Brian Simon has been in the health insurance field since 2008, providing a wide variety of actuarial services to clients of various sizes. His relevant experience includes:
- Lead consultant on mid-market and large-market clients (over 100,000 benefit participants).
- Health plan cost forecasting, strategy and vendor negotiations.
- Mergers and Acquisition analyses.
- Analysis and research around specialty drug cost trends.
- Analyzing health plan experience for stop loss and plan design recommendations.
- Analyzing cost drivers by reviewing client utilization to identify ways to slow trend.
- Analyzing vendor and carrier renewal rates for reasonableness compared to client trend and benchmark.
- Developing employee contribution strategies based on client cost-sharing goals.
- Underwriting and rate development for group insurance plans.
- Medicare retiree drug subsidy analysis.
- Medical data processing and bucketing (working with CPT/HCPCS & ICD 9 codes).
- Developing monthly and quarterly reserve estimates.