Sr. Manager, Underwriting

Strive Health

Strive Health

United States
Posted on Feb 6, 2026

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

The main function of this role will be to lead actuarial functions and collaborate with internal/external stakeholders, with particular focus on evaluating new business opportunities. The Senior Manager, Actuarial will execute work assignments using actuarial and statistical methods. The role will include the benefit of an actuarial study program designed to motivate and support you through your exams. This role will report to the Senior Director, Actuarial.

The Day to Day

  • Work closely with our business development team in developing opportunity assessments for new clients or expansions with existing clients.
  • Refine the opportunity assessment model to leverage more & better industry data as well as more specific operating assumptions.
  • Support the contracting team by evaluating the financial impact of key contractual terms.
  • Develop client-specific assumptions for new business as a part of the broader Finance budgeting process.
  • Partner with FP&A to refine operating model assumptions supporting new business evaluation.
  • Represent Finance on the Strategic Pricing committee.
  • Manage a team of one analyst.
  • Create and present materials for client presentations, clearly communicating Strive’s impact.
  • 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 delivers insights/expertise to a diverse audience and communicates analyses and results to internal and external partners.

Minimum Qualifications

  • Bachelor’s degree in Mathematics, Statistics, or related field.
  • 7+ years experience in Actuarial services, Healthcare Economics, or related field.
  • 3+ years experience in Medicare Advantage.
  • Associate of the Society of Actuaries (ASA).
  • 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

  • Experience applying or reviewing medical claim grouper logic.
  • Strong oral and written communication skills.
  • Experience in value-based care preferred.
  • Experience with CMS shared savings programs strongly preferred.
  • Experience in Commercial, Medicaid or Medicare analysis.
  • Experience using advanced Microsoft Excel functions and SQL.

Annual Base Salary Range: $108,500 - $136,000

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 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.

#LI-Hybrid