Lead Analyst, Risk Adjustment Analytics

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 [https://strivehealth.com/careers/]. What You'll Do We are seeking a Lead Analyst, Risk Adjustment Analytics to join our high-performing, insights-driven team. You will play a critical role in evaluating financial performance, uncovering areas of opportunity, and translating 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 is a hybrid position based in Denver, CO with an expectation to work onsite at our headquarters two days per week to collaborate, connect, and enjoy the energy of our office culture. Candidates should be located within a commutable distance to our Denver-based HQ. 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. [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.

The Lead Analyst will translate Risk Adjustment performance data into clear financial insights, analyze CMS data to find operational efficiencies, and interpret trends to model scenarios. This role involves enabling data-driven decisions by linking operational performance to enterprise financial outcomes and preparing reports for senior leadership.

Candidates must have over four years of experience in risk adjustment analytics and analyzing specific claims data like MMR, MOR, and MAO-004, along with passing at least three actuarial exams. A Bachelor's degree in a quantitative or health-related field is required, alongside high proficiency in Microsoft Excel and SQL.

• Health Insurance • Dental Insurance • Vision Insurance • Employee Assistance Programs • Life Insurance • Disability Insurance • Health Spending Accounts • Flexible Spending Accounts • Bonus Program • 401k With Employer Match • Financial Wellness Resources • Paid Holidays • Vacation Time • Sick Time • Paid Birthgiving Leave • Bonding Leave • Sabbatical Leave • Living Donor Leaves • Family Forming Services • Physical Wellness Perks • Mental Health Support • Professional Development Stipend

• Analyse de donnéesSouhaitée

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Risk Adjustment Analytics
• Financial Performance Evaluation
• Data Analysis
• Strategy Translation
• CMS Data Analysis
• Trend Interpretation
• Scenario Modeling
• Operational Efficiency
• Data Reconciliation
• Business Case Development
• Reporting
• Presentation Skills
• Microsoft Excel
• SQL
• PBI
• Redshift

• Healthcare
• Data & Analytics
• Finance & Accounting
• Science & Research

Formation minimale

Baccalauréat

Expérience minimale

4+ ans

Langue de l’offre

anglais

Heures de travail

40 heures par semaine