Nithya Baskaran Email & Phone Number

Chennai, Tn, In

Savings Opportunity Analysis: Analyzing large volumes of claims data for Health Plans/Providers to determine opportunities for improvement in cost of care by line of business and service categories. Supplemented analysis with recommended initiatives to achieve savings and go-to market strategies.Contract modelling: o Providers: Modeling the impact of proposed reimbursement terms using a provider's historical data calculate projections of utilization and charge patterns. Additionally, devise strategies and support for effective contract negotiations with health planso Health Plans: Conducting an assessment of the client rates to determine how well their payment contract was structured relative to market benchmark, based on their size and mix of services. Additionally. aiding them in developing strategic decision making regarding their future contract reimbursement strategiesBid Development: Managed offshore resources and contributed in developing Medicare Part D bids for a Medicare Advantage Organization for multiple years. Analyzed pharmacy claims to identify cost and utilization trends and outliers. Prepared Bid Pricing Tools (BPTs) and required actuarial documentation to accompany the submission to CMS.Rate filing review: Led a team of 3 offshore team members to assess the actuarial soundness of State rate filings for health, long-term care, disability insurance and other related products. Health Plan and Self Insured Audits: Led multiple health plan/Self Insured audit engagements and manages multiple onshore and offshore resources. Responsibilities include:Calculation of IBNR reserves for a variety of Deloitte health plan and self insured audit clientsreview of actuarial assumptions, actuary’s methodology for determining assumptions of various non IBNR liabilities such as PDR, MLR and 3Rs.

1. Perform a cost utilization analysis and identify the key areas where the client cost is higher than the benchmark.2. Propose strategies to the client in order the minimize their costs.3. Come up with reserve estimates for health insurance companies.4. Find the impact of health reform on the pricing of products.

I had completed one month internship in Deloitte during the final semester of my post graduation and subsequently I was recruited after completion of the course. Since then I had been majorly involved in projects pertaining to benchmark analysis and reserving valuations. The two year tenure in Deloitte has given me wide exposure to the health care system of US.

M Sc, Actuarial Science

The curriculum covered the CT Series papers of the Institute of Actuaries which includes the following papers: CT 1 - Financial.

Bsc, Mathematics

Graduated with Major in Mathematics. Minored in Statistics and Computer Science. Secured 100% in 4 papers and ranked first in college..

Actuarial Science

Cleared 7 Actuarial Papers: CT 1 - Financial Mathematics CT 2 - Finance and Financial Reporting CT 3 - Probability and Mathematical.