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Sr. Director, Actuarial

Strivehealth

United States (Hybrid) Remote permanent

Posted: February 24, 2026

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Quick Summary

A highly motivated Sr. Director, Actuarial plays a key role in leading the actuarial function within the organization, providing strategic guidance, and ensuring compliance with regulatory requirements.

Job Description

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

Reporting to the Vice President, Actuarial, the Senior Director, Actuarial Services will oversee actuarial management of risk contracts, financial forecasting, and analysis of performance. This role will work closely with Customer Success, Finance, and Medical Economics teams and will be responsible for communicating financial performance to internal and external stakeholders. This role is critical in supporting the company’s financial health and enhancing performance across Commercial, Medicare, and Medicaid programs, particularly through value-based care initiatives. 

The Day to Day

• Manage a team of analysts responsible for Forecasting, Client Management and Growth for a Strive region.

• Create financial forecasts and annual budgets, inclusive of managing forecast assumptions and interpreting financial results, including variances from forecast to help identify product and segment behavior to assist in risk management of the business units.

• Underwrite client expansions, inclusive of ingesting and summarizing data, creating financial pro forma views, presenting to clients and assisting with contracting.

• Create and present materials for client presentations, clearly communicating Strive’s impact.

• Lead the relationship with client actuarial teams, including alignment on financial and clinical performance, settlement negotiations and data reconciliation.

• Partner with key stakeholders across Strive’s Finance, Client Success, and Growth functions to identify data-driven opportunities to add value to existing and potential partners.

• Present models and deliver insights/expertise to a diverse audience and communicates analyses and results to internal and external partners.

Minimum Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related field.

• 9+ years experience in actuarial services.

• ASA or FSA designation through the Society of Actuaries

• 9+ years’ experience in the healthcare industry. 

• 9+ years Advanced Excel, SQL, and financial modeling capabilities. 

• 5+ years direct experience in IBNR / claims reserving to total cost of care. 

• 3+ years’ experience leading an actuarial team. 

• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

• Ability to travel and be onsite to meet business needs.

Preferred Qualifications

• Advanced in Excel and financial modeling.

• Experience in Commercial, Medicaid and Medicare analysis.

• Experience with CMS shared savings programs.

• Experience in working with multiple legal entities under different legal umbrellas.

• Experience in managing merger-acquisition bids.

About You

• Strong communication and relationship skills.

• Broad industry knowledge, with a focus on Medicare Advantage and Value Based Care.

• Exceptional analytical and conceptual thinking skills.

Annual Base Salary Range: $152,500 - $191,000

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 the 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.

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