Lead a dynamic clinical team driving innovative solutions for healthcare partners. Provide strategic insights and clinical support to enhance client relationships, drive performance, and ensure optimal outcomes across managed care initiatives.

Drive actuarial efforts for Stop Loss and Level Funded groups, supporting pricing, reserving, forecasting, and strategic initiatives. Collaborate with stakeholders while performing in-depth trend and financial analysis to enhance business outcomes.

Shape efficient utilization management by overseeing medical appeals, ensuring compliance with regulations, mentoring team members, and coordinating complex cases while supporting high-quality patient care and resource allocation.

Deliver comprehensive actuarial support, including pricing, reserving, and forecasting for Stop Loss and Level Funded groups, ensuring alignment with corporate strategies and effective stakeholder collaboration to drive business growth.

Analyze actuarial and data analytics in risk-adjusted business across ACA, Medicare Advantage, and Medicaid. Drive insights for risk management strategies and optimize performance metrics to enhance overall business outcomes.