Milliman

For over 50 years, as Milliman grew from a one-man start-up in Seattle to a 2,600-person international consulting organization, our principal business has been helping our clients evaluate both risk and the opportunities that go hand-in-hand with risk-taking. As one of the largest independent actuarial consulting firms in the United States, we are at the forefront of changes in the markets we serve. Seeking answers to complex, future-oriented questions, we play a critical strategic advisory role as our clients develop responses to the economic, regulatory, and competitive forces reshaping the insurance, employee benefits, and healthcare industries.

With 54 offices in principal cities in the United States and worldwide, Milliman is a highly respected consulting firm in four markets where innovative approaches to risk evaluation and product design are critical to success: life insurance, property and casualty insurance, employee benefits, and healthcare.

Two changes Milliman has made have had a profound effect on our ability to meet the evolving needs of our clients. The first is the deepening of our actuarial expertise in a number of highly specialized fields such as disability insurance, indexed annuity products, medical savings accounts, corporate-owned life insurance, and post-retirement medical insurance. The second, and perhaps the more profound change, has been the inclusion of professionals from outside the field of actuarial science on client service teams.

Milliman is often a participant in research and planning that leads to far reaching industry-and even societal-change, and we are recognized for our commitment to the kind of research and creative strategic thinking that puts us at the front lines of the battles our clients are waging. This willingness to strike out in new directions coupled with a richness of professional resources has allowed us to lay the groundwork in a variety of new areas.

With global consolidation, an important factor in the insurance and employee benefits markets and an increasing offshore interest in how U.S. healthcare is managed, international capabilities have become an important part of our service offering to clients.

A consulting firm is defined, in large part, by the quality, experience, and skills of its professionals. Over time, Milliman has earned a solid reputation for its independence, excellent work product, practical advice, and dedicated client focus. Our structure, which is entrepreneurial, attracts independent men and women who seek out challenges and are willing to take risks. Clients recognize that dealing with business owners translates directly into hands-on, client-driven service and leads itself to forming long-lasting relationships characterized by strong client communications and a "business advisor" approach to problems and opportunities. (Back to top of page)

Federal, State, and Local Government Health Consulting

Milliman is a leader in health consulting and has more experience in the areas of analysis and management of health risks than any other firm in the United States. Our health consulting services include assisting healthcare payors and providers such as insurance companies, health maintenance organizations, preferred provider organizations, hospitals, physicians, employers, governmental agencies, and support institutions. Services include actuarial and financial analysis, risk management, utilization management, product development, simulation modeling, payment methodology development, and organization and operations strategies.

In the highly visible and often contentious world of healthcare regulation, government policy makers look to Milliman for impartial assessments of proposed policies and programs. Our contributions are particularly valued because Milliman’s evaluations and recommendations are based on quality data, expert tools, and unbiased analysis.

Milliman also brings to the policy arena knowledge and broad experience with all stakeholders in today’s healthcare landscape.

Specific areas of interest include:

· Healthcare Reform Consulting

· Health Insurance Exchange Services

· Risk Adjusted Payment Rate Calculations

Medicaid Actuarial Cost Models
Medicare Actuarial Cost Models
Medicare Supplement Product Pricing
Medicare Risk Contract Analysis
Assistance in the Development of Provider Networks
Pricing and Cost Projection Computer Models
Public and Private Plan Design and Feasibility Studies
Healthcare Contract Management
Trend Analysis
Evaluation of Managed Care Effectiveness
Managed Healthcare Protocols
Health Cost Guidelines - Commercial, Medicaid, and Medicare

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Healthcare Reform

In 2009, when the reform conversation began in earnest, Milliman was already several years into an effort to better understand American healthcare reform. We had invested millions of dollars in research and developed models and methodologies that could study vast changes to the current system. At that time, we recognized that there were certain ideas that might have been controversial before but that are now anticipated to be part of the solution. Value-based pricing. Prevention. Managed care. Evidence-based medicine. A move away from fee-for-service. Improved transparency, especially around costs. Electronic health records. Consumerism.

