1. Michael Regis
mikeregis@gmail.com ~ (860)306-5839 ~ Huntington Beach, CA
Executive Profile
Highly experienced Executive Actuary and general businessman who has earned rapid
career advancement through demonstrated leadership, effective collaboration and astute
business acumen. Devises high level strategies and manages details to ensure execution.
Translates data to actionable, impactful recommendations. Highly accountable and high
standards for team. Communicates technical concepts clearly to a variety of audiences to
gain confidence and trust. Enjoys fostering a team’s talent and enterprise impact.
Constantly challenges the status quo for different ways to think about things and works to
persuade others for widespread adoption of new ideas. Currently manage all actuarial
aspects of Aetna’s commercial fully insured West region business consisting of $7 billion
in annual revenue and over 1.5 million members and works with regional executive team
to grow profitably.
Core Competencies
 Support Contracting by meeting with ACO providers to discuss capitation rates,
DOFRs, risk share arrangements and contract language
 Enhance ACA risk adjustment payments by meeting with CAPG for feedback on
alternative capitation contract arrangements and by working with vendors
managing encounter data quality
 Manage pricing and monitor financial performance of changing health status of
ACA individual and small group populations
 Drive improved cost structure by identifying unit and utilization issues and
solutions with Medical Economics and Medical Management and proposing
alternative network compositions with Contracting
 Work with Finance to monitor financial results, diagnose issues, compare
variance of actuals to budget
 Partner with Underwriting on group specific risks, custom pricing and general
parameters to mitigate risk
 Create team environment to encourage participation and debate for quicker and
better problem solving
 Improve employee satisfaction by analyzing annual employee surveys and
managing projects to improve employee concerns
 Devise strategic pricing proposals by considering internal cost based performance
at a granular level and analyzing external competitor rates, network and products
 Manage integration of different cultures, analyses and processes in United
Healthcare/Pacificare, United Healthcare/Sierra and Aetna/Coventry integrations
 Reserve for Commercial, Medicare and Medicaid lines of business and work to
improve identification and accuracy of large claims accruals by working with
nurses
 Improve several pricing, reserving and forecasting analyses and create significant
process efficiencies through automation and best