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.
Requirements
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.
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.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.
Benefits
Health insuranceDental insuranceVision insurance401(k)Paid time offRemote work optionsFlexible schedulePerformance bonus
Additional Information
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 .
Strivehealth · Seattle, WA