anne sigillito

Worked with Account Management and Clinical staff to provide financial analysis to Top 100 clients on their prescription drug benefit plan. Created model forecasting client specific drug trend by therapeutic chapter incorporating drug price, patient utilization projections, and client specific data. Model output designed for analysis and presentation to clients. Analyzed client drug experience to uncover underlying trends and cost drivers. Presented findings and recommendations to account management, clinical staff and clients.

Managed department responsible for monthly sales reporting, accruals, client guarantee reporting, commission payments, and membership reporting. Analyzed client price components to report on contractual commitments. Received recognition award for creating models automating data gathering and reporting of client price comparison. Served as corporate witness in successful defense of guarantee reporting in litigation.

Developed strategies for hospital and physician groups to prepare for a competitive managed care environment including pricing and compensation strategies Modeled and forecasted the financial performance of proposed organizations combining physicians and hospitals for use in client business plans

Provided analysis and reporting on the subject of the federal health plan quality ratings (CMS Star Ratings). Created group and product level reports including metrics to highlight performance strengths and opportunities. Identified areas for quality ratings improvement for strategic planning. Develop ad-hoc analysis as needed to support star ratings, quality coding, and pharmacy and provider performance.