Associate Actuary (CMS Regulatory & Bid Pricing)

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

Curana Health is seeking an Associate Actuary to play a critical role in pricing, risk strategy, and financial performance across our Medicare Advantage lines of business. You will play a central role in CMS bid development, risk adjustment strategy, reserve modeling, and regulatory compliance at a company with more than 2,400 employees and significant growth momentum. 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