Actuary (CMS Regulatory & Bid Pricing)
$135K - $160K/yr
Lead CMS (Centers for Medicare & Medicaid Services) bid development and HPMS (Health Plan ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related quantitative field
60 Cms Mathematical Statistician Jobs Hiring Near You
Actuary (CMS Regulatory & Bid Pricing)
$135K - $160K/yr
Lead CMS (Centers for Medicare & Medicaid Services) bid development and HPMS (Health Plan ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related quantitative field
Lead CMS (Centers for Medicare & Medicaid Services) bid development and HPMS (Health Plan ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related quantitative field
Lead CMS (Centers for Medicare & Medicaid Services) bid development and HPMS (Health Plan ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related quantitative field
Program Coordinator - Center for Assistance with Statistics and Mathematics (CASM)
Laramie, WY · On-site
Maintain current knowledge of math and statistics course resources, and course schedules ... Use CMS to create and maintain web pages for the CASM and Math Placement; maintain an advanced ...
Program Coordinator - Center for Assistance with Statistics and Mathematics (CASM)
Laramie, WY · On-site
Maintain current knowledge of math and statistics course resources, and course schedules ... Use CMS to create and maintain web pages for the CASM and Math Placement; maintain an advanced ...
Program Coordinator - Center for Assistance with Statistics and Mathematics (CASM)
Laramie, WY · On-site
Maintain current knowledge of math and statistics course resources, and course schedules ... Use CMS to create and maintain web pages for the CASM and Math Placement; maintain an advanced ...
Program Coordinator - Center for Assistance with Statistics and Mathematics (CASM)
Laramie, WY · On-site
Maintain current knowledge of math and statistics course resources, and course schedules ... Use CMS to create and maintain web pages for the CASM and Math Placement; maintain an advanced ...
Applies knowledge of mathematics, probability, statistics, and principles of business to complete ... CMS and other regulatory agencies. 4. Assists in developing processes and methods used in ...
Applies knowledge of mathematics, probability, statistics, and principles of business to complete ... CMS and other regulatory agencies. 4. Assists in developing processes and methods used in ...
Actuarial Analyst II
Philadelphia, PA · On-site
Applies knowledge of mathematics, probability, statistics, and principles of business to complete ... Prepares rate filings for State Insurance Departments, CMS and other regulatory agencies.
Actuarial Analyst II
Philadelphia, PA · On-site
Applies knowledge of mathematics, probability, statistics, and principles of business to complete ... Prepares rate filings for State Insurance Departments, CMS and other regulatory agencies.
... CMS Stars data, including HOS, CAHPS, HEDIS, and Pharmacy measures • Perform statistical analysis ... Mathematics, Statistics, Public Health, or a related field • 3+ years of data analysis experience ...
... CMS Stars data, including HOS, CAHPS, HEDIS, and Pharmacy measures • Perform statistical analysis ... Mathematics, Statistics, Public Health, or a related field • 3+ years of data analysis experience ...
Sr. Data Analyst
IL · Remote
$88K - $111K/yr
... CMS reporting requirements for Medicaid. * Strong communication skills and ability to work directly with clients. * Bachelor's or advanced degree in IT, Computer Science, Mathematics, Statistics, or ...
Quick apply
Sr. Data Analyst
IL · Remote
$88K - $111K/yr
... CMS reporting requirements for Medicaid. * Strong communication skills and ability to work directly with clients. * Bachelor's or advanced degree in IT, Computer Science, Mathematics, Statistics, or ...
... of CMS reporting requirements for Medicaid * Strong communication skills and ability to work directly with clients. * Bachelor's or advanced degree in IT, Computer Science, Mathematics, Statistics ...
Quick apply
... of CMS reporting requirements for Medicaid * Strong communication skills and ability to work directly with clients. * Bachelor's or advanced degree in IT, Computer Science, Mathematics, Statistics ...
HealthCare Claims Analyst
Manhattan, NY · On-site
$65K - $72K/yr
... Mathematics, Statistics, or Engineering, with a Master's degree preferred. A minimum of 3-5 years ... Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are ...
Quick apply
HealthCare Claims Analyst
Manhattan, NY · On-site
$65K - $72K/yr
... Mathematics, Statistics, or Engineering, with a Master's degree preferred. A minimum of 3-5 years ... Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are ...
