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Amy Giese, FSA, MAAA

Consulting Actuary
Brookfield, WI, US

Tel: +1 262 7842250

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Professional Designations

  • Fellow, Society of Actuaries
  • Member, American Academy of Actuaries

Education

  • BS, Mathematics, University of Wisconsin Madison

Current Responsibility

Amy is a consulting actuary with the Milwaukee office at Milliman. She joined the firm in 2011.

Experience

Amy’s area of expertise is individual, small and large group health insurance, Medicare Part D bid development and support, pharmacy, provider managed care contracting, and group dental.

Amy has worked with commercial carriers on pricing, projecting the impact of health care reform legislation, financial and strategic risk management, underwriting, product development, provider contract negotiations and other actuarial projections. Her insurer experience also includes risk adjustment optimization, valuation of reserves, claims auditing, rate filing assistance, and annual actuarial certifications.

Specific to the Medicare market, Amy has assisted Part D plans with strategic planning, formulary analysis, Medicare bid preparation, partnership analysis, and fraud waste and abuse monitoring. Related to pharmacy, Amy has worked with pharmacy benefit managers and retail pharmacies. Examples of projects worked on include pricing specialty medication programs, formulary design, evaluation of medication adherence outcomes, and design of competitive analyses.

Amy’s provider contracting experience involves working with national provider management vendors to achieve overall corporate strategic planning and profitability objectives. The vendors include PBMs, specialty pharmacies, primary and passive rental PPO networks, radiology, laboratory, and Centers of Excellence.

  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman