Lead Actuarial Analyst, MA Risk Adjustment
Join Strive Health as a Lead Actuarial Analyst to drive financial performance and support patient care through data-driven insights.
Posted by employer 3 months ago
First seen on Joblaze 1 week ago
Last verified on the company career page 1 day ago
Skills & Technologies
Requirements
- Experience
- 4+ years
- Education
- Bachelor's degree
Not disclosed in this posting: visa sponsorship.
Benefits
Joblaze summary
The Lead Actuarial Analyst for MA Risk Adjustment at Strive Health is responsible for evaluating financial performance and translating complex data into actionable strategies that enhance patient care and operational efficiency. This role requires expertise in risk adjustment analytics, proficiency in tools like Excel and SQL, and a background in quantitative fields, ideally suited for candidates with 4+ years of relevant experience and progress on actuarial exams. Strive Health emphasizes a collaborative environment focused on impactful healthcare solutions.
Joblaze insights
- Listed 9 days ago on Joblaze — tracked directly from Strive Health's career page.
- Strive Health has 58 other open roles including Medical Assistant, Director, Healthcare Economics, VP, Data Platform.
- 2277 active SQL roles on Joblaze right now.
- 96 active Microsoft Excel roles on Joblaze right now.
- Salary band is below the typical range for comparable tech roles (median ~$126,887).
- Pays more than 13% of the 1122 salaried SQL roles we track (median $150,651). See SQL salary trends
Quick facts
- Is the Lead Actuarial Analyst, MA Risk Adjustment role remote?
- It's hybrid — Strive Health expects some on-site time in Pittsburgh, PA.
- What's the salary range?
- Strive Health lists $99,000–$124,000 for this role.
- How much experience is required?
- At least 4 years of relevant experience for this Lead Actuarial Analyst, MA Risk Adjustment role.
- Where is the role based?
- Strive Health is hiring for this position in Pittsburgh, PA.
- What's the tech stack?
- Joblaze extracted these technologies from the posting: Microsoft Excel, SQL.
- What seniority level is this role?
- Strive Health targets lead candidates for this position.
- Is this full-time or contract?
- Full-time for this Lead Actuarial Analyst, MA Risk Adjustment role at Strive Health.
From the original posting
How You’ll Make An Impact
At Strive Health, patients come first. We’re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.
Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You’ll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
If you’re looking for meaningful work where your contributions truly matter, you’ll feel right at home at Strive!
Benefits & Perks
- Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
- Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
- Financial & Retirement Support – Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
- Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
- Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.
To learn more about our offerings, click here.
What You'll Do
We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing, insights-driven team. You will play a critical role in evaluating financial performance, uncovering areas of opportunity, and use your 3+ actuarial exam progress to help translate complex data into actionable strategies. Your work will directly influence how Strive supports patients, clinicians, and markets in achieving both clinical and financial success. (This position is internally titled Lead Analyst, Risk Adjustment Analytics). We offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials.
Essential Functions
- 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 (i.e. staffing, tech, etc.).
- Prepare and deliver clear and concise reports, presentations, and recommendations to senior leadership, illustrating the findings and implications of analyses conducted.
Who You Are
- A highly analytical problem-solver with a strong sense of ownership and intellectual curiosity.
- Able to manage a high volume of recurring and ad hoc deliverables without compromising quality.
- Comfortable navigating ambiguity and bringing structure to complex problems.
- An exceptional communicator who can translate technical findings into actionable business recommendations.
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 PBI, Redshift, dbt docs is a plus.
- Bachelor’s degree in a quantitative or health-related field (e.g., Economics, Public Health, Statistics, Health Services Research, Math, Finance).
Annual Salary Range: $99,000 - $124,000. This position is also eligible for a target annual bonus of 10%
Final compensation will be determined based on location, experience, and qualifications.
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.