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Rod Martin, CPA

Healthcare Consultant
Windsor, CT, US

Tel: +1 860 6870139

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Professional Designations

  • Certified Public Accountant

Education

  • BS in Accounting, Clemson University

Current Responsibility

Rod is a consultant in the Hartford, Connecticut, office of Milliman.

Experience

Rod has more than 20 years of healthcare industry experience with a focus on providers, health plans, and life science companies. His areas of expertise include managed care contracting, value-based care programs, claims and rate analysis, rate modeling and benchmarking, provider risk readiness assessments, and economic modeling. Rod is also knowledgeable in Medicare reimbursement, medical coding, and healthcare claim data.

Rod’s industry experience includes time with CareCentrix, a home health benefits management company, as the senior director of Provider Network Analysis. His responsibilities there included providing support to contractors during provider rate negotiations with home health, durable medical equipment and home infusion providers, analysis of provider reimbursement and margin trends, analysis of claim denials and root causes, and preparing cost and margin projections for proposals to prospective clients. Rod worked at Aetna for more than a decade, where he led the medical management reporting and analysis team that was responsible for internal program and productivity reporting and client reporting, along with providing support for site consolidations and new programs and initiatives. He was also responsible for managing the department’s $200 million expense budget. Rod also was an internal auditor for 10 years, including five years with Prudential Healthcare, where he led projects related to claims, customer service, and medical cost trend analysis.

Affiliations

  • American Institute of Certified Public Accountants
  • Healthcare Financial Management Association
  • Work at Milliman

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