Senior Risk Adjustment Analytics Lead

Strive Health Solutions, Inc.; Denver (CO); Hybrid; USD 99,000 - 124,000; Full time

Benefits offered by this job

Hybrid-Remote flexibility

Comprehensive benefits

401k with employer match

Professional development stipend

Paid time off and holidays

Job summary

Strive Health in Denver, CO seeks a Lead Analyst, Risk Adjustment Analytics to translate complex RA data into actionable financial insights and drive performance improvements. The role is hybrid, with two days onsite at our HQ, and requires strong SQL/Excel skills and CMS data experience.

You will lead analyses, build business cases, and present findings to senior leadership while pursuing actuarial exams and leveraging our bonus program. Strive Health emphasizes teamwork and hands-on impact.

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 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 (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.
• Enable data-driven decisions by linking operational performance to enterprise financial outcomes.
• Prepare and deliver reports, presentations, and recommendations to senior leadership.

Skills

Risk adjustment analytics

SQL

Excel

Analytical thinking

Education

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

Tools

Power BI

Redshift

dbt docs

SQL

Job description

Strive Health in Denver, CO seeks a Lead Analyst, Risk Adjustment Analytics to translate complex RA data into actionable financial insights and drive performance improvements. The role is hybrid, with two days onsite at our HQ, and requires strong SQL/Excel skills and CMS data experience.

You will lead analyses, build business cases, and present findings to senior leadership while pursuing actuarial exams and leveraging our bonus program. Strive Health emphasizes teamwork and hands-on impact.