Jared Dodson Email & Phone Number

• Lead team of 4 who model $2.7B in revenue projections using Medicare risk scores; projections used by partner teams as model inputs for annual CMS bids, quarterly budget projections and by prospective program managers.
• Initiated analysis of In-Home Assessment program that resulting in identifying a third-party data issue and generated $200M in revenue
• Lead development, maintenance and documentation of 5 financial projection models covering in-home wellness assessments and physician assessment forms for individual, group plan and ESRD members
• Work with direct reports to increase their market value through further development of their financial model building, technical, analytic and reporting skill sets

• Model $1B in revenue projections using Medicare risk scores; projections used in bids, budgets and by prospective programs managers
• Collaborate with program managers to define prospective program parameters and develop ad hoc reports for senior leadership
• Built IHWA model from Excel into SQL; projections and comparative analyses produced more efficiently while avoiding Excel formula errors
• Prepared two direct reports for promotion and product ownership
• Received STAR Awards for contributions during 2018/2019/2020 bid season

Louisville, Kentucky

• Develop trend and pricing for Medicare Advantage plans in East Central and Intermountain regions during 2015, 2016 and 2017 bids
• Provide quarterly trend analysis and guidance, financial forecasting, bid development, and ad-hoc market requests
• Prepare reports for and participate in market discussions regarding quarterly trend guidance, forecasting results and key drivers
• Help develop and maintain capitated provider risk deal model
• Working to have claims adjudication system report utilization of member benefits in a way that unifies claims analysis across Senior Products

Louisville, Kentucky Area

• Led Cost and Use team through 2014 bids, preparing Medicare Advantage cost and utilization reports for pricing teams
• Led development and implementation of new SQL claims categorization logic impacting $20B in business
• Developed and led implementation of new SQL claims categorization process that reduced processing time from 2 days to less than 4 hours
• Completed actual-to-expected member cost share analysis and developed factors to reduce overstatements of cost share from ~$40M to $2M
• Helped design and implement application for Cost and Use claims categorization, reconciliation and summarization
• Received STAR Award for work on new claims categorization implementation and Leadership and Self-Deception seminar