Teams at PacificSource Health Plans

Provides healthcare analytics and reporting support for reinsurance, employer, ASO, value-based payment, RFP, and regulatory requirements. Extracts, cleans, transforms, validates, and analyzes data; develops Tableau and Power BI visualizations; calculates value-based payment terms; supports financial reconciliation, cost-saving initiatives, quality assurance, and process improvement. Collaborates across departments, documents processes, presents findings, and ensures accurate, timely reporting while maintaining HIPAA confidentiality.

Provides data extraction, transformation, visualization, reporting, and analysis for value-based payments, reinsurance, employer proposals, ASO groups, and regulatory requests. Supports financial reconciliation, data validation, quality assurance, documentation, process improvement, and cost/utilization analysis. Collaborates across departments to present complex findings clearly while maintaining accurate, timely reporting and protecting confidential healthcare information.

Directs actuarial pricing for Commercial and Medicare Advantage business, including premium rates, bids, rate filings, pricing models, risk analysis, forecasting, and regulatory certifications. Leads actuarial staff, oversees hiring and performance, supports budgeting and P&L goals, partners with Underwriting, Product, Sales, and Finance, and drives process improvement and strategic initiatives.