Now health insurers, employers, providers, and the government are implementing change on a widespread basis. Milliman has assisted a wide variety of such clients in making difficult, data-driven decisions. To assist clients in preparation for the health reform changes being phased in between now and 2014, Milliman has developed the Healthcare Reform Financial Analysis Model, the most sophisticated tool in the market for analyzing the implications of healthcare reform. This combination of top-tier consulting and a robust analytic tool are unmatched by any other consulting firm.

Known for their technical acuity and comprehensive knowledge of the healthcare industry, our consultants offer independent and trusted analysis. From state exchanges and Accountable Care Organizations (ACOs) to the Medicaid expansion and rating reform, we help clients navigate the waters of healthcare reform. (Back to top of page)

Health Insurance Exchanges

The Affordable Care Act (ACA) calls for states to have fully operational health insurance exchanges by 2014, with key milestones that must be in place earlier.

Milliman is uniquely positioned to help states successfully implement an exchange or multiple exchanges.

As a world leader in risk adjustment, Milliman has consulted with governments across the US and Europe and in other developed healthcare economies. With risk adjustment becoming a more profound aspect of the American healthcare system under the ACA, requiring states to get a handle sooner rather than later on their uninsured and underinsured populations, this expertise can be critically important to helping anticipate the issues that states must address and resolve in implementing exchanges.

Milliman offers sophisticated risk adjustment software to state insurance exchanges free of charge. Milliman Advanced Risk Adjusters (MARA) provides a highly predictive, completely free set of risk adjustment models that can help states identify where risk is most likely to emerge, allow them to benchmark improvements, and identify people who may benefit from assistance in effectively managing their health.

Scenario simulation tool

To help states understand the enrollment and premium shifts that may occur due to implementation of exchanges and other changes to the health insurance marketplace, we have developed a sophisticated scenario simulation tool: the Milliman Healthcare Reform Financing Model.

This model can answer reform questions with a high degree of detail using a number of different variables, including population by income, current health status, insurance (if any), and approximate costs and cost variation between markets.

Information technology expertise

Milliman technology consultants have a wide range of information technology and operations expertise, focused in three primary areas:

· The development of custom applications and the seamless system integration of multiple vendor solutions.

· The implementation and enhancement of decision support, business intelligence, and analytical capabilities.

· The assessment of information technology infrastructures as they relate to desired business functionality, as well as the design, planning, acquisition, development, and implementation of a new and improved infrastructure that includes careful management of resources and key stakeholders.

This expertise enables Milliman to evaluate a state's existing technology infrastructure and related business processes, and to identify the specific changes required for implementing an exchange or multiple exchanges.

Business operations expertise

Milliman consultants are operations experts who can help states understand the administrative implications of various policy decisions, design management plans for executing exchange requirements, and develop staffing models and budgets. In addition, we can help states determine business requirements to be supported by information systems and vendors.

Implementation and operation of an ACA compliant exchange requires personnel, systems, and processes.

Milliman consultants can help states to:

· Determine staffing needs;

· Identify and build information systems; and

· Develop processes to meet the administrative requirements of ACA and other responsibilities states adopt through the exchange.

Determining infrastructure needs is a precursor to development of an administrative budget for the exchange. (Back to top of page)

Medicaid

Over the past five years, Milliman has worked with 25 state Medicaid agencies. Our experience includes:

· Managed care program development and planning

· Analysis of fee-for-service (FFS) and encounter data

· Review of financial data

· Development of rates

· Analysis of rating methodologies

· Assistance with performance-based contracting

· Projection of costs

· Development of cost-effectiveness tests

· Analysis and development of risk adjustment payment methodologies

· Implementation of disease management programs

Milliman assists state Medicaid agencies by analyzing healthcare programs’ projections, including population and financial forecasts. We help develop and certify actuarially sound rates for managed care programs, develop waiver filings, and determine fiscal impact caused by legislative policy so that state governments can make informed decisions about policy and budget. We have provided actuarial assistance to numerous states in the development and implementation of managed Medicaid programs. We offer extensive analysis of encounter data and we are experienced in the development and implementation of risk adjusted payment rates.

