Strive Health
Health
LeadActuarialAnalyst,MARiskAdjustment
“Lead Actuarial Analyst, MA Risk Adjustment at Strive Health. Skills: Risk Adjustment Analytics, Financial Insights, Data Translation. Translate RA performance data into financial insights. Analyze CMS data to identify opportunities”
What You'll Achieve.
Increase operational efficiency; Link operational performance to enterprise financial outcomes; Support investment decisions
Industry & Context.
Highly analytical problem-solver; Navigate ambiguity; Bring structure to complex problems
What They're Looking For.
Must Have
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, High degree of proficiency in SQL, Bachelor’s degree in a quantitative or health-related field
Nice to Have
Experience with PBI, Experience with Redshift, Experience with dbt docs
What You'll Do.
Translate RA performance data into financial insights
Analyze CMS data to identify opportunities
Interpret trends and model scenarios
Enable data-driven decisions
Perform end-to-end reconciliation
Develop business cases for investment
Prepare and deliver reports and presentations
How You'll Work.
Communication Scope
Translate technical findings into actionable business recommendations; Prepare and deliver clear and concise reports; Presentations and recommendations to senior leadership
Applying for this Lead Actuarial Analyst, MA Risk Adjustment role?
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