Wes Smith

Experience

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  Humana

  Dec 2004 - May 2005

  Intern

  Build and maintain Excel and Access tools to track participation in specific provider services.

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  Samtec Inc

  Jul 2005 - Jan 2007

  Intern

  Review sales and inventory levels as well as monitor supplier information and performance.

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  TraQline - The Stevenson Company

  Feb 2007 - Apr 2008

  Intern

  Update economic and client data for forecasts using Excel, AREMOS, and SAS programs.

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  Mercer

  Jun 2008 - May 2010

  Actuarial Analyst - Retirement

  • Developed formula driven Excel workbooks to process benefit calculations more efficiently. • Organized, analyzed and refined client data to process pension valuations using Excel and proprietary software.• Prepared and reviewed financial reports containing pension valuation results to be used in FAS and IAS statements.• Answered client inquiries and helped develop ways to reduce project costs and turnaround.

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  Anthem, Inc.

  Jun 2010 - Jul 2013

  Actuarial Analyst II - Commercial Pricing (KY)

  • Developed and submitted medical rate filings to the KY Dept. of Insurance for Group and Association business.• Built standardized templates to help streamline rate development, filing and review processes.• Utilized propriety Excel models to analyze experience and generate rate recommendations for each line of business.• Collaborated with sales, underwriting and finance to develop future business strategies in quarterly meetings.• Supported other team members when necessary to ensure projects are completed on time. Show less

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  Mercer

  Jul 2013 - May 2018

  Senior Associate - Health & Benefits

  • Lead actuary for multiple clients managing all financial analysis and workflow related to the health benefits program. • Partnered with lead consultants and clients to develop multi-year strategies to meet financial and organizational objectives.• Performed and oversaw actuarial analysis including: forecasting/cost projections, COBRA rate and employee contributions development, plan design change impact, experience reporting, and Incurred But Not Reported (IBNR) reserve estimates. • Communicated technical results and analysis clearly and concisely to clients with various backgrounds and levels of understanding.• Reviewed and negotiated terms and pricing for stop loss contracts as part of the Stop Loss Center of Excellence (COE). • Evaluated external health benefit vendors and point solutions for client fit and return on investment (ROI). Show less

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  Certilytics

  May 2018 - Feb 2023

  SVP, Advisory & Consulting

  • Design and build data visualizations for dashboards, reports, and business intelligence (BI) tools to support various types of end users including account managers, actuaries, clinicians, and analysts.• Built Account Management team as well as support creation of the Advisory and Consulting team, supporting internal and external teams with SME access and instruction on how to use complex data products to solve specific business needs. • Lead specialized projects and strategic customer engagements with multi-disciplined teams, delivering results on time and in-scope.• Conduct research, speak at conferences, and publish thought leadership particularly focused on data integration, use of data by employee benefit professionals, high cost claimants (HCCs), and Cell and Gene Therapies. Show less

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  AffirmedRx, a Public Benefit Corporation

  Mar 2023 - now

  VP, Pricing, Analytics & Reporting

  • Lead pricing and underwriting strategy, as well as financial proposal response for all pharmacy benefit management (PBM) bids.• Support business development activities as a financial and benefits subject matter expert (SME), including conferences, speaking engagements, finalist meetings, and strategic relationship growth. • Lead design, development, and deployment of standardized reporting package, focused on highlighting AffirmedRx's value through measures of cost, utilization, and clinical outcomes - with unparallelled transparency.• Support Account Management team with customized reporting, analytics, and subject matter expertise. • Lead strategic initiatives related to technology and data, as well as emerging market topics like cell and gene therapies. Show less