Our consultants have analyzed and developed many different kinds of public programs, including:

· Medicaid acute care and long-term care programs

· State Children’s Health Insurance Programs (CHIP)

· Medicaid and uninsured expansion programs

· 1915(b) and 1915(c) waiver programs

· Programs for All Inclusive Care for the Elderly (PACE)

· Medicaid mental health and substance abuse programs

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Accountable Care Organizations (ACOs)

ACOs are organizations in which providers across the continuum work together in the care of the individuals. Providers share in the responsibility of care as well as in any savings achieved from the management of care. ACOs incorporate the concepts of traditional managed care, pay for performance, and patient-centered care. To achieve success, providers must have access to timely data in their decision making

Three key elements of an ACO include:

· A diverse provider group as the base;

· Providers are accountable for patient outcomes; and

· Providers have the potential to share in achieved savings.

ACOs are relatively common in the Medicare and commercial markets and are increasing in the Medicaid market. We assist clients in the development, implementation, and on-going monitoring of ACOs. This includes strategy development, feasibility and gap analysis, financial projections, and reimbursement modeling. (Back to top of page)

Consumer Operated and Oriented Plans (CO-OPs)

Through grants, loans, and other incentives, the federal government is encouraging the participation of CO-OPs in health benefit exchanges. CO-OPs will compete directly with insurers selling products in the exchange. Our work includes assisting clients with market and operational assessments, financial feasibility studies, business plan development, and provider network discussions. (Back to top of page)

Federal Research and Compliance Issues

We have provided services to the Centers for Medicare and Medicaid Services (CMS) in review of filings made by insurance companies in support of their actuarial and market compliance with the Health Insurance Portability and Accountability Act (HIPAA).

We have also researched and analyzed the approaches and considerations used by various organizations in designing Medicare Plan Benefit Packages (PBPs) as part of the Adjusted Community Rating (ACR) filing process. This evaluation focused on the goals set forth by CMS: to ensure that plans do not discriminate discourage enrollment, steer, or inhibit access to care. (Back to top of page)

Government Employee Plans

We offer assistance in the development of employee benefit packages. This includes evaluation of the adequacy of contribution rates and review of the performance and pricing of managed care organizations. We prepare annual reports including reserve and liability calculations.

Our experience also includes assisting clients in the carve-out of prescription drug benefits. We help develop bidder lists, assist in drafting Request for Proposals, and conduct cost comparisons for each of the proposals received. (Back to top of page)

High Risk Plans

Our actuarial consulting services range from assisting in the initial stages of establishing a comprehensive health insurance program to conducting updates and reviews of the program. Our experience includes developing policy forms, analyzing various coverage options, assisting in the development of a Request for Proposal, and reviewing the responses received. We have also assisted with state Pre-existing Condition Insurance Plans. (Back to top of page)

Insurance Company Examinations

Milliman is often asked to review and recalculate liabilities of insurance companies and HMOs under state contracts in conjunction with the examination of the companies by a state Insurance Department. (Back to top of page)

Military Health System Consulting

Milliman is broadly acknowledged as a leading consulting firm in healthcare and has distinguished itself as an innovator in developing efficient methods of healthcare delivery services. We are known for our exceptional experience, unrivaled data resources, and proprietary tools.

Through the MOBIS contract, we intend to provide informative guidance and products to maximize capabilities and resources within the Military Health System (MHS).

Areas of specific expertise include staffing models and healthcare management consulting. Each of these tools highlights our dedication to providing mechanisms for maximum resource allocation within an environment providing the highest quality of care. Other areas of expertise include our capabilities and experience in the development of risk-based capitation methodologies (particularly the benefits of diagnosis-based and Enrollment Based Capitation) and our coding experience through clinical chart reviews and analysis.

Our staffing models are specifically developed for MTFs requiring a flexible system to determine professional and support staffing necessary at various MTFs and clinics with varying clinical demands, mix, and customer need. They are PC-based simulation models that allow for testing of multiple situations.

