Richard Hall
St Louis
Summary
Dynamic Senior VP and former Chief Actuary with extensive experience in health insurance. Proven track record in developing and driving strategic initiatives. Successfully led many different functions and had top employee feedback scores for all of them.
Overview
2027
2027
years of professional experience
1
1
Certification
Work History
Senior VP, Actuarial Services
Centene Corporation
St. Louis, MO
2016 - Current
- Direct Centene's premier risk adjustment function, ensuring compliance and operational excellence.
- Direct EMR connectivity initiatives to enhance medical record management and Member Insight feeds through EMRs
- Spearhead initiatives to enhance provider and member engagement
- Direct analytics initiatives to evaluate selection, provider performance and risk adjusted claim costs/related metrics
- Facilitated integration of risk adjustment methodologies into provider value-based care agreements.
Vice President and Actuary
Anthem BCBS
Los Angeles, CA
2000 - 2009
- Direct Centene's premier risk adjustment function, ensuring compliance and operational excellence.
- Direct EMR connectivity initiatives to enhance medical record management and Member Insight feeds through EMRs
- Spearhead initiatives to enhance provider and member engagement
- Direct analytics initiatives to evaluate selection, provider performance and risk adjusted claim costs/related metrics
- Facilitated integration of risk adjustment methodologies into provider value-based care agreements.
Chief Actuary
Health Net
Los Angeles, CA
2010 - 2016
- Directed pricing and underwriting operations for Health Net for Small and Large group, Marketplace, Medicare and Medicaid
- Directed Provider Contracting support and Medical Economics operations for Health Net
- Executed product gross margin forecasting by conducting thorough data analysis and delivering strategic insights
- Collaborated with CEO to enhance investor relations strategies
Education
Bachelor of Science - Applied Mathematics
Carnegie Mellon University
Pittsburgh, PASkills
- Technically strong and able to communicate complex topics
- Very strategic and able to practically implement strategies
- My employee feedback scores have been always been near the top of every organization that conduct such surveys
- Extensive experience in health insurance
Certification
Fellow of the Society of Actuaries and American Academy of Actuaries
Timeline
Senior VP, Actuarial Services
Centene Corporation
2016 - Current
Vice President and Actuary
Anthem BCBS
2000 - 2009
Chief Actuary
Health Net
2010 - 2016
Bachelor of Science - Applied Mathematics
Carnegie Mellon University