Help shape the future of value-based senior care by driving the analytics behind Curana Health’s risk adjustment strategy.
About Curana Health
Curana Health is a national leader in value-based care for older adults, partnering with more than 1,500 senior living communities across 32 states. With 1,000+ clinicians and support professionals, we deliver on-site primary care, ACO programs, and Medicare Advantage Special Needs Plans that improve outcomes for over 200,000 seniors. Our mission is simple: improve the health, happiness, and dignity of older adults.
Schedule
• Full-time, remote
• Standard weekday schedule
• Requires reliable high-speed internet
Responsibilities
• Lead end-to-end analyses supporting risk adjustment operations and strategy
• Build, maintain, and reconcile complex datasets using internal data and regulatory response files (MMR, MOR, RAPS, EDPS, MAO-002/004, etc.)
• Identify trends and communicate insights to internal teams, leadership, providers, and partners
• Improve processes that ensure accurate risk score capture and minimize error rates
• Maintain existing reports and develop new dashboards to support companywide goals
• Serve as a subject matter expert on risk models, CMS guidance, and annual risk adjustment cycles
• Conduct vendor oversight and reconcile submissions for compliance and accuracy
• Support RADV and other audits through documentation and analysis
• Perform root cause analysis on data issues to prevent discrepancies or gaps
• Collaborate with internal stakeholders to resolve member, provider, claim, and pharmacy data issues
• Provide analytical support for financial projections, pricing efforts, and cost utilization modeling
• Interpret regulatory updates, attend training sessions, and maintain a high level of compliance knowledge
Requirements
• Bachelor’s degree required
• 5+ years of experience in Risk Adjustment (health plan, provider group, or RA vendor)
• Strong understanding of value-based care models and Medicare Advantage
• Experience with SQL and advanced Excel; PowerBI or PTT experience a plus
• Strong analytical, problem-solving, and communication skills
• Ability to simplify complex data for executive audiences
• Experience in fast-paced, data-driven environments
• Coding certification (AAPC or AHIMA) is a plus
Benefits
• Comprehensive medical, dental, and vision
• Paid Time Off and paid holidays
• 401(k) with company match
• Remote work flexibility
• Opportunities for advancement in one of the fastest-growing healthcare companies in the U.S.
Happy Hunting,
~Two Chicks…