Tichaona Leopold Chiwandamira

WORK HISTORY

EDUCATION

ABOUT TICHAONA LEOPOLD CHIWANDAMIRA

Highly ambitious and credentialed actuary (ASA) with a passion for leveraging data to manage risk and drive data-driven decisions. I hold certifications as a SAS programmer and Project Management Professional (PMP), along with a BA in Mathematics and an MBA. Dedicated to continuously broadening my horizons, I adapt seamlessly to today\'s dynamic work environment.With extensive experience in data, medical economics and risk management across various roles and industries, including financial services (credit and technology risk) and healthcare (health plan and provider insurance risk), I bring a diverse skill set and expertise.Key Areas of Expertise:1. Software Development and Predictive Modeling in Financial Services:• Proficient in analysis, design, development, testing, and production support of SAS and SQL applications across multiple platforms.• Expertise in generating analytical insights using medical claims data, pharmacy claims data, eligibility and attribution data and clinical data.2. Insurance Markets Knowledge:Supplemental Health Products:• Hospital indemnity: IBNR, forecasting, pricing, and rate filing.• Specified disease (critical illness and cancer).CMMI/CMS ACO Initiatives:• Medicare Shared Savings Program (MSSP): Benchmarking, Provider profiling, trend/performance forecasts• ACO REACH: Benchmarking, Provider profiling, trend/performance forecasts.• Predictive Modeling: evaluation of healthcare intervention programs.Government Health Plan Programs:• Medicaid: IBNR, risk adjustment (CDPS + RX), rate adequacy analysis.• Medicare Advantage (MA): IBNR, risk adjustment (CMS HCC), and bid development.