Yyyyyy x. yyyyyy

 

Actuary Analyst Candidate

Dynamic and detailed professional with superior strategic planning and analytical skills eager to contribute extensive education and experience toward supporting the goals of a progressive organization.  Track record of providing complex analysis, finance and budget planning, and process improvement activities with excellent results.  Ability to cultivate and maintain effective working relationships with professionals at every level and adapt to an evolving environment. 

Completed SOA Course P/CAS Exam 1 (2009)

Key Skills Summary

 

w  Customer Relations/Business Relationships

w  Excellent Communication Skills  

w  Gather and Analyze Data        

w  Meet Deadlines & Exceed Expectations

w  Persuasive & Effective Speaker

w  Process Design/Measurement

w  Project Management/Coordination

w  Financial Analysis and Reporting

 

w  Familiarity with MCEV and RBC basis

w  Model management/ development

w  Microsoft Office/IBM-Based Systems

w  Benchmarking

w  Business Analysis/Process Improvement

w  Capital Adequacy

w  Decisions Analysis/Experience Studies              

w  Retention Analysis    

w  Strategic Planning

Education

 

Xxxxxx University School of Medicine, St. Louis, Missouri - MHA -Health Administration

Xxxxxx University Olin Business School, St. Louis, Missouri - MBA -Business Administration

Leeds University, Leeds, UK - MHM-Hospital Management

Shandong University School of Medicine, Jinan, China - Doctor of Medicine,  

 

Professional experience

 

GROUP HEALTH, Xxxxxx, Xxxxxx  (2008 to Present)  

Service Line Director  (2009 to Present)         

w  Lead operational oversight for 3 specialty clinics, Endocrinology, Infectious Disease and Genetics which provide medical coverage and care to more than 580,000 residents in Xxxxxx state and North Idaho.

w  Establish the medical and financial value of the clinics through a comprehensive re-design of the website, introduction of new services, and the development of strategic initiatives encompassing staffing and service expansion goals.

w  Perform complex ROI analysis to determine feasibility of expansion and service efforts; establish strategic partnerships with Overlake and Virginia Mason to enhance service offerings.

w  Project manage process improvement programs including the implementation of standard call management practices, standard model line spread, standardization of pre and post services, and full booking initiatives.

w  Handle daily operation issues such as drug recall and doctor schedule change

                

Administrative Fellow (2008 to 2009)

w  Led project management activities to determine Pediatrics NHM spread, developed strategic plan to lead standard work across 26 medical centers.

w  Developed call management and people strategies at the Everett Medical Center; spearheaded efforts to implement new system, trained nursing staff on visual system updates and conducted comprehensive follow up to ensure project plans and deliverables.

w  Provided leadership for a team tasked with defining an aggressive strategy to improve staff engagement results; increased engagement from 68% to 79% through efforts.

 

Yyyyyy x. yyyyyy

 

w  Developed and implemented a communication plan and fee schedule to be incorporated organization-wide, analyzed and provided feedback for the 2009 Specialty Care budget, and developed KPI s to measure the performance of over 1000 medical group physicians.

w  Managed contract analyses, developed HMO life insurance rate settings and performed rate testing to ensure profitability and financial integrity.

w  Performed advanced statistical analyses including Utilized generalized linear models and clustering techniques to analyze relationship between reinsurance and Emergency room utilization; calculated ER rates to ensure profitability.

w  Developed treatment center staffing model, managed HEDIS quality scores and interacted with senior management to provide ongoing measurement results.

w  Project managed pre-surgery standard process spread, and piloted standard work to reduce OBGYN error rate to 0.

w  Leveraged lean methodologies and expertise to co facilitate the rearrangement of the clinical reporting process and develop a Value Stream.

 

HEALTH CAPITAL CONSULTANTS, St. Louis, Missouri (2007 to 2008)

Actuarial Associate

w  Performed a variety of specialty projects for a nationally recognized healthcare consulting firm specializing in Healthcare Reform.

w  Prepared comprehensive industry trends reports detailing home health, skilled nursing, ambulatory surgery, diagnostic imaging, managed care, primary care and management service developments.

w  Analyzed economic and industry data on general, sector, and sub-sector merger and acquisition trends; performed evaluations and assessed relative performance against industry results.

w  Created and implemented appropriate valuation methods including discounted cash flow, asset accumulation, and direct market comparable transactions, and tested cash flow for varied valuation results.

w  Led efforts to calculate ROI strategies for hospital transition and service expansion efforts.

 

BARNES-JEWISH CORPORATION MEDICAL GROUP, St. Louis, Missouri  (2006 to 2007)

Physician Service Intern

w  Directed budget development activities for physicians practices, laboratory operations and radiology department for a physician-led organization.

w  Researched, conducted and analyzed laboratory operations models to increase efficiencies; determined areas of opportunity to implement best practices standards to ensure maximized performance.

w  Evaluated practice performance according to patient, employee and physician satisfaction indicators and made appropriate change management recommendations.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yyyyyy x. yyyyyy

 

 

Title

Company

Address 1

Address 2

City/State/Zip

 

 

 

Date Here

 

 

Dear <Name Here>,

 

I have enjoyed much success in my career as an Actuary Analyst and Service Line professional,  am ready for additional responsibilities and challenges.  Please accept this letter and the attached resume as application for the position of <position here>. I am convinced after reading the description for this position on <location of job ad here>, that I am the ideal candidate for the job.

 

I am a highly qualified & educated professional and have recently completed the SOA Course P/CAS Exam 1.  I have extensive experience in data, pricing and cash flow analysis, as well as ROI strategy development and financial modeling.  Throughout my career, I ve gained a reputation for attention to detail and exceptional organizational skills. According to the job description for <position here>, you are seeking someone with the ability to <choose something from the job description here>.  I am well versed in <specific here> and know that I could be an integral member of your team.

 

My extensive leadership experience with Group Health in Xxxxxx has given me a solid foundation of clinical operations management.  I have proven to be a valuable asset in the deployment of strategic organizational development plans to solidify staffing and services delivery.  I have gained significant experience in the design of predictive modeling for the underwriting department, as well as the development of  appropriate pricing structures for Federal account of KPS insurance.

 

In addition, I have been consistently acknowledged by my employers for exceeding performance expectations.  I learn new tasks easily and welcome a challenge. 

 

I would like to be considered for a position with <organization here> in which someone of my background could make a contribution. I will contact you soon to arrange for an interview. Should you require any additional information, I can be contacted at the phone numbers listed above.

 

Best Regards,