Carl Smith
Actuary and Risk Adjustment Professional
- Role
- Assistant Director, Actuarial at Cambia Health Solutions
- Location
- Seattle, WA, US
- LinkedIn followers
- 500 followers
About Carl Smith
Experienced health actuary with a demonstrated history of working in the health insurance and actuarial consulting industries. Strong professional skilled in data analysis, healthcare analytics, management, health insurance, and actuarial science. Known for building highly effective teams and driving for success.
Experience
Assistant Director, Actuarial
Jul 2023 — Present · Seattle, WA, US
Actuarial lead on Medicare Advantage risk adjustment for Regence health plans operating in four States. Team is responsible for monitoring risk adjustment operational interventions, evaluating CMS return files, identifying performance gaps, forecasting risk scores, calculating revenue accruals, and working with the pricing actuaries on bids. Also co-led an effort to thoroughly document and analyze risk adjustment data flows within the enterprise. Successful in moving the actuarial team from traditional reporting roles to being proactive on analyses of operational performance.
Education
Wisconsin School of Business
Bachelor of Business Administration - BBA
Seattle University
Master of Arts - MA
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