Lead Actuarial Analyst, MA Risk Adjustment

What We Strive For 

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. 

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 discretionary 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. 
  

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). This individual will work on a hybrid basis with 2-3 days each week in our Denver HQ.

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. <