Experience

Incline Actuarial Group

• Business Consulting and Services
• 1 - 100 Employee

• Managing Actuary

  • Jul 2023 - Present



Health Alliance Plan

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Actuarial Director

  • Aug 2022 - Jul 2023

  Director of Commercial Pricing



Blue Cross Blue Shield of Michigan

• United States
• Insurance
• 700 & Above Employee

• Actuarial Manager

  • Feb 2018 - Jul 2022

  Detroit, Michigan Large Group Pricing and Product Pricing

• Actuarial Team Lead

  • Sep 2016 - Feb 2018

  Detroit, Michigan Product Pricing

• Senior Actuarial Analyst

  • Jun 2013 - Sep 2016

  Detroit, MI Individual Pricing



The Lewin Group

• United States
• Business Consulting and Services
• 100 - 200 Employee

• Associate Actuarial Analyst

  • Jun 2011 - Jun 2013

  Falls Church, VA • Analyzed encounter, fee-for-service (FFS), financial, and sub-capitation data used to set actuarially sound capitation rates paid to managed care organizations (MCOs) for the West Virginia Bureau for Medical Services (BMS). • Produced a quarterly Dashboard exhibiting program highlights and MCO performance to help BMS monitor access and utilization • Performed network analysis to ensure that the MCO’s networks provide adequate access for members. • Calculated capitation rates and… Show more • Analyzed encounter, fee-for-service (FFS), financial, and sub-capitation data used to set actuarially sound capitation rates paid to managed care organizations (MCOs) for the West Virginia Bureau for Medical Services (BMS). • Produced a quarterly Dashboard exhibiting program highlights and MCO performance to help BMS monitor access and utilization • Performed network analysis to ensure that the MCO’s networks provide adequate access for members. • Calculated capitation rates and performed network analysis to allow West Virginia to implement a prescription drug carve-in. • Used data from CMS' Medicaid Analytic Extract (MAX) databases to profile state’s Medicaid programs and develop program statistics highlighting utilization, spending, and enrollment trends • Wrote a data brief analyzing the ability to use the MAX data to perform analysis on ambulatory care utilization. • Used Lewin’s Health Benefits Stimulation Model (HBSM) to model anticipated enrollment and morbidity for people who will be newly insured in the individual market or in the small group exchange under the Affordable Care Act (ACA) with the Society of Actuaries. • Wrote SAS and Visual Basic code that automatically produced eleven tables for each of the fifty states and the District of Columbia to simplify the manual work. • Helped write a report that was released by the Society of Actuaries in March 2013, and was referenced by The Wall Street Journal, The New York Times, Kaiser Health News, and several other sources. Show less



Blue Cross Blue Shield of Michigan

• United States
• Insurance
• 700 & Above Employee

• Actuarial Intern

  • May 2010 - Aug 2010

  Detroit, MI • Helped Medicare team to formulate and submit Medicare bids. • Aided in development of Bid Pricing Tools and Plan Benefit Packages. • Produced monthly membership reports showing enrollment in BCBSM plans as well as transfers between plans. • Used SAS and VBA to develop medical and pharmacy trend reports incorporating macro functionality for easy updates and drill down analysis. • Created spreadsheet calculating Benefit Relativities between plans. • Identified discrepancies… Show more • Helped Medicare team to formulate and submit Medicare bids. • Aided in development of Bid Pricing Tools and Plan Benefit Packages. • Produced monthly membership reports showing enrollment in BCBSM plans as well as transfers between plans. • Used SAS and VBA to develop medical and pharmacy trend reports incorporating macro functionality for easy updates and drill down analysis. • Created spreadsheet calculating Benefit Relativities between plans. • Identified discrepancies between trends predicted in Medicare bids and actual trends observed. • Streamlined and enhanced a workbook of Medicare Advantage completion factors to make it more dynamic. Show less