Miranda Ross Email & Phone Number

Denver Metropolitan Area

National and hospital market (California, Hawaii, Northwest) commercial actuarial lead. This includes leading actuarial support of the enterprise-wide rate setting process and overseeing enterprise-wide large group rating methodology, ACA shared services, commercial risk adjustment applications, commercial product development, and federal and state legislative and regulatory support. Additionally, lead the actuarial teams responsible for California, Hawaii, and Northwest pricing and product development for commercial lines of business (individual, small and large group), group Medicare rating, and financial forecasting.

Greater Denver Area

Actuarial Department lead for Kaiser Permanente Colorado, in charge of providing actuarial services to support commercial lines of business and government programs in Colorado. This includes product development, pricing, reserving, forecasting, line of business strategy, legislative strategy and advocacy, and rate development and filing. I lead a team of actuarial professionals who use their unique understanding of uncertainty and risk management to provide financial performance insights and deliver practical solutions that drive financially sustainable membership growth, enabling Kaiser Permanente to deliver on its mission to provide high-quality, affordable health care for its members.

Greater Denver Area

Actuarial Director over the commercial lines of business, including large group, small group, and individual for the Kaiser Permanente Colorado region. This includes managing a team of actuaries and analysts focused on pricing, product design, strategic consulting, and risk analysis for commercial lines of business, as well as monthly reserving. Additional projects impacting all lines of business, including actuarial lead for expansion efforts as well as advocacy regarding state and federal legislation. Extremely knowledgeable around the Affordable Care Act, especially as it relates to the small group and individual lines of business. Experienced in commercial rate filing submissions and working with regulators to see filings through to approval.

Actuarial strategic lead for the individual and small group lines of business for the Kaiser Permanente Colorado region. This includes individual and small group pricing, product design, strategic consulting, and risk analysis. Additional projects impacting all lines of business, including actuarial lead for expansion efforts as well as advocacy regarding state and federal legislation. Extremely knowledgeable around the Affordable Care Act, especially as it relates to the small group and individual lines of business. Experienced in commercial rate filing submissions and working with regulators to see filings through to approval. Manage a team of two, focused on actuarial support of the individual and small group lines of business as well as monthly reserving.

Greater Denver Area

Small group and individual health product development, pricing, and rate filings. Individual and small group actuarial lead for the Kaiser Permanente Colorado region. Affordable Care Act and other regulatory advocacy and impact analysis. Service area expansion support and pricing, narrow network development and pricing.

Greater Denver Area

Small group and individual health product development, pricing, and rate filings. Affordable Care Act and other regulatory advocacy and impact analysis

Greater Denver Area

Health care regulations, commercial rate support, pricing and product development, data analytics, profitability reporting and segmentation of commercial populations

Greater Denver Area

Data analytics, experience reporting, large group benefit pricing, commercial rate filing support

Dallas-Fort Worth Metroplex

Individual and association health insurance pricing, product development, filings, network and fee schedule analytics