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John McBride

Healthcare Analytics Consultant
Brookfield, WI, US

Tel: +1 262 7842250

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Education

  • BA, Economics and Actuarial Science, University of Wisconsin–Milwaukee
  • MBA, Information Technology, University of Wisconsin–Madison

Current Responsibility

John is a healthcare analytics consultant with the Milwaukee office of Milliman. He rejoined the firm in 2008.

Experience

John’s area of expertise is healthcare information and reporting systems. He has assisted many organizations, including HMOs, insurance companies, Medicaid health plans, state agencies, and healthcare providers.

He has assisted clients with implementation of Milliman’s MedInsight data warehouse and decision support system, designing custom reporting systems, implementing small group underwriting renewal systems, custom data warehousing development, and extensive health experience analysis. John has experience working with a variety of data sources, including health plan data, multi-dimensional Medicaid data models, managed care encounter data, CMS MMR and PDE data, and ANSI 837 provider claims.

Examples of John’s expertise include:

  • Data warehousing financial analysis for the South Carolina Department of Health and Human Services to support rate development
  • Data warehousing financial analysis for the Mississippi Department of Health and Human Services to support rate development
  • MedInsight implementation for a Michigan insurance organization
  • MedInsight Implementation upgrade for an insurance organization in Utah
  • Medicare experience aggregation and summary for Medicare Advantage bids
  • Data aggregation and summaries for premium rate development and rate fillings for commercial HMOs and PPOs
  • Small group renewal underwriting reporting system implementation for a Michigan insurer
  • Inpatient / physician benchmark development for an HMO in Wisconsin
  • Work at Milliman

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