Stephanie Smith-Cline, Mba, Gri, Abr®, Srs®, E-Pro® Email & Phone Number

Houston, Texas, United States

Houston, Texas, United States

Led a team in the execution of analytic strategies through the discovery, development, and implementation of leading-edge analytics that answer important business questions that had a direct impact on clients bottom-line. - Built from the ground-up, a subdivision of the Medical Economics and Analytics Department, that supported 16 clients and over 18 million members with all analytic needs. - Created enterprise reporting tools to rapidly deliver data-driven insights and recommendations.- Directed a team of analysts that executed complex modeling to produce sound, comprehensive economic analysis which provided value and fulfilled clients’ needs.- Drove a repeatable analytic process, and consistently delivered best-in-class reporting to multiple business stakeholders.- Led a team of analysts in providing accurate, timely, understandable, and actionable analyses/reports on internal and external utilization management projects, solutions, or new investments to determine the impact on healthcare cost.- Supported customer engagement and satisfaction by maintaining effective communication and transparency of work and deliverables with core stakeholders- Proactively identified, developed, managed, and executed analyses to uncover areas of opportunity and presented recommendations that helped shape the product and technology roadmap.- Developed Business Intelligence tools encompassing predictive models and algorithms that quantified business opportunities and identified drivers of cost, quality, and provider performance.

Columbia, Maryland, United States

Promoted to this senior role to oversee the development, creation, distribution of cost and utilization analytics for CMS and CMMI Demonstration projects. - Ensured new product and solution offerings were grounded in well-articulated and differentiated clinical scope and process that focused on for driving waste out of the system while improving measurable health outcomes.- Led a team of analysts responsible for building self-service analytic tools used by clients across their organization to successfully manage their populations.- Participated in new business development projects, with responsibilities to position the company's analytical advantages and integrated strengths to prospects.- Planned, directed, and controlled designated resources, efforts of client reporting, and data analysis team to accomplish the objectives of xG Health through in-depth analysis and insightful interpretation.

Columbia, Maryland, United States

Owned the development of processes and reporting to contribute to business models for individual customers. Utilized actuarial, analytical and risk mitigation perspective to create proposals to capture current and future state business objectives.- Motivated staff to accomplish reporting and analytic goals and objectives while ensuring accuracy and timeliness of output and deliverables for assigned client responsibilities.- Supported participating organizations to test innovative payment and service delivery models to reduce Medicare expenditures while preserving and enhancing the quality of care for beneficiaries. > Pioneer ACO: Successful in the first year of the Pioneer program by reducing total cost of care by $499 per beneficiary per year (~5%) resulting in only 1 of 13 Pioneer ACOs to share in the savings. > Medicare Shared Savings Plan (MSSP): Support multiple clients with over 100k beneficiaries for both quality and data analytics. > Bundled Payments for Care Improvement (BPCI): Support 24 Awardee participants containing over 400k predefined episodes with all Analytic needs. > Comprehensive Care for Joint Replacement (CJR): Provide Opportunity analysis through Data analytics, clinical support, and care redesign for hospitals. > Commercial Bundles: Provide Opportunity analysis through Data analytics, clinical support and care redesign for large PGPs and ISOs.

Danville, Pennsylvania, United States

Supported all Accountable Care Organization (ACO) outreach initiatives by providing transparency of Federal laws and Regulations, Defining Measures, Data Collection and Normalization, Driver Analysis and Collaborative Execution, Share Best Practices and Innovations, and Performance Improvement Analysis for: - CMS Physician Group Practice Demonstration (PGP) (2005-2010)- CMS Physician Group Practice Transition Demonstration (PGP-TD) (2010-2012)- CMMI Bundles (2013 – 2018- CMS Pioneer ACO (Consulting for a Partner 2012-2015)- CMS Medicare Shared Savings Program (MSSP) (2013 – 2018) Solely responsible for the business rules, change management, prioritization of CMS data, and claims experience stratification for managing utilization and expense trends Conducted detailed level analytic reviews and bring forth findings to shape into a clinical initiative where potential savings opportunity may lie.

Wilkes-Barre, Pennsylvania, United States

Supported the analysis of company rate adequacy in 33 states through analyzing competitor rate, rule and form filings, partnering cross-functionally at all levels, effectively communicating both verbally and visually, findings and insights to non-technical stakeholders to ensure competitive, yet profitable rates and coverage’s.- Coordinated the conversion of the automobile rating structure to an ISO based rating structure. - Involved documenting rating and rule differences, screen development, rating algorithms, system testing, competitor analysis, and rate development. - Developed a complex, interactive Excel rating program to determine the significant financial impact.

Wilkes-Barre, Pennsylvania, United States

Led the Actuarial Pricing team in formulation of small group rates while continue to refine the rate maintenance and rate validation process.- Prepared rate filings for submission to the appropriate regulatory entities, responded to Pennsylvania Insurance Department questions/concerns and provided documentation in support of proposals- Forecasted revenue, developed and utilized complex product revenue models to simulate and study impact of various pricing parameters/methodologies/programs- Presented recommendations to management for improvements based on modeling/analysis- Analyzed plan experience to form recommendations for improved rate change stability to customers - Received a Focus Award for successfully introducing the pricing, product development, interaction with legal entities, and sale preparation of the launch of the new company ~ Significa Insurance Group

Wilkes-Barre, Pennsylvania, United States

Used statistical models to analyze data and calculate the probability of and costs associated with certain events, such as product failure, accidents, property damage, injury and death. These results were used to design and price insurance policies, all while assessing the risk exposure of thecompany.Performed data analysis and statistical modeling and presented findings to senior management or clients. Required SkillsThe BLS reported that actuarial analysts must have these qualities for success in the field: A strong background in mathematics and statistics General knowledge of business and finance Familiarity with spreadsheets, databases, statistical analysis programs and programming languages Oral and written communication skills when preparing reports and giving presentations. Strong analytical and problem-solving skills

Graduate Certificate, Applied Health Informatics, 4.0

Master Of Business Administration (M.B.A.), Business, 3.8

Activities and Societies: Summa cum laude (with highest honors) 3.800

Bachelor Of Arts - Ba, Mathematics

Associate’S Degree, Health Insurance, 4.0

High School, College Prep

Activities and Societies: Soccer, Tennis, 1,000k Point Scorer-Basketball, Softball, Student Council

Associate’S Degree, General Insurnace And Insurance Services, Pass