Our healthcare management consulting services incorporate the assessment of the current "managed care mindset", analysis of the current medical efficiency of care, and the measurement of performance through follow-up assessments of claims and chart reviews.

All of the products and services listed above highlight Milliman’s dedication to quality while seeking maximum efficiency. We are continuously striving through research and new developments to offer our customers benchmarks and evaluation criteria to strive for in their business practice. (Back to top of page)

Healthcare Management

We provide assessment of the healthcare management activities at the MTF as well as other healthcare facilities, including the "managed care mindset", the "Degree of Healthcare Management" (DoHM), and the "Degree of Administrative Management" (DoAM). This assessment is accomplished through an interview process of key administrative personnel. We have also assessed certain available data such as CHCS, trend star reports, MEPERS-MEQS, etc. and compared current practice patterns with Milliman benchmarks.

An assessment of current medical efficiency provided at the facility is determined by complementing the results of the healthcare assessment (described above) with the findings determined from a clinical chart review. For example, claims and other historical data may suggest that the length-of-stay (LOS) is increased for certain APR-DRGs; however, the data does not indicate the reasons why the LOS is increased. The chart review will identify the reasons for the increased LOS.

The purpose of the chart review is to identify on a "real time" basis (1) potentially avoidable admissions, (2) potentially avoidable hospital days, and (3) potentially avoidable utilization of other services (referrals, ancillary, invasive/surgical procedures, etc.).

The measurement of performance or effectiveness of implementation is accomplished through a subsequent follow-up assessment of claims. In this analysis, when "variances" are identified, they are reported in detail and in the aggregate as "barriers to efficiency." The variance reports offer an opportunity for improvement.

When benchmarks are utilized within a department, a "standard" or LOS by APR-DRG can be developed and an "index" can be established for that department. If the index is used throughout the facility, a facility-wide LOS index can be established. A model can be built that compares efficiency of treatment of beneficiaries, adjusted by severity and case mix across departments. As the model is incorporated into other facilities, each facility can compare itself not only to external benchmarks but each department at the facility can be compared to similar departments at other facilities. Also, each facility can be compared to similar facilities in other locations. This LOS index can be actuarially adjusted to reflect the expected benchmarks adjusted for patient status and demographics, e.g., AD, ADD, NADD, Medicare, age, gender, and severity. (Back to top of page)

Staffing and Resource Allocations

MTFs as well as other healthcare facilities must meet the often conflicting goals of:

· maximizing efficiency,

maintaining a high state of readiness, and
ensuring a high level of quality care.

We design PC-based staffing simulation models that are specifically created to assist MTFs and other facilities in meeting these three goals simultaneously. The objective is to determine an effective network of providers that includes a sufficient number and mix of specialists to meet the expected needs of the population.

Our procedures include:

· Understanding the staff and facility capacity resources necessary to meet patient expectations at various forecasted patient volumes.

Addressing inpatient, outpatient, and ancillary needs at the facility to permit regional solutions for the provision of care.
Ensuring satisfaction of customers while meeting cost, quality, and access performance parameters. (Back to top of page)

Risk-Based Capitation Rates

A current topic in healthcare is the use of diagnostic-based risk adjustments in the development of capitation rates. Risk assessment has proven very effective in the estimation of future healthcare costs and the use of diagnoses has heightened this effectiveness. The drawback – complexity. Fortunately, we have worked through the issues and have helped clients utilize this concept in developing capitation rates under a number of populations. (Back to top of page)

Sustainability of Global Resources

Global sustainability is dependent upon the health of the population as well as the physical and economic environment within which we live. Sustainability relies on the ability to proactively address risks and opportunities as well as the ability to strategically react to unforeseen circumstances and changes. This includes the determination of available resources, understanding of resource limitations, development of actions to conserve resources, and identification of alternative resources.

