Consulting actuary assisting firms with financial analysis, provider contracting, risk adjustment and benchmark development, health benefit planning and pricing, insurance regulations, rate filings, reserving, reporting, and risk management.

Leader of provider contract strategies and analysis team, responsible for contract financial analysis, provider performance benchmark development, and evaluating the impact of network initiatives.

Consulting actuary assisting firms with financial analysis, provider contracting, risk adjustment and benchmark development, health benefit planning and pricing, insurance regulations, rate filings, reserving, reporting, and risk management.

Managed Medicare risk adjustment revenue forecast development for health plan clients. Provided documentation and support for financial audits, and trend assumptions for Medicare Advantage bid filings.

Led the trend research unit for Medicare lines of business. Performed outcomes analysis for disease management programs and other clinical and wellness initiatives. Managed the development of 2006 Medicare Advantage Part C bids.

Led the development and implementation of provider contract modeling tools for Commercial and Medicare lines of business. Monitored compliance with corporate policies and procedures for provider contract pricing and loading. Performed financial forecasting for Medicare lines of business related to changes in risk adjustment revenues.

Prepared Medicare Supplement rate filings, competitive analysis, and regulatory research for client expanding their product offering.

Created rate recommendations, financial forecasts, and reports for small group lines of business. Developed pooling and stop loss rates and factors. Prepared quarterly and annual statutory reports, including financial reconciliations of prior year reports. Estimated claim liabilities and policy reserves for health lines of business.