Presenters


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Travis Gray, FSA, MAAA
Consulting Actuary
Milliman

Travis (T.J.) Gray, FSA, MAAA, is a consulting actuary with the Denver office of Milliman. Gray's primary area of expertise centers around helping insurers with challenges they are facing in the commercial health insurance market, particularly related to healthcare reform. He has experience in product development, pricing, rate filing, and exchange strategy considerations. Gray has experience working with local, regional, and nationwide insurers, and understands the intricacies of operating in a wide variety of environments as well as the diversity of challenges that carriers of all sizes face. He has also been involved with financial reporting, reserving, and actuarial certifications.

Mary Kindel Van der Heijde, FSA, MAAA
Principal and Consulting Actuary
Milliman

Mary Kindel Van der Heijde, FSA, MAAA, is a principal and consulting actuary with the health practice in the Denver office of Milliman. Van der Heijde has been heavily involved in healthcare reform, with focus on ACA products for the individual and small group commercial markets. Van der Heijde works extensively on individual and small group pricing and leads the development of Milliman's Medical Underwriting Guidelines. She has recently done significant work assisting insurers in the individual market, including pricing, design, medical underwriting implementation and other market and competitive considerations. She has also worked in areas of predictive modeling, including risk adjusters, lifestyle based analytics and other tools to enhance initial underwriting.

Douglas T. Norris, FSA, MAAA
Principal and Consulting Actuary
Milliman

Doug Norris, FSA, MAAA, is a principal and consulting actuary with the Denver office of Milliman. He focuses on commercial health care considerations, including health care reform strategy and tactics, risk adjustment and predictive modeling, plan pricing, medical underwriting, contract and network negotiations, financial reporting and reserving, and interactions with managed Medicaid plans. He is an active participant in multiple commercial health research initiatives, including the current Society of Actuaries “Commercial Health Care: What’s Next?” task force. Norris is a past chair of the Society of Actuaries’ Predictive Analytics and Futurism section.


Professionalism Lunch

Brian Edward Pauley, FSA, MAAA
Chief of Staff
Evolent Health

Brian Pauley, FSA, MAAA, is managing director at Evolent Health and is the chairperson of the SOA’s Health Section Council. As an active volunteer, Pauley is also chairperson of the SOA’s Group and Health Advanced Education and Examination Committee, and a member of the Group and Health Curriculum Committee. Pauley was also chairperson of the 2016 SOA Health Meeting. Pauley has 14 years of experience in life and health insurance functions, primarily with the financial analysis and pricing of Medicare Advantage plans. He received a bachelor’s degree in mathematics, chemistry, and physics from the University of Southern Indiana, and a master’s degree in mathematics from the University of Louisville.

Karen Shelton, FSA, MAAA
Director of Private Exchanges
UnitedHealthcare

Karen is the Director of Private Exchanges at UnitedHealthcare with 20 years of experience in the health care industry. She is responsible for strategic financial management, pricing tool development and actuarial research for this specialized block of business.

Karen is passionate about educating current and future actuaries. She is actively involved in curriculum development for the Group & Health FSA track, serving as the Financial Economics module chair and as a prior Curriculum General Officer. She is also the current SOA Health Section Council Secretary / Treasurer and Health Boot Camp Chair. Karen resides in Richmond, VA with her husband, Mark, their two young children, Hannah and Nathan, and dog Manny.

Joseph L. Wurzburger, FSA, MAAA
Staff Fellow, Health
Society of Actuaries

Joe has been the Health Staff Fellow with the Society of Actuaries since 2014. In this role, Joe has a variety of responsibilities, including: section development and support (specifically for the Health and LTC sections); actuarial practice advancement and thought leadership; exploration of growth opportunities for actuaries outside of traditional roles; internal SOA consulting; networking and leadership development; and actuarial knowledge development. In his most recent role prior to joining the SOA, Joe managed the health valuation department in the Chicago office of Bankers Life, primarily focusing on long-term care insurance and Medicare Supplement. Prior to that, he filled a variety of actuarial roles in both consulting and insurance and has experience with pricing, valuation, and projections.