As actuaries, we evaluate uncertain future events, assess the consequences of those events, and develop approaches to minimize the risks of those events. Sustainability issues have far reaching implications impacting employers, insurance companies, and government organizations. We assist such clients with strategic planning, research and analysis, modeling, as well as provide guidance to aid in decision-making and policy development. (Back to top of page)

Enterprise Risk Management

Milliman helps clients create a corporate risk framework to align various functions and bring together strategic business units from across the organization. We help embed effective risk management processes and practices throughout an organization through communication of its importance as well as promotion of consistent adoption and use.

Market and credit risks are only two components of enterprise risk management. Companies also need to consider strategic and operational risks, which can be far more elusive - and equally adverse. These risks often involve interactions among people, systems, and the external environment making them much harder to quantify.

Milliman has developed a proprietary methodology to help companies identify and manage potential threats and opportunities and understand their risk profiles relative to corporate objectives. This methodology gives clients a more sophisticated understanding of their full risk profiles, improving their abilities to manage their greatest challenges. (Back to top of page)

Staff

Milliman is a firm of actuaries and consultants who have served the full spectrum of business, governmental, and financial organizations for the past half-century. Our professionals have backgrounds in actuarial science, law, insurance, mathematics, investments, compensation, communications, accounting, computer science, healthcare, finance, and economics. This allows us to offer our clients the diversity of experience that is required of today’s effective consultant.

We have over 2,600 employees including a consulting staff of more than 1,100 qualified actuaries and consultants.

Milliman uses a consultant team approach for many projects. This approach allows us to capitalize on the strengths of our corporate structure by combining the talents of the strongest group of consultants for each assignment. Modern communication tools, cellular phones, Email, fax machines, the Internet, and video teleconferencing allow consultants in multiple offices to work seamlessly on the same project. The team approach has proven very effective in maintaining a close personal relationship with each client at the local level while, at the same time, providing access to all of Milliman’s extensive corporate resources.

Our healthcare projects and services integrate the experience and knowledge of our healthcare professionals, healthcare consultants, and actuaries to ensure maximum efficiency within the project and across the continuum of care. (Back to top of page)

Hourly Labor Rates

Labor Category	Year 13 May 1, 2012 – April 30, 2013	Year 14 May 1, 2013 – April 30, 2014	Year 15 May 1, 2014 – April 30, 2015
Senior Consulting Actuary I	$514	$529	$545
Senior Consulting Actuary II	$449	$462	$476
Consulting Actuary I	$429	$442	$456
Consulting Actuary II	$280	$288	$297
Associate Actuary I	$260	$268	$276
Associate Actuary II	$228	$235	$242
Actuarial Associate	$208	$214	$221
Actuarial Assistant I	$150	$154	$159
Actuarial Assistant II	$130	$134	$138
Physician I	$553	$570	$587
Physician II	$481	$496	$511
Nurse I	$384	$395	$407
Nurse II	$319	$328	$338
Healthcare Consultant I	$377	$389	$400
Healthcare Consultant II	$319	$328	$338
Principal Compensation Consultant	$492	$507	$522
Senior Compensation Consultant	$354	$365	$376
Compensation Consultant I	$252	$259	$267
Compensation Consultant II	$189	$195	$200
Compensation Staff	$111	$114	$118
Principal and Director of Economics Consulting	$600	$618	$637
Principal and Senior Consulting Economist	$491	$506	$521
Consulting Economist II	$218	$225	$232
Systems Analyst I	$410	$422	$435
Systems Analyst II	$280	$288	$297
Systems Analyst III	$169	$174	$179

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Labor Categories

Sr Consulting Actuary I – Principal of the firm with more than ten years of experience and who has reached Fellowship Level as defined by the Society of Actuaries. Staff member offers extensive specialized experience in the area of practice. Functional responsibilities include project management and oversight, high level actuarial analyses, and project review. Consulting services include providing expert advice, assistance and guidance on technical and operational issues, and statistical analyses. Minimum Education: BS/BA (Back to Labor Rates)

