Rachel has more than 20 years of healthcare actuarial experience. She has consulted with insurance carriers, Blue Cross Blue Shield plans, HMOs, CO-OPs, government entities, state high-risk pools, accountable care organizations, provider organizations, and employers. She has worked with start-up organizations as well as with established organizations entering new product lines.
Types of actuarial support Rachel has provided for her clients include:
- Pricing and rate development for commercial, Medicare Advantage, and Medicaid products
- Preparation of commercial regulatory rate filings for both ACA and non-ACA products – including individual, small group, and large group
- Medicare Advantage Plan feasibility analysis and bid development
- Medicare Part D Prescription Drug Plan analysis and bid development
- Review and/or estimation of actuarial liabilities/assets for financial reporting
- Annual Statement year-end reviews, including issuance of the Actuarial Opinion and Memorandum as the Appointed Actuary
- Pricing and valuation of group life products
- Financial pro forma projections
- Actuarial support and certification included in federal award grant applications
- TRICARE government contract work
