Michael Mcnutt Email & Phone Number

Eden Prairie , Mn, Us

Expanding on capabilities developed in my Senior Consultant position to now leading a variety of talented analysts and consultants on similar projects. I am responsible for project management internally as well as presenting and delivering results to executive leaders of insurance companies. Continuing to specialize in the Medicare Advantage space by developing expertise in risk adjustment strategy, pharmacy and benefit pricing, financial claim reserving, and forecasting.

Eden Prairie , Mn, Us

Expansion from prior role with additional responsibilities:• Coordinating Medicare bid pricing development on both Part C and Part D to build a comprehensive Medicare product for clients. This includes leading external client deliveries and relationships as well as internal team management• Studying medical pricing and trends in the commercial pricing space to identify potential savings opportunities within provider contracting arrangements• Medicare risk score and revenue strategy• Medical insurance reserve development along with monthly/quarterly/annual financial reporting• Benefit compliance evaluation ensuring plans fairly treat patients with mental health claims• Medicare market participation strategy - Identifying insurance payer competitors within a market and determining whether the client is in a position to compete• Continuing to develop coding capabilities with Python

Eden Prairie , Mn, Us

Primarily working in the Medicare and Commercial insurance space along with a wide variety of other projects to meet client needs:• Designed and built a nationwide Medicare benefit summary tool sourced from CMS raw data files. This is now used to drive strategic consulting initiatives.• Annual Medicare plan bid pricing with expertise in the Part D (Pharmacy) space. This includes pricing assumption development for industry changes, claims trends, generic drug launch research, pharmacy rebate contracting analyses, and navigating a rapidly changing regulatory environment.• Monthly financial reporting of revenue, claims, and risk scores for external clients• Reserve development• Pharmacy benefit formulary design consulting - determining impact to premiums based on drug inclusion and associated liability rebate offsets.• Benefit design regulatory compliance review (Mental Health Parity Testing).Technical skill applications:• Extensive work in SAS, SQL, Access, and Oracle database management• Comfortable with building and managing large integrated Excel-based models.

Eden Prairie , Mn, Us

Seattle, Wa, Us

Medicare and ACACollaborated with a team performing a wide variety of projects for clients including: • Preparing and submitting Medicare Advantage (Part C) bids • Supporting a cost sharing reduction reconciliation project (ACA) • Updating and enhancing the Milliman Dental Cost Guidelines • Developing estimates of claims incurred but not paid for reserving liabilities • Claim reserve trend analysesLong-Term CareWorked with a team to submit premium rate increase filings nationwide on a state-by-state basis: • Researching state requirements to ensure rate increase compliance • Claim projections through an internal Access-integrated Excel model to determine rate increase • Analyzing impact to premiums from plan benefit design revisions • Preparing exhibits for actual-to-expected analyses with rate increases on loss ratios • Internal review of team's work product for quality risk management purposes

Edina, Minnesota, Us

• Tennis lessons for both kids and adults• Organized court reservations for members and staff• Coached match-play for the junior teams against other clubs

Bachelor Of Science (B.S.), Actuarial Science

Actuarial Science