FSA, MAAA
Professional designations
- Fellow, Society Actuaries
- Member, American Academy of Actuaries
Current responsibility
Experience
Scott provides financial and risk management support to the insurance and healthcare industries. He assists various entities, including government programs, health plans, employers, insurance companies, and administrators. He has helped clients with product development and pricing, experience analysis, valuation of reserves, financial reporting, and appraisals of blocks of business.
Scott recently spent four years working for a healthcare data analysis and care management vendor. He provided strategic direction and oversight to its analytics division, which warehoused more than 40 different payers' medical, prescription drug, and biometric datasets.
Scott is a frequent speaker at Society of Actuaries meetings.
Examples of Scott's expertise include the following:
Employee Benefits
- Reviewed and developed a strategy for an employer to manage its employee health plan costs while still offering meaningful benefits
- Worked with a business foundation on a report quantifying a region’s healthcare costs vs. regional and national benchmarks
- Helped an employer with its budget targets and rate setting for its employee health plan
- Attested that an employer's retiree health plan met actuarial equivalence to Part D so the employer could receive a federal subsidy
Long-term Care
- Helped a long-term care (LTC) insurer with its recent bid for the federal employee LTC insurance program
- Provided an actuarial simulation model to a LTC insurer to quantify the costs of joint life riders
Medicaid & Medicare
- Assisted the State of Mississippi with rate setting and establishing cost-effectiveness targets for its recent 1915(b) managed care waiver application
- Worked with a health plan to submit its Medicare Advantage bids to CMS in seven states
- Completed a feasibility study for a physician group considering global capitation payments from Medicare Advantage health plans in southern California
Health Plans
- Assisted several health plans with their rate renewals, including plan design changes to maintain competitive premiums while meeting minimum capital surplus requirements
- Assisted numerous health plans with their annual statements of actuarial opinion regarding their statutory liabilities
- Assisted several commercial health plans with their small group rate certifications
Education
- BBA, Actuarial Science, Risk Management and Insurance, University of Wisconsin

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