Presenters

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Advanced Commercial Pricing Boot Camp

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. She has been heavily involved in healthcare reform, focusing 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. Van der Heijde has also worked in areas of predictive modeling, including risk adjusters, lifestyle-based analytics and other tools to enhance initial underwriting.

Lindsy Marie Kotecki, FSA, MAAA
Consulting Actuary
Milliman Inc.

Lindsy Marie Kotecki, FSA, MAAA, has consulted to commercial health insurers, private Medicare and Medicaid plans, government health agencies and healthcare providers. She has been deeply involved in helping insurers and other stakeholders strategically navigate healthcare reform, including comprehensive population modeling, benefit pricing and rate filings. Kotecki also assists Medicare Advantage and Medicare Supplement plans with bid development, pricing and strategy. More recently, she has been focusing on provider payment analytics and payment reform.

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. Norris is an active participant in multiple commercial health research initiatives, including the current Society of Actuaries “Commercial Health Care: What’s Next?” Task Force. He is a past chair of the Society of Actuaries’ Predictive Analytics and Futurism Section.

Professionalism Lunch

Brian Pauley, FSA, MAAA
Vice President, Actuarial Services
Highmark Health

Brian Pauley, FSA, MAAA, is the chairperson of Initiative 18|11, a joint endeavor of the SOA and Kaiser Family Foundation with the goal of developing actionable projects intended to lower the cost of health care in the U.S. As an active volunteer, he is also chairperson of the SOA’s Group and Health Advanced Education and Examination Committee, a member of the Nominating Committee and a member of the Group and Health Curriculum Committee. In addition to serving as chairperson of the SOA’s Health Section Council, Pauley was chairperson of the 2016 SOA Health Meeting. He is managing director at Evolent Health. Pauley has 15 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.

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. Norris is an active participant in multiple commercial health research initiatives, including the current Society of Actuaries “Commercial Health Care: What’s Next?” Task Force. He is a past chair of the Society of Actuaries’ Predictive Analytics and Futurism Section.

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

Joe Wurzburger, FSA, MAAA, has been the health staff fellow with the SOA since 2014. In this role, Wurzburger 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, Wurzburger 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.