Sr Consulting Actuary II – Principal of the firm with five to ten years of experience and who has reached Fellowship Level as defined by the Society of Actuaries. Staff member offers extensive specialized experience in the area of practice. Functional responsibilities include project management and oversight, high level actuarial analyses, and project review. Consulting services include providing expert advice, assistance and guidance on technical and operational issues, and statistical analyses. Minimum Education: BS/BA (Back to Labor Rates)

Consulting Actuary I – Actuarial staff with more than ten years of applicable experience and who have reached Fellowship Level as defined by the Society of Actuaries. Functional responsibilities include high level actuarial and statistical analyses, model design, and implementation of concepts, practices, and procedures. Provides review of work performed by others. Minimum Education: BS/BA (Back to Labor Rates)

Consulting Actuary II – Actuarial staff with five to ten years of applicable experience who have reached Fellowship Level as defined by the Society of Actuaries. Functional responsibilities include high level actuarial and statistical analyses, model design, and implementation of concepts, practices, and procedures. Provides review of work performed by others. Minimum Education: BS/BA (Back to Labor Rates)

Associate Actuary I – Actuarial staff with more than ten years of applicable experience who have not reached Fellowship Level as defined by the Society of Actuaries. Functional responsibilities include actuarial and statistical analyses, model development, and review of work performed by others. Minimum Education: BS/BA (Back to Labor Rates)

Associate Actuary II – Actuarial staff with five to ten years of applicable experience who have reached Associateship Level as defined by the Society of Actuaries. Functional responsibilities include actuarial and statistical analyses, model development, and review of work performed by others. Minimum Education: BS/BA (Back to Labor Rates)

Actuarial Associate – Actuarial staff with six or more years of applicable experience. Functional responsibilities include actuarial and statistical analyses, model development, research, and general review of work performed by others. Minimum Education: BS/BA (Back to Labor Rates)

Actuarial Assistant I – Actuarial staff with three or more years of applicable experience who have not reached Associateship Level as defined by the Society of Actuaries. Functional responsibilities include analyses, research, and model development under the direction of an Associate Actuary, Consulting Actuary, or Senior Consulting Actuary. Minimum Education: BS/BA (Back to Labor Rates)

Actuarial Assistant II – Actuarial staff with less than three years of applicable experience who have not reached Associateship Level as defined by the Society of Actuaries. College graduates with a bachelor level degree in actuarial science, mathematics, statistics, or similar area and are pursuing the actuarial exams. It is preferred, but not a requirement, that an Actuarial Assistant II has passed one or more Society of Actuaries exams. They are responsible for things such as programming, spreadsheet calculations, and other basic actuarial functions under the direction of a higher-level actuary. Functional responsibilities include analyses, research, and model development under the direction of an Associate Actuary, Consulting Actuary, or Senior Consulting Actuary. Minimum Education: BS/BA (Back to Labor Rates)

Physician I – Clinical staff who have attained the degree and certification as a Physician with three or more years of consulting experience. Functional responsibilities include providing expert advice, assistance, and guidance on clinical and operational issues. Minimum Education: MD/DO (Back to Labor Rates)

Physician II – Clinical staff who have attained the degree and certification as a Physician with less than three years of consulting experience. Functional responsibilities include providing expert advice, assistance, and guidance on clinical and operational issues. Minimum Education: MD/DO (Back to Labor Rates)

Nurse I – Clinical staff who have attained the degree and certification as a Registered Nurse with three or more years of consulting experience. Functional responsibilities include providing expert advice, assistance, and guidance on clinical and operational issues. Minimum Education: BSN (Back to Labor Rates)

Nurse II – Clinical staff who have attained the degree and certification as a Registered Nurse with less than three years of consulting experience. Functional responsibilities include providing expert advice, assistance, and guidance on clinical and operational issues. Minimum Education: BSN (Back to Labor Rates)

Healthcare Consultant I – Clinical staff who do not hold certification as a physician or nurse. Have three or more years of experience in Healthcare Management. Functional responsibilities include providing expert advice, assistance, and guidance on clinical and operational issues. Minimum Education: BS/BA (Back to Labor Rates)

