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John M. Pickering, FSA, MAAA

Principal & Consulting Actuary
Seattle, WA, US

Tel: +1 206 5045884

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Professional Designations

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

Education

  • BS, Mathematics, Central Washington University
  • BA, Communications, University of Washington

Current Responsibility

John is a principal and consulting actuary with the Seattle office of Milliman. He has more than 20 years of healthcare actuarial experience with Milliman and a Blue Cross Blue Shield plan.

Experience

John assists clients with a variety of projects, many focused on healthcare reform, provider contracting, rating and underwriting, and Medicare Advantage. Examples of the work John does include:

  • Healthcare reform strategies for health plans, hospitals, and clinics
  • All-purpose actuarial expertise for regional provider-affiliated health plans
  • Underwriting approaches and premium rate development for large group, small group, and individual business
  • Commercial provider contract payment level comparisons for both health plans and hospitals using a variety of data sources
  • Claims experience analysis, benchmarking, and reporting
  • Developing commercial and Medicare Advantage group underwriting models and processes
  • Medicare Advantage bid development and strategies
  • Working with providers to understand and negotiate ACO risk-sharing provisions
  • Contract parity evaluations between commercial health plans and hospitals/physician groups
  • Managed Medicaid bid development
  • Review underwriting approaches versus best practices
  • Review provider contracting approaches versus best practices
  • Work at Milliman

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