SUMMARYWe are seeking an Actuary to own the pricing of Curative's ASO (self-funded) product line, with primary focus on employer stop loss pricing - both specific (individual) and aggregate. Stop loss is sold exclusively bundled with Curative's ASO/self-funded plan, so this role sits at the center of how the self-funded block is quoted, renewed, reserved, and reported. You will own the actuarial mechanics end to end: manual and experience rating, credibility, trend, risk load and retention build-up, attachment-point and corridor structures, monthly IBNP valuation of the stop loss layer, and the state rate filings that support the product. This is a highly visible role that pairs technical actuarial ownership with direct matrix relationships across Underwriting, Sales, Account Management, Finance, and Operations, and with state regulators. You will collaborate closely with these teams to help drive Curative's growth and profitability as the ASO block expands into new states.
PRIMARY RESPONSIBILITIES - Own specific and aggregate stop loss pricing for Curative's self-funded ASO groups
- Maintain and enhance the stop loss rating methodology, including trend, credibility standards, group-size risk load, expected loss ratio targets, and retention build-up
- Price new business and renewal quotes across all plan options, communicating rate rationales directly to Underwriting and Sales Teams
- Manage end-to-end ASO pricing models, continuously updating core inputs, network blends, administration, and specialty rider pricing
- Conduct experience studies for the self-funded block, evaluating large claims, leveraged trends, credibility, and actual-vs-expected stop loss performance
- Manage state stop loss rate filings and actuarial certifications, ensuring compliance with state regulations and Actuarial Standards of Practice
- Partner with Underwriting to refine stop loss underwriting guidelines, eligibility rules, and claim review procedures while providing final peer review and technical validation
- Support settlement and experience-refund reporting, renewal strategy, and executive reporting on stop loss and ASO financial metrics
- Mentor junior actuarial staff and provide technical review of their work
- Performs other projects and duties in support of the company as required
QUALIFICATIONSTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions:
- Working knowledge of self-funded/ASO plan mechanics and employer stop loss coverage
- specific and aggregate structures, attachment points and corridors, contract basis, pooling, lasering, and terminal liability - Strong technical grounding in excess-layer pricing: claim probability distributions, leveraged trend, credibility, and risk/contingency margin
- Strong analytical skills and creative problem-solving abilities with attention to detail
- Advanced Excel modeling skills; able to build, audit, and document a multi-tab rating model
- Able to translate and effectively communicate results and implications of actuarial, data, financial, and underwriting analyses to non-actuarial partners, executives, and regulators
- Ability to effectively coordinate and manage matrix stakeholders to execute on projects and priorities
- Capable of independently driving multiple projects and workstreams
- Excellent organizational and time management skills
EDUCATION and/or EXPERIENCE - Bachelor's degree in mathematics, statistics, actuarial science, finance, economics, business, computer science or related degree
- Three or more years of health actuarial experience, including hands-on experience pricing or reserving employer medical stop loss and self-funded (ASO) business
- Associate of the Society of Actuaries (ASA) designation required; Fellow (FSA) and Member of the American Academy of Actuaries (MAAA) preferred. Candidates who meet the U.S. Qualification Standards to sign actuarial certifications in support of rate filings are strongly preferred
- Experience with industry manual rate bases and stop loss factor tables (e.g., Milliman Health Cost Guidelines claim probability distributions and aggregate factors) a plus
- Experience with state health insurance rate filings, including SERFF submissions and regulator correspondence, a plus
- Experience with IBNR/IBNP estimation and monthly close/reserve reporting a plus
- Knowledge of SQL and relational databases; experience with Python or R for data analysis a plus
Perks & Benefits - Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
- $0 copays and $0 deductibles (with completion of our Baseline Visit )
- Preventive and primary care built in
- Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)
- One-on-one care navigation
- Chronic condition programs (diabetes, weight, hypertension)
- Maternity and family planning support
- 24/7/365 Curative Telehealth
- Pharmacy benefits
- Comprehensive dental and vision coverage
- Employer-provided life and disability coverage with additional supplemental options
- Flexible spending accounts
- Flexible arrangements to work remotely
- Generous PTO policy plus 11 paid annual company holidays
- 401K for full-time employees
- Generous Up to 8-12 weeks paid parental leave, based on role eligibility.