Healthcare Consultant II – Clinical staff who do not hold certification as a physician or nurse. Have less than three years of experience in Healthcare Management. Functional responsibilities include providing expert advice, assistance, and guidance on clinical and operational issues. Minimum Education: BS/BA (Back to Labor Rates)

Principal Compensation Consultant – Principal of the firm with recognized expertise in multiple areas of compensation administration and design. Functional responsibilities include being responsible for the overall performance of the compensation consulting assignment, for presentations to the Agency, and for decisions made with respect to any technical or administrative matters encountered. Provides leadership to the most complex elements of an assignment and will often be the primary interface between the Agency and the Firm. Has over fifteen years of consulting experience and an advanced degree in business, industrial psychology, other related field or the equivalent experience. Graduate degree with fifteen or more years of progressively responsible experience in project management and compensation strategy at the highest organizational levels. Minimum Education: MA/MS/MBA (Back to Labor Rates)

Senior Compensation Consultant – Organizes and directs all or part of a compensation assignment and is responsible for ensuring that project timing and quality objectives are met. Functional responsibilities include providing expert technical oversight to one or more aspects of the project though not necessarily all project elements. Works closely with the Principal to allocate internal resources, to develop project analytics, and to create program design options and recommendations. May interact directly with the Agency on a variety of project-related activities. May have an advantage degree of industry certification. Graduate degree with ten or more years of experience in compensation design, administration and analysis. Experience working with senior management. Minimum Education: MA/MS/MBA (Back to Labor Rates)

Compensation Consultant I – Compensation staff with more than ten years of applicable experience in compensation design, administration, and analysis. Functional responsibilities include performing the compensation research and analysis under the supervision of the Senior or Project Manager. Minimum Education: BS/BA (Back to Labor Rates)

Compensation Consultant II – Compensation staff with between five and ten years of applicable experience. Functional responsibilities include identifying and collecting relevant compensation data, maintaining project databases, developing and runs analytical reports, checking and verifying data for validity and consistency, and participating in project meetings as needed. Minimum Education: BS/BA (Back to Labor Rates)

Compensation Staff – Functional responsibilities include reviewing and inputting data, managing information collected by consultants related to project activities; providing administrative support to the project as needed. Associates degree or other post-secondary training in data management, human resources administration, or data analysis. Minimum Education: AA/AS (Back to Labor Rates)

Principal and Director of Economics Consulting – This position is responsible for the overall development and management of Milliman's economics consulting division. Functional responsibilities include being responsibility for all staff matters (hiring, performance monitoring and review, compensation, discipline, etc.) as well as all business matters (marketing, project design and staffing, project execution and delivery, client communications etc.). This position requires a Ph.D. in economics with more than 20 years of progressively responsible experience in the insurance industry. Minimum Education: Ph.D. (Back to Labor Rates)

Principal and Senior Consulting Economist – This position assists the Director of Economics Consulting in all phases of practice management. Functional responsibilities include being responsible for the independent development of consulting work for the division. The position requires a Ph.D. in economics and at least 10 years of progressively responsible experience in the insurance industry. Minimum Education: Ph.D. (Back to Labor Rates)

Consulting Economist II – Functional responsibilities include assisting the consulting economists in the execution of consulting assignments. This position requires a Ph.D. in economics and appropriately relevant work experience in insurance or other financial services. Minimum Education: Ph.D. (Back to Labor Rates)

Systems Analyst I – Information systems specialist with greater than 10 years of applicable experience. Functional responsibilities include providing technical support, data management, and programming assistance to other team members. Minimum Education: BS/BA (Back to Labor Rates)

Systems Analyst II – Information systems specialist with five to ten years of applicable experience. Functional responsibilities include providing technical support, data management, and programming assistance to other team members Minimum Education: BS/BA (Back to Labor Rates)

Systems Analyst III – Information systems specialist with less than five years of applicable experience. Functional responsibilities include providing technical support, data management, and programming assistance to other team members Minimum Education: BS/BA (Back to Labor Rates)

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