Thanks for the tip on the skin setting. I did hit the function icon and it gave me a line width of 0.42, so I'm assuming I need to adjust that down.
Oddly enough though, in the previous version of Cura, my original settings worked perfectly and I didn't have this weird rippling.
Since I need to get this print done, I just set top surface skin layers to 0 and it's printing fine that way. I'll try the next print with these updated settings.