Jacob Epp Email & Phone Number

Rochester, New York, United States

Oversight for Commercial, Medicare and Safety Net pricing, strategy and forecasting Oversight of health plan valuation and reservingOversight of risk adjustment and prescription drug actuarial teams

Rochester, New York, United States

Oversight for Commercial Actuarial team spanning Individual, Small Group and Large Group lines of businessLOB oversight for Commercial Medical, Dental, and Vision pricing and rate filingOversight for line of business forecasting, budgeting and actual to expected analysis Partnerships with sales, product, rating and LOB leadership on strategic initiatives

Rochester, New York

Lead Valuation team in managing Medical, Drug and Dental reserves, Line Item reserves, Stop Loss reserves, and Rx Rebate accrualsDevelop and manage Financial Statement reporting related to membership, reserves, and prior period adjustmentsDevelop and manage reporting related to emerging experience and trends, high claimant tracking, and stop loss projectionsEngage with accounting on financial statement explanations and insights into reserving assumptions and emerging experience driving financial results Engage with claims processing department on high claimant processing thresholds and inventory targetsOversee Prescription Drug analysis, reporting and forecasting for all lines of business including rebate actual and forecast, Rx discount analysis and product or formulary changes

Rochester, Ny

Lead Experience Rated pricing team in rating formula development, rating factor development, pricing strategy and rating model maintenanceManage pricing and rating models for Fully Insured, Self Funded, Minimum Premium, Contingent Premium and Retrospective Premium funding arrangementsManage prescription drug pricing and projections for all lines of business and drug strategy for Self Funded and Minimum Premium linesFully Insured rate filing and formula filing, state and federal compliance testing and regulatory guidanceEngagement in product development and pricing model maintenance for all funding arrangementsEngagement in trend and budget assumption setting and reconciliation to pricing assumptions

Green Bay, Wisconsin Area

Wellness and Provider Risk Sharing (2014 - 2016)Provider Risk Sharing Arrangement Strategy Development and ImplementationProvider Capitation Rate Development and MaintenanceLead wellness and provider pricing team in model development, rate implementation, financial forecasting, and strategic recommendation developmentWellness and Employee Benefits Product Pricing and DesignWellness Product Risk ManagementWellness Embedded Product Analytics, Modelling and ValuationMarket Management (2012 - 2014)Employer Group Medical and Rx Rate-Making and PricingFinancial Forecasting and ReportingCompetitive Intelligence and AnalysisMarket Risk ManagementRate Filing and Regulatory Guidance

Buffalo/Niagara, New York Area

Upstate New York Teacher RecruitmentSales and Marketing PresentationSocial Media MaintenanceStudent InstructionInstructor Development and Feedback