Elisabeth Oakes
Plainville,CT
Summary
Insurance professional with comprehensive background in risk management and financial analysis. Known for delivering precise reports and insights that inform business strategies. A collaborative team player with focus on achieving impactful results, adapting seamlessly to evolving project requirements. Adept in statistical analysis and predictive modeling, bringing meticulous and analytical approach to every task.
Overview
6
6
years of professional experience
Work History
Medical Economics Manager
Aetna, a CVS Health Company
08.2022 - Current
- Accomplished multiple tasks within established timeframes.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Developed customized reports to provide insights on trends and performance indicators, driving informed decision-making processes.
- Improved contract negotiation outcomes by conducting thorough research and analysis of managed care contracts.
- Analyzed trends in healthcare utilization patterns over time; contributed valuable insights that informed adjustments within contractual terms or reimbursement models as needed.
- Verified submitted documents for completeness and compliance with company policies, addressing discrepancies and collaborating to troubleshoot where necessary.
- Collaborated with internal departments to identify and manage demand for material and services.
Actuarial Manager
Aetna, a CVS Health Company
08.2018 - 08.2022
- Accomplished multiple tasks within established timeframes.
- Presented findings from actuarial analyses to executive leadership teams for informed decision-making on business objectives.
- Enhanced actuarial model accuracy by conducting thorough data analysis and validation.
- Collaborated with underwriting team, providing insights on risk assessment and policy pricing adjustments.
- Completed pricing analysis on results of NAP programs and made recommendations to executive decision-makers.
- Prepared presentations and reports outlining findings and recommendations.
- Developed and maintained financial analyses, reports and calculations.
Education
Bachelor of Science - Finance
Nichols College
Dudley, MASkills
- Time Management
- Verbal and written communication
- Claims analysis
- Insurance industry knowledge
- Teamwork and Collaboration
- Problem-solving abilities
- Attention to Detail
- Adaptability and Flexibility
- Financial Analysis
- Analytical Skills
Accomplishments
- Achieved Actuarial Excellence Award by working with a designated team to create and introduce a new reserving tool in 2016.
- Grand Prize Winner along with designated team of the Stop Work initiative in 2017 for being a part of the team that worked to create and implement a new reserving tool.
Timeline
Medical Economics Manager
Aetna, a CVS Health Company
08.2022 - Current
Actuarial Manager
Aetna, a CVS Health Company
08.2018 - 08.2022
Bachelor of Science - Finance
Nichols College
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