Data and Innovation – Actuary - Humana - Louisville, KY
(2024-08)
Lead innovation initiatives focused on cloud migration, Databricks adoption, automation, and applied AI solutions across departmental data and analytics workflows.
- Developed two machine learning forecasting models in Databricks for Dental analytics, modernizing legacy processes and improving scalability, transparency, and efficiency.
- Lead automation of intake request management to better capture request volume, workload metrics, and operational trends for senior leadership reporting.
- Built agentic AI solutions that synthesize bid timeline information and provide leaders with actionable insights into key milestones, dependencies, and risks.
- Presented Databricks capabilities and best practices to audiences of 100+ associates, helping accelerate departmental adoption of modern analytics tools.
Advanced Analytics – Associate Actuary to Actuary - Humana - Louisville, KY
(2021-03 - 2024-08)
- Developed a new Population Trend Model supporting Medicare bids, improving model R-squared from 12% in the legacy model to 55% in the redesigned model.
- Developed and maintained a Python logistic regression model that incorporated pharmacy claims into population morbidity predictions, allowing earlier identification of condition indicators before medical claims were fully available.
- Rewrote SAS data pulls using hash techniques, reducing process runtime by approximately 3–4 days.
- Produced ad-hoc financial analyses for members with specific conditions to support pricing guidance and plan strategy.
- Modernized population forecasting capabilities by rebuilding legacy modeling processes in Azure Databricks using SQL, Python, and PySpark.
National Trend and Analytics - Senior Actuarial Analyst - Humana - Louisville, KY
(2019-10 - 2021-03)
- Developed, documented, and substantiated Medicare trend components for pricing and bid support.
- Modernized the CMS reimbursement model to reflect trend impacts from service-area member movement.
- Developed and maintained trend components including savings initiatives, In-Home Assessments, and normalized baseline trend.
- Automated manual website file uploads using Python scripts, reducing repetitive operational work and improving process reliability.
Medicare Pricing (Market Support) - Senior Actuarial Analyst - Humana - Louisville, KY
(2018-10 - 2019-10)
- Priced financially sound and compliant Medicare bids for assigned markets.
- Automated existing pricing tools and self-created workflows using SQL and VBA, saving approximately 2,800 employee hours across the department in the first year.
- Redesigned trend assumption-setting process by identifying inefficiencies in legacy tools and developing a simpler, more efficient methodology that enabled retirement of outdated processes.
- Compiled and presented trend and projection findings to internal market partners.
- Owned CMS trend substantiation for the department, ensuring supportability and consistency of pricing assumptions.
- Challenged inefficient recurring processes and designed improved approaches for pricing non-standard plan structures.
Pharmacy Analytics — Reporting Analyst to Senior Actuarial Analyst - Humana - Louisville, KY
(2014-08 - 2018-10)
Progressed through multiple pharmacy analytics roles supporting unit cost, inflation, member phase movement, retention, outreach campaigns, trend projections, and member profitability.
- Partnered across PBM and health plan teams to reconcile reporting differences and establish a consistent source of truth.
- Developed projection tools, reasonability checks, and leadership-facing exhibits to support pharmacy trend analysis and multi-million-dollar initiatives.
- Presented unit cost, trend, formulary, data, and pricing concepts to department audiences and new associates.
