, uncover opportunities, and translate data into actionable strategies, supporting patients, clinicians, and markets toward clinical and financial success.

We offer an actuarial study program with exam fee support, resources, and rewards for passing exams.

Qualifications

• 4+ years of experience in risk adjustment analytics.
• 4+ years of experience analyzing CMS data (MMR, MOR, MAO-004, medical claims).
• 3+ actuarial exams passed.
• High proficiency in Microsoft Excel and SQL.
• Experience with Power BI, Redshift, and dbt docs is a plus.

Responsibilities

• Translate RA performance data into clear financial insights (revenue impact, payment accuracy, ROI, forecasting).
• Analyze CMS data to identify opportunities to increase operational efficiency.
• Interpret trends, model scenarios, and assess program and policy impacts.

Skills

Microsoft Excel

SQL

Education

Actuarial exams passed

Bachelor’s degree in quantitative/health-related field

Tools

Power BI

Redshift

dbt docs

Job description

Strive Health is seeking a Lead Actuarial Analyst, MA Risk Adjustment, to join our insights-driven team in Washington. You will evaluate financial performance, uncover opportunities, and translate data into actionable strategies, supporting patients, clinicians, and markets toward clinical and financial success.

We offer an actuarial study program with exam fee support, resources, and rewards for passing exams.