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Professional designations
Fellow, Society of Actuaries
Member, American Academy of Actuaries
Current responsibility
Craig is an actuary with the Seattle office of Milliman. He first joined the firm in 1995, and rejoined in 2005 after a five-year absence.
Experience
Craig’s work experience covers the healthcare financing “trifecta,” with considerable work experience for the payer, provider, and purchaser, helping to review the past and present in order to make strategic decisions for the future. Types of clients he has supported include:
HMOs, PPOs, indemnity plans, Blue Cross Blue Shield plans, and traditional insurance companies
Self-insured employer groups (represented and non-represented)
Hospitals and physician groups
Medicare Advantage and Medicare Supplement programs
Medicaid and low income programs
Collectively bargained labor unions (Taft-Hartley plans)
Government programs (e.g., Medicaid, Veterans)
His consulting assignments have included:
Healthcare benefit plan design review, development, pricing, projecting, feasibility studies, and financial modeling
Projecting liabilities for claims incurred but not paid
Developing and analyzing changes to provider reimbursement contracts
Pricing and experience analysis for collective bargaining negotiations, supporting both sides of the negotiating table (employers and unions)
Medicare Advantage and Part D bid support
Feasibility studies for entering new markets, such as Medicare or Medicaid
Developing regulatory rate filings for individual, small group, and large group business
Review and development of group and individual underwriting and rating models
Projecting financial liabilities and capital needs for Native American populations
Developing clinically appropriate best practice utilization and cost benchmarks
Assessing the financial value of new healthcare technologies and practices
Actuarial support for other non-medical benefit types, including prescription drugs, dental, vision, disability, and other welfare benefits
In addition to experience at Milliman, Craig has also worked as a consulting actuary for a national employee benefits consulting firm, and as an actuarial analyst for a major group insurance company.
Education
BS (honors), Actuarial Science / Mathematics, Central Washington University (Ellensburg) | 