Lead Actuarial Analyst, Risk Adjustment (Hybrid)

Strive Health, LLC; Indiana (PA); Hybrid; USD 99,000 - 124,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401k with employer match

Paid time off for various life events

Job summary

Strive Health, LLC is seeking a Lead Actuarial Analyst focused on risk adjustment analytics to enhance financial performance and decisions. This role involves translating complex data into actionable insights and directly impacts patient support strategies.

Ideal candidates will possess over 4 years of relevant experience and a strong proficiency in data analysis, particularly using Microsoft Excel and SQL. The position offers a hybrid-remote work environment and a comprehensive benefits package.

Qualifications

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

Responsibilities

• Translate RA performance data into clear financial insights.
• Analyze CMS data to increase operational efficiency.
• Prepare clear reports for senior leadership.

Skills

Risk adjustment analytics

Data analysis (MMR, MOR, MAO-004)

Microsoft Excel

SQL

Power BI

Education

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

Tools

Power BI

Redshift

dbt docs

Job description

Strive Health, LLC is seeking a Lead Actuarial Analyst focused on risk adjustment analytics to enhance financial performance and decisions. This role involves translating complex data into actionable insights and directly impacts patient support strategies.

Ideal candidates will possess over 4 years of relevant experience and a strong proficiency in data analysis, particularly using Microsoft Excel and SQL. The position offers a hybrid-remote work environment and a comprehensive benefits package.