Kimberley K. HiemenzActuary
 FSA, MAAA

Professional designations

  • Fellow, Society of Actuaries
  • Member, American Academy of Actuaries
  • Member, American College of Healthcare Executives
  • Member, Healthcare Financial Management Association

Current responsibility

Kim is an actuary with the Milwaukee office of Milliman. She joined the firm in 2006.
 

Experience

Kim's areas of expertise include health insurance and managed healthcare programs. She has extensive experience with rating and underwriting, liability estimates, product design, healthcare reform, experience analysis, and other actuarial projections. Kim also specializes in provider reimbursement strategies, risk-sharing arrangements, and strategic analysis. She has advised various types of health plans (including provider-owned health plans), insurance companies, self-funded healthcare programs, and health systems. Kim also assists clients with Medicare Advantage feasibility studies and bid development.

Prior to joining Milliman, Kim worked for more than six years for two large insurance carriers, where she focused on pricing, experience analysis, and special initiatives.

Examples of Kim's recent projects include:

  • Development of a risk-based reimbursement model, including financial projections under various scenarios.
  • Pricing of a new SpaggregateTM -like product.
  • Commercial hospital payment rate comparisons.
  • Review of rating and underwriting processes for a large national health insurer and a regional provider-owned health plan.
  • Medicare Advantage and Medicare Part D feasibility and bid preparation of multiple organizations, including a special needs plan.
  • Estimating the impact of healthcare reform provisions for small group rating.
 

Education

  • BS, Mathematics and Risk Management, Illinois Wesleyan University
 
CONTACT INFORMATION
Kimberley  K.  Hiemenz 

Office: Milwaukee, Wis.

Phone: +1 262.796.3443