Steven Jones Email & Phone Number

Hermosa Beach, Ca, Us

Louisville, Kentucky, Us

I lead actuarial reserving activities for the enterprise. We maintain over $6B of insurance liabilities including unpaid claims, active life reserves, premium deficiency reserves, etc.. I serve as the "Board Appointed Actuary" for most of Humana's 30+ insurance companies.In other words, our analytical work helps the company understand and report its benefit expenses internally and externally.

Columbus , Ohio, Us

Finance and actuarial work with startup value-based care and health insurance offerings. Examples include...- Strategic evaluation of new market entry and product pricing- Design and modeling of value-based contracting- Revenue & medical cost forecasting and creation of pro forma financial statements- Statutory/Regulatory capital planning and Risk-Based Capital analysis- Coordination of insurance company licensure application- Building a team from scratch, focused on getting a nice mix of backgrounds, and curating an awesome culture.

Nashville, Tennessee, Us

I reported directly to the corporate CFO and built the actuarial team from scratch. The team's key contributions:- Played a key role in financial reporting, primarily valuing revenue, medical expense (reserves), and other insurance related accruals. - Helped formulate accounting policies and provided quarterly audit support.- Told the story of the monthly financials, including identification of business drivers and analysis of variances & restatements in close partnership with Accounting and FP&A.- Led annual budgeting of revenue and medical expense.- Supported Clover's conversion to a public company, including analysis/forecasting leading up to SPAC merger, as well as public company reporting readiness afterward.- Contributed to statutory capital planning and risk-based capital analysis.- Owned financial feasibility analysis of new product offerings and new market entry.- Performed Medicare Advantage actuarial forecasting, pricing, and rate filing (bidding), including YoY enrollment growth of 25% and expansion into 74 new counties.- Produced risk adjustment reporting and analytics.

Long Beach, California, Us

I led the Medicare Actuarial team of 7 people (+consultants), servicing $2.5B of premium. I...- Improved pricing/forecasting accuracy by $250M by identifying mismatches between actuarial work and financial reporting.- Led short and long term forecasting of revenues and medical expense, developing and implementing novel methodologies for both.- Served as a close advisor to the Medicare Segment President and Segment CFO.- Participated in LOB financial reporting; namely estimation of earned revenues, incurred medical expenses (reserves), Minimum Loss Ratio Rebates, Pharmacy accruals, etc.- Helped formulate accounting policies regarding Medicare financial accruals and provided significant audit support. - Told the story of Medicare's financial performance, in collaboration with other finance functions. This included analysis of key drivers, restatements, and variances from plan.- Conducted modeling for strategic evaluation of new products and market entry.- Performed ROI analyses regarding investments in STARs, quality, and clinical interventions.- Led Medicare actuarial pricing and rate filing (bidding).

Louisville, Kentucky, Us

Partnered with California and Hawaii health plan leadership. Modeled value-based care arrangements. Served as certifying pricing/bidding actuary for Medicare Advantage plans. Managed a small team responsible for forecasting, bid development, and financial modeling.

Louisville, Kentucky, Us

Managed a small team that valued statutory reserves (including IBNR) and other insurance liabilities of more than $1B. Provided quarterly audit support. Worked directly with diverse business partners including finance, reporting, internal and external audit, medical economics, pricing, etc. Products included: Medical and Specialty, Medicare Advantage and Commercial, Employer Group and Individual.

Louisville, Kentucky, Us

Trend Forecasting and Medical Economics for Medicare Advantage products including multivariate statistical modeling of claims costs and utilization.

Novato, Ca, Us

Varied Pricing, Rate Filing, Analysis, and Reporting related activities for Commercial Property and Liability products

Mayfield Village, Oh, Us