--- title: 'Lead Actuarial Analyst, MA Risk Adjustment at Strive Health' canonical: 'https://feeny.ai/job/lead-actuarial-analyst-ma-risk-adjustment-strive-health-pittsburgh-45bmam3kafr5' type: 'job' last_seen: '2026-09-10' --- # Lead Actuarial Analyst, MA Risk Adjustment at Strive Health - **Company:** Strive Health - **Location:** Pittsburgh, PA - **Work type:** hybrid - **Posted:** 2026-05-29 - **Last confirmed live:** 2026-09-10 - **Apply:** https://job-boards.greenhouse.io/strivehealth/jobs/4685316006 ## Job description ## 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 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. ## About Strive Health ## Company Overview - **One-liner**: Strive Health is the nation’s leader in value-based kidney care, using a combination of AI-powered technology and high-touch care teams to improve outcomes for people with chronic kidney disease (CKD) and end-stage kidney disease (ESKD). - **Entity Type**: Private - **Headquarters**: Denver, Colorado, USA - **Founded**: 2018 - **Founders**: Chris Riopelle (Co-Founder & CEO) ## Core Business - **Primary industry/industries**: Healthcare (value-based kidney care, population health management) - **Target customers**: B2B — partners with commercial and Medicare Advantage payors, Medicare, health systems, and physician groups through flexible value-based payment arrangements. - **Mission or purpose statement**: "Redefining care. Elevating life." Their tagline is "Creating better futures for people with complex chronic conditions, one patient at a time." ## Products & Services - **CareMultiplier™**: A kidney disease-specific, machine learning technology platform that helps clinicians create individualized care plans and optimize clinical outcomes. It is certified by HITRUST. - **Multispecialty, NP-led Care Teams**: High-touch, compassionate care teams that act as care extenders to provider partners, powered by predictive analytics and advanced technology. - **Population Health Programs**: Accredited by the National Committee for Quality Assurance (NCQA), these programs focus on risk identification, care coordination, and reducing hospitalizations. - **Strive Care Partners**: A nephrologist-led, complete care model for people with kidney conditions. ## Market Standing - **Valuation/Market Cap**: Not publicly available (Private company). - **Key Metric**: Serves over **150,000+** people with kidney disease across all 50 states. Partners with **6,500+** individual providers. - **Notable Investors/Partners**: Partners with major payors including United Healthcare and Kaiser. Specific funding details are not in the provided search results, but the company is well-established with over 800 employees ("Strivers"). - **Growth Signals**: Demonstrates strong clinical outcomes: 85% increase in optimal starts, 34% reduction in hospital readmissions, 41% reduction in hospitalizations, and 62% increase in home dialysis adoption [strivehealth.com](https://strivehealth.com/strive-metrics/). The company recently evolved its mission and core values in 2026 to reflect its next chapter of growth [strivehealth.com](https://strivehealth.com/news/the-evolution-of-strives-mission-and-core-values/). ## Competitive Advantages - **Integrated Value-Based Care Model**: Combines AI-driven predictive analytics (CareMultiplier™) with high-touch, NP-led care teams, creating a unique "high-tech, high-touch" approach. - **Proven Outcomes**: Demonstrated significant reductions in hospitalizations and readmissions, and increases in home dialysis adoption — key metrics that lower total cost of care for partners. - **National Scale & Accreditation**: Operates in all 50 states, partners with over 6,500 providers, and holds NCQA accreditation for its population health programs and HITRUST certification for its technology platform. - **Strong Partner Network**: Deep integration with major payors (United Healthcare, Kaiser) and health systems provides a robust moat. ## Strategic Focus - **Expanding Value-Based Kidney Care**: Scaling its integrated care model to serve more patients with CKD and ESKD, as well as those with complex chronic conditions that often occur alongside kidney disease. - **Deepening Technology & Analytics**: Continuing to enhance CareMultiplier™ with AI and machine learning to improve risk prediction and individualized care plans. - **Evolving Mission**: In 2026, the company refreshed its mission and values to "Redefining care. Elevating life," signaling a broader focus on creating better futures for people with complex chronic conditions [strivehealth.com](https://strivehealth.com/news/the-evolution-of-strives-mission-and-core-values/). ## Why Work Here - **Mission-Driven Work**: Employees ("Strivers") have a direct impact on the lives of patients with chronic kidney disease, improving outcomes and reducing hospitalizations. The work is described as "transformational" and "making a difference." - **Culture & Values**: A strong values-based culture with Employee Resource Groups (ERGs) for Parents/Guardians/Caregivers, LGBTQIA+ (Strive Forward), Underrepresented Minorities, Women & Allies, and Veterans. - **Work Policy**: **Hybrid-Remote** approach — team members can work from home while collaborating in person when needed. A full technology package and monthly technology reimbursement are provided. - **Comprehensive Benefits**: - **Paid Leave**: 12 weeks of paid birth-giving leave, 4 weeks of paid bonding leave (starting day one), and a 4-week paid sabbatical after five years. Paid living donor leave is also available. - **Time Off**: Vacation time, sick time (up to two weeks), paid holidays, and annual "Well-Being Days" focused on employee well-being. - **Health & Wellness**: Medical (HMO, PPO, HDHP via United Healthcare and Kaiser), dental, vision (starting day one). Access to Headspace Care, Calm Health, and an Employee Assistance Program. - **Financial**: 401k with employer match, access to financial planning tools (Empower, SoFi). - **Professional Development**: Annual professional development reimbursements, paid time off for clinical licensure requirements, and tuition discounts through CSU Global. - **Additional Perks**: Pet insurance (Fetch), product discounts (PerkSpot), family-forming support (Maven Maternity). ## Sources 1. [Strive Health Official Site](https://strivehealth.com/) 2. [Strive Health Company Page](https://strivehealth.com/company/) 3. [Strive Health Careers Page (Greenhouse)](https://job-boards.greenhouse.io/strivehealth) 4. [Strive Health LinkedIn Page](https://www.linkedin.com/company/strive-health) 5. [Strive Health Metrics Page](https://strivehealth.com/strive-metrics/) 6. 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