Consulting Team
|
|
|
James P. Highland, PhD, MHSA Jim has a unique background in healthcare finance, insurance, health economics, and healthcare information systems. His work has focused on using complex healthcare data, analysis, and model-building to advise healthcare executives and policy makers in community healthcare organizations and state governments on strategic planning, pricing, contracting, and capital budgeting. Prior to founding Compass in 1997, Jim’s experience included progressively responsible positions with a large multi-hospital system, a prominent Blue Cross Blue Shield plan, and two healthcare consulting firms with national and international operations. Jim's background includes extensive experience in the issues facing regulators as well as public and non-profit payers, particularly the financial aspects of expanding access to health care. He has done in-depth work on the costs of coverage under new programs and benefit plans, including assessing health reform initiatives targeted at expanding affordable coverage, analyzing health insurance benefit mandates, and projecting the costs of integrating separate public insurance programs. He has analyzed, and recommended approaches to, payment systems, incentives, and capitation and risk management. Jim holds a Ph.D. in health economics from the Wharton School of the University of Pennsylvania, where he also taught health economics and healthcare financial management. In addition, he holds a Master of Health Services Administration from the University of Michigan with concentrations in finance and information systems, and a B.A., with honors, from Northwestern University. John C. Kelly, FSA, MAAA John has an accomplished background as a healthcare actuary, having held several actuarial positions with national health insurance companies as well as serving as the director of actuarial services for a Blue Cross Plan. His experience includes development of pricing formulas for group and individual managed care and indemnity products, valuation of claim liabilities, and general financial management of a group health insurance business, including financial modeling, forecasting, and analysis. He also has significant experience with rate filings, rate hearings, and other aspects of regulatory compliance. John holds an MBA from the University of Massachusetts and a B.S. in mathematics from Rensselaer Polytechnic Institute, and is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.
Lars Loren
Lars is an experienced consultant with broad expertise in business analysis and decision support processes and systems. His career - including positions and consulting work with national firms in a variety of industries - has provided extensive experience in project management, quantitative analysis, and data and process design, including work on decision support, data warehousing, and related systems. His work in the healthcare industry includes quantitative policy analysis, project management and analysis for claim processing and disease management systems, and data warehousing project management and design. He has participated in all aspects of this work, from hands-on analysis and design to consultation with senior managers on system selection and organizational development. Lars graduated magna cum laude from Dartmouth College with an A.B. in physics, and holds a J.D. from Stanford University. Lisa J. Manderson, ASA, MAAA Lisa has 20 years of experience as a healthcare actuary, with progressive responsibilities culminating in the position of regional valuation director for one of the largest insurers in the nation. Her work has included a full range of healthcare actuarial services, including valuation of claim liabilities, pricing for group, individual and Medicare Supplement markets, trend analysis, and financial projections. She has extensive experience in re-engineering and standardizing actuarial processes, and she has participated directly in internal and external audits and in examinations by state regulators. Lisa holds a B.A. in mathematics from the University of Maine, and is an Associate of the Society of Actuaries and a Member of the American Academy of Actuaries. Andrea L. Clark, MS Andrea is an experienced consultant with expertise in developing and implementing economic, statistical, and financial analyses in the healthcare field, including extensive experience designing, managing, and analyzing large, complex databases. Prior to joining Compass, Andrea was a consulting economist for a Big Five consulting firm, conducting projects ranging from litigation support for a pharmaceutical firm to assessing treatment effectiveness for the federal Substance Abuse and Mental Health Services Administration. Andrea is a Phi Beta Kappa graduate of Georgetown University with a B.S.F.S. in economics, and holds a Master of Science in Economics from the University of Wisconsin. Joshua Roberts Josh is an experienced programmer with expertise in data analysis and mathematical modeling. At Compass he designs, builds, and exploits data warehouse solutions for our clients. Josh joined Compass after graduating from the Massachusetts Institute of Technology, where he earned a B.S. in economics, focusing on financial economics and computer science. Prior to joining Compass, Josh held several internships at MIT and at Harvard University. Brock D. Griffin Brock provides programming and analytical support
at Compass. He applies his analytical background to a wide
range of tasks including operating and maintaining data warehouse
solutions for our clients, preparing data for actuarial analysis,
and performing general research and quantitative analysis.
Brock joined Compass after graduating from Bowdoin College with an
A.B. in mathematics and economics. |