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Marlene Howard, FSA, MAAA

Consulting Actuary
Indianapolis, IN, US

Tel: +1 317 6391000

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Professional Designations

  • Fellow, Society of Actuaries (FSA), 2012
  • Member, American Academy of Actuaries (MAAA), 2008


  • BMath, Honours Actuarial Science, University of Waterloo, Ontario, Canada, 2004

Current Responsibility

Marlene is a consulting actuary with the Indianapolis office of Milliman. She joined the firm in 2008.


Marlene is a key contributor to many aspects of actuarial consulting services that are provided to state Medicaid agencies. She has extensive experience with budget forecasting and associated fiscal impact analyses, risk scoring for managed care capitation rate-setting projects, capitation rate development for the dual demonstration, and review of capitation rate methodologies for various Medicaid populations. Her interaction with the different components of state Medicaid programs provides key insight and ensures consistency of program policy across various budget lines, particularly because many policy decisions impact the allocation of eligibility and expenditures throughout the various Medicaid delivery systems.

The following provide specific examples of Marlene's Medicaid experience:

  • Development of Medicaid capitation rates for traditional risk-based managed care programs (TANF and disabled populations)
  • Development of Medicaid capitation rates for dual demonstration programs (Community, Nursing Facility, Home & Community-based Waiver populations)
  • Preparation and management of semi-annual risk adjustment analysis for managed care plans
  • Preparation and management of quarterly forecasting analyses for Medicaid program budgets
  • Oversight of provider reimbursement analyses


Medicaid and the ACA, May 6, 2015. Appeared in May/June 2015 issue of "Contingencies" magazine, published by the American Academy of Actuaries

Professional contributions

  • Volunteer, Society of Actuaries Education & Examinations Committee, 2012 to present
  • Speaker, Society of Actuaries Health Meeting, June 2015
  • Speaker, Society of Actuaries Health Meeting, June 2016
  • Speaker, Healthcare Education Associates' LTSS and Dual Eligible Beneficiaries Summit, August 2016


  • Society of Actuaries Health Section
  • Society of Actuaries Social Insurance & Public Finance Section
  • Society of Actuaries Medicaid Subgroup
  • American Academy of Actuaries Medicaid Subgroup
  • Work at Milliman

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