Actuary (CMS Regulatory & Bid Pricing)

Posted Yesterday
Be an Early Applicant
Hiring Remotely in US
Remote
Senior level
Healthtech
The Role
Leads Medicare Advantage actuarial work, including CMS bid development, HPMS filings, reserve modeling, risk adjustment, HCC analysis, payment reconciliation, Part D pricing, and RADV audit support. The role analyzes healthcare data, monitors CMS systems, translates actuarial findings for executives, and collaborates with finance, clinical, compliance, and network teams.
Summary Generated by Built In
 

At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it.


As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.


Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.


If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you.


For more information about our company, visit CuranaHealth.com

Summary

Looking for More Than a Traditional Actuarial Role?


This opportunity is designed for an Actuary who wants to broaden their impact beyond the numbers. We're seeking someone with a strong actuarial mindset who is curious, business-oriented, and excited to collaborate across functions to solve complex healthcare challenges. At Curana Health, you'll have the opportunity to expand your skill set, influence strategic decisions, and play a meaningful role in innovative initiatives that are helping transform care delivery for the senior population. If you're energized by learning, growth, and making a visible impact, this could be the next step in your career. This is a high-impact opportunity to partner cross-functionally with finance, clinical, compliance, and executive leadership in a rapidly growing, national organization.

Essential Duties & Responsibilities
  • Lead CMS (Centers for Medicare & Medicaid Services) bid development and HPMS (Health Plan Management System) filings for Medicare Advantage plan years
  • Build and maintain IBNR reserve modeling and support monthly close and financial reporting cycles
  • Perform risk adjustment modeling, HCC analysis, and CMS payment reconciliation
  • Monitor and respond to CMS data systems including HPMS, MARx, and RAPS/EDPS
  • Support RADV audit preparation and encounter data quality review
  • Develop and maintain Part D pricing models and support reconciliation processes
  • Translate actuarial findings into clear, actionable insights for non-actuarial stakeholders
  • Partner cross-functionally with finance, clinical, compliance, and network teams
  • Manage multiple deliverables across competing deadlines including bid season and CMS filing cycles

What Success Looks like: 

  • Successfully support or lead the CMS bid submission cycle
  • Deliver accurate, actionable insights from risk and financial modeling
  • Strengthen reserve modeling and reporting processes
  • Provide clear, executive-ready recommendations
Qualifications 

Required Qualifications:

  • Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related quantitative field
  • ASA (Associate of the Society of Actuaries) required
  • 5- 8+ years of actuarial experience, with a strong preference for healthcare or managed care settings
  • Minimum 2 years of Medicare Advantage health plan experience (required)
  • Hands-on experience with CMS bid development and HPMS submissions
  • Experience with risk adjustment modeling, HCC analysis, and CMS payment reconciliation
  • Advanced proficiency in Excel and actuarial modeling tools
  • Experience using SAS, R, Python, or SQL to analyze large healthcare datasets
  • Experience working with CMS data systems (HPMS, MARx, RAPS/EDPS)

Preferred Qualifications:

  • FSA and/or MAAA designation
  • Experience with ISNP, D-SNP, or dual-eligible populations
  • Part D pricing and/or reconciliation experience
  • Exposure to RADV audits and encounter data processes

Skills Required

  • Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field
  • ASA designation
  • 5–8+ years of actuarial experience
  • At least 2 years of Medicare Advantage health plan experience
  • Hands-on experience with CMS bid development and HPMS submissions
  • Experience with risk adjustment modeling, HCC analysis, and CMS payment reconciliation
  • Advanced proficiency in Excel and actuarial modeling tools
  • Experience using SAS, R, Python, or SQL to analyze large healthcare datasets
  • Experience working with CMS data systems, including HPMS, MARx, and RAPS/EDPS
  • FSA and/or MAAA designation
  • Experience with ISNP, D-SNP, or dual-eligible populations
  • Part D pricing and/or reconciliation experience
  • Exposure to RADV audits and encounter data processes
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
1,382 Employees
Year Founded: 2021

What We Do

Curana Health is a national value-based healthcare company focused on senior housing residents. It provides compassionate, coordinated, on-site primary care, health insurance plans, Accountable Care Organization (ACO) services, and Medicare Advantage Special Needs Plans. Its model combines clinicians, care teams, technology, analytics, and operator partnerships to improve health outcomes, reduce preventable hospitalizations, support aging in place, and help senior living communities deliver more effective care.

Similar Jobs

Apryse Logo Apryse

Developer Writer

Productivity • Software • App development • Automation
In-Office or Remote
15 Locations
665 Employees
100K-120K Annually

Golden Pet Brands Logo Golden Pet Brands

Customer Care Representative

Digital Media • eCommerce • Information Technology • Marketing Tech • Pet • Retail • Social Media
Easy Apply
Remote
USA
178 Employees

Block Logo Block

Product GTM Operations Senior Manager

Blockchain • eCommerce • Fintech • Payments • Software • Financial Services • Cryptocurrency
In-Office or Remote
8 Locations
12000 Employees
164K-297K Annually

Block Logo Block

Staff Software Engineer

Blockchain • eCommerce • Fintech • Payments • Software • Financial Services • Cryptocurrency
In-Office or Remote
Seattle, WA, USA
12000 Employees
264K-395K Annually

Similar Companies Hiring

Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account