HealthCare Claims Analyst
Manhattan, NY · On-site
$65 - $72/hr
... Mathematics, Statistics, or Engineering, with a Master's degree preferred. A minimum of 3-5 years ... Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are ...
New
HealthCare Claims Analyst
Manhattan, NY · On-site
$65 - $72/hr
... Mathematics, Statistics, or Engineering, with a Master's degree preferred. A minimum of 3-5 years ... Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are ...
New
HealthCare Claims Analyst
Manhattan, NY · On-site
$65K - $72K/yr
... Mathematics, Statistics, or Engineering, with a Master's degree preferred. A minimum of 3-5 years ... Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are ...
HealthCare Claims Analyst
Manhattan, NY · On-site
$65K - $72K/yr
... Mathematics, Statistics, or Engineering, with a Master's degree preferred. A minimum of 3-5 years ... Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are ...
Research Manager
San Francisco, CA · On-site
Bachelor's degree or higher in a field such as economics, mathematics, statistics, or public policy ... policy, CMS data) This position is full-time onsite in San Francisco. Working side by side ...
Research Manager
San Francisco, CA · On-site
Bachelor's degree or higher in a field such as economics, mathematics, statistics, or public policy ... policy, CMS data) This position is full-time onsite in San Francisco. Working side by side ...
Research Manager
San Francisco, CA · On-site
Bachelor's degree or higher in a field such as economics, mathematics, statistics, or public policy ... policy, CMS data) This position is full-time onsite in San Francisco. Working side by side ...
Research Manager
San Francisco, CA · On-site
Bachelor's degree or higher in a field such as economics, mathematics, statistics, or public policy ... policy, CMS data) This position is full-time onsite in San Francisco. Working side by side ...
... Mathematics, Statistics, or a related field. * 5+ years of actuarial experience, with a focus on Medicare pricing. * Fellow or Associate of the Society of Actuaries (SOA). * Familiarity with CMS bid ...
... Mathematics, Statistics, or a related field. * 5+ years of actuarial experience, with a focus on Medicare pricing. * Fellow or Associate of the Society of Actuaries (SOA). * Familiarity with CMS bid ...
Education Bachelor's or Master's degree in Computer Science, Engineering, Statistics, Mathematics ... Hands-on experience with CMS datasets (MMR, MOR, EDPS, Encounter data). * Experience working with ...
Quick apply
Education Bachelor's or Master's degree in Computer Science, Engineering, Statistics, Mathematics ... Hands-on experience with CMS datasets (MMR, MOR, EDPS, Encounter data). * Experience working with ...
Translate complex Part D benefit designs, formularies, and CMS rules into robust model logic ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. * 6+ years of ...
Translate complex Part D benefit designs, formularies, and CMS rules into robust model logic ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. * 6+ years of ...
Translate Part D benefit designs, formularies, and CMS rules into detailed model logic. * Perform ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. * 2+ years of ...
Translate Part D benefit designs, formularies, and CMS rules into detailed model logic. * Perform ... Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. * 2+ years of ...
Sr. Territory Manage - Field Remote - Must live in San Bernardino/Inland Empire, CA
San Bernardino, CA · Remote
Solid knowledge and understanding of the CMS Marketing Guidelines. * Ability to communicate ... Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics ...
Sr. Territory Manage - Field Remote - Must live in San Bernardino/Inland Empire, CA
San Bernardino, CA · Remote
Solid knowledge and understanding of the CMS Marketing Guidelines. * Ability to communicate ... Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics ...
Sr. Territory Manage - Field Remote - Must live in San Bernardino/Inland Empire, CA
San Bernardino, CA · Remote
Solid knowledge and understanding of the CMS Marketing Guidelines. * Ability to communicate ... Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics ...
Sr. Territory Manage - Field Remote - Must live in San Bernardino/Inland Empire, CA
San Bernardino, CA · Remote
Solid knowledge and understanding of the CMS Marketing Guidelines. * Ability to communicate ... Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics ...
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$135K - $160K/yr
Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Curana Health rating
7.7
Based on 6 frontline employees who took The Breakroom Quiz
Job description
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
What Success Looks like:
Qualifications
Required Qualifications:
Preferred Qualifications:
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
About Curana Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Austin, TX, US