Rachel Marsiglio

Rachel has almost 10 years of actuarial experience in the health space with a focus on Long-Term Care (LTC), pharmacy modeling, and Medicaid. In the LTC market, Rachel has assisted various clients with year-end, quarterly, and monthly valuations, as well as cash flow testing. She has experience managing rate increase requests and filings in multiple states and working with regulators with these requests. She is an experienced user of MG-ALFA, Milliman’s asset-liability modeling platform, and has used this platform for several LTC clients. Rachel has been involved in various pharmacy projects in the Medicaid space, including building a trend projection model to use with the practice’s Medicaid data, and developing a high-risk drug pool for members taking drugs over a certain threshold. In addition to her pharmacy work in the Medicaid market, Rachel has also been involved in the rate setting process for both capitation and dental for various clients. In addition to modeling the rates themselves, she analyzes encounter, eligibility, and financial data for completeness and accuracy, conducts ongoing communication with state agencies and plans to uncover data issues and formulate plans for new initiatives, and performs analyses on the data to assist in the rate development process.