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Annie has consulted with a variety of different health care clients, including Medicare Advantage and Prescription Drug Plans, large health systems and provider groups, large employer groups and government health programs. Prior to join Milliman, Annie worked in a large insurance company since 2008.
Medicare Advantage experience
Annie consults with organizations who operate in the Medicare Advantage and/or Prescription Drug programs. Specifically, she has also assisted health plans in feasibility analyses, strategic planning on product development and benefit design, and profit and loss analyses. She has developed dozens of bids and benchmarks for a number of Medicare Advantage health plans, including mature plans, as well as organizations who are new to this market place.
Provider consulting experience
Annie consults with large health systems, Accountable Care Organizations, provider groups and nonprofit organizations. Specifically, she has the following expertise.
Pharmacy consulting experience
Annie consults on Medicare Advantage plans, prescription drug plans and employer groups in managing drug costs. She manages projects, including estimating year-end Part D Reconciliation liabilities, Retiree Drug Subsidy certifications, formulary analysis, and pricing.
Healthcare data analysis experience
Annie has created large automated SAS-based models to replicate the methodologies prescribed by CMS or employer contracts, and she is experienced with various data formats from the clients and government programs. These models extend beyond data scrubbing, and helped multiple organizations with eligibility analysis, claim analysis, readmission analysis, financial reporting, and disease management. Annie is a certified SAS 9® programmer since 2007.
Annie is a volunteer question writer and grader for Society of Actuaries Group Health Advance exam.