Nick Creten

Master of Public Health Candidate at The Dartmouth Institute for Health Policy & Clinical Practice
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Contact Information
us****@****om
(386) 825-5501
Location
Cedarburg, Wisconsin, United States, US
Languages
  • English -

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Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Master of Public Health Candidate
      • Jul 2018 - Present

      Program Focus: Development of the essential analytic skills and foundational knowledge to lead transformative change in health and health care through quality improvement, leadership, health policy, and research. Program Focus: Development of the essential analytic skills and foundational knowledge to lead transformative change in health and health care through quality improvement, leadership, health policy, and research.

  • Creten Consulting LLC
    • Cedarburg, Wisconsin, United States
    • Owner and Consulting Actuary
      • Jan 2018 - Present

      Provide strategic, analytic and actuarial consulting and services. Provide strategic, analytic and actuarial consulting and services.

    • Risk Analytics Actuary
      • Jan 2018 - Dec 2019

    • United States
    • Business Consulting and Services
    • 700 & Above Employee
    • Consulting Actuary
      • Aug 2015 - Dec 2017

    • United States
    • Insurance
    • 700 & Above Employee
    • Director of Risk Adjustment and Analytics
      • 2012 - 2015

      •Managed an actuarial team (4 members) and a statistical team (5 members)•Responsible for providing strategic guidance on a $1b+ book of risk adjustable business •Championed strategic and cultural shifts to address the demands of the Affordable Care Act•Oversaw the development of a database housing a simulated 4 year 20 million member marketplace with 2 billion medical and prescription drug events•Database utilized to understand the financial nuances of a risk adjusted marketplace. Studies include: impact of reinsurance, identification of new target customers, risk score completion, member level IBNR allocation for experience review, projection of calendar year experience from partial year data•Oversaw the development and implementation of the actuarial tools and processes required to monitor, forecast, and report ACA risk adjustment experience Show less

    • Director of Data Modeling and Statistics
      • 2010 - 2012

      •Managed a team of 3 statisticians which provided advanced statistical support to the company•Participated in and oversaw the creation of predictive models used to efficiently, effectively, and strategically drive company decisions and processes. Examples of projects and outcomes include:•Modeled provider collection activity - reduced provider collection expenses by 60% while retaining 85% of collections•Automated the renewal risk profiling for small group pricing - manual underwriting reviews were reduced from 100% of groups to less than 10% while improving financial results•Identified members likely to benefit from disease management support – maximized disease management impact•Provided experimental test design support to several areas that tested new programs Show less

    • Small Group Self- Funded Pricing Actuary
      • 2009 - 2010

      •Took over the responsibility for an unprofitable $30m book of business•Made significant changes in base price levels, rate relativities, and underwriting practices•Developed new databases to house data critical to the monitoring of the business•Developed a new set of metrics and risk monitoring processes to guide business decisions•Helped to reestablish credibility for a high growth potential product that has since become a significant portion of Assurant Health’s business

    • United States
    • Business Consulting and Services
    • 700 & Above Employee
    • Actuarial Health Consultant
      • 2007 - 2009

      •Created a Medicare Part D prescription drug pricing model •Priced Medicare Advantage business •Created a Medicare Part D prescription drug pricing model •Priced Medicare Advantage business

    • United States
    • Insurance
    • 700 & Above Employee
    • Actuarial Analyst
      • 2004 - 2007

    • Primary and Secondary Education
    • 100 - 200 Employee
    • Science Teacher
      • 2002 - 2003

      Chemistry and Physics Chemistry and Physics

    • Summer Camp Counselor
      • 1999 - 2000

Education

  • University of Notre Dame
    Bachelor's of Science Mechanical Engineering, Mechanical Engineering
    1997 - 2001
  • Marquette University
    Applied Economics, MBA
    2003 - 2005
  • Marquette University High School
    High School
    1997 - 2014

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