Principal and Consulting Actuary

• Jan 2023 - Present

Consulting Actuary

• Mar 2016 - Dec 2022

Have worked on a variety of projects supporting both the payer and provider side of the health insurance world, including:*Lead role in developing an Own Risk and Solvency Assessment (ORSA) process and summary report for an insurer client*Review of individual and small group ACA rate filings*Evaluation of existing and proposed contract terms for hospital clients with Commercial, Medicare Advantage, and Medicaid payers*Assessment of value-based contracts from both the payer and provider side*Analysis of plan performance versus expected - drivers behind cost trends, risk revenue, STARs performance, etc.

Actuarial Manager

• Feb 2011 - Mar 2016

Led the team responsible for actuarial design and support of Highmark Inc.'s value-based provider reimbursement programs, including Patient Centered Medical Home, Gain Share / Risk Share models, Partner Product, and other targeted Pay For Value programs for Commercial Risk, ASO, Medicare Advantage, and Medicaid populations. Support for these programs included financial modeling, measurement and reporting of performance, and working to implement these programs with provider stakeholders, including clinical leaders and hospital CFOs.

Senior Actuarial Analyst

• Jan 2009 - Feb 2011

Senior Actuarial Analyst / Supervisor

• May 2006 - Jan 2009

Assistant Financial Analyst

• Sep 2004 - May 2006