Manager, Actuarial

United States (Eastern Time Zone) · Hybrid$99k – $149k

About this role

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. 

Actuarial Manager, Reserving

We are seeking an Actuarial Manager to support financial oversight and analytics for value-based care programs, with a primary focus on CKCC populations. This role will lead monthly financial reporting, support IBNR reserving, and partner cross-functionally to evaluate performance drivers and inform key business decisions. The ideal candidate combines strong technical actuarial skills with the ability to communicate insights clearly to senior leadership. 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

  • Lead actuarial support for monthly close (ME), including medical expense (MedEx), revenue, and savings analysis
  • Develop and maintain standardized financial exhibits to explain period-over-period changes
  • Partner with Finance to support booking decisions and ensure alignment with accounting
  • Own development and refinement of IBNR models using claims data and completion factors
  • Perform reserve analysis, including sensitivity testing and range development
  • Enhance reserving methodologies to improve accuracy and reduce volatility
  • Serve as a subject matter expert on CKCC financial performance, including benchmarks, risk score, and utilization trends
  • Monitor and update key assumptions (trend, risk score, RTA, etc.)
  • Support internal and external stakeholders with CKCC-related financial insights
  • Analyze claims, eligibility, and financial data to identify key drivers of performance
  • Partner with Data Ops and Engineering to improve data quality, timeliness, and accessibility
  • Support automation initiatives (e.g., standardized datasets, dashboards, and tools such as Power BI or SQL-based solutions)
  • Work closely with Finance, Partner Analytics, Risk Strategy, and Data teams
  • Support ad hoc analyses for leadership, including CFO-level summaries and board materials
  • Translate complex actuarial concepts into clear, actionable insights

Minimum Qualifications

  • Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related field
  • 4+ years’ experience in actuarial services or related experience
  • Progress toward ASA/FSA (or equivalent experience) preferred
  • Strong communication skills
  • Strong proficiency in Excel
  • 4+ years’ experience with SQL and financial modeling capabilities
  • Experience with healthcare data (claims, membership, value-based care) strongly preferred
  • Experience with IBNR/reserving methodologies (e.g., completion factors, lag analysis)
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
  • Ability to travel and be on-site to meet business needs.

Preferred Qualifications

  • Familiarity with CKCC or similar value-based care models
  • Experience with CMS shared savings programs
  • Strong problem-solving skills and attention to detail
  • Strong adaptability and capacity to work in fast-paced environments
  • Excellent communication skills, especially for executive audiences
  • Exceptional analytical and conceptual thinking skills
  • Experience using Microsoft Power BI

 

Annual Salary Range: $99,000 - $149,000. 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 [email protected].

We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.

Company at a glance

Strive Health is the nation’s leader in value-based kidney care and partner of choice for innovative healthcare payors and providers. Using a unique combination of technology — including AI — care interventions and seamless integration with local providers, Strive forms an integrated care delivery system that supports the entire patient journey from chronic kidney disease (CKD) to end-stage kidney disease (ESKD). To help patients, Strive partners with commercial and Medicare Advantage payors, Medicare, health systems and physicians through flexible value-based payment arrangements, including risk-based programs. Strive serves over 145,000 people with CKD and ESKD across 50 states and partners with over 6,500 providers. Strive’s case management and population health programs are accredited by the National Committee for Quality Assurance (NCQA), and its technology platform, CareMultiplier™, is certified by HITRUST. To learn more, visit StriveHealth.com.

Founded2018
Team Size501-1,000 employees
WorkspaceHybrid
IndustryHospitals and Health Care
Location
United States

Top Benefits

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Employee Assistance Programs
  • Employer-paid Life Insurance
  • Voluntary Life Insurance
  • Disability Insurance
  • Health Spending Accounts
  • Flexible Spending Accounts
  • Performance-based 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 Through Maven Maternity
  • Physical Wellness Perks
  • Mental Health Support
  • Annual Professional Development Stipend
  • Actuarial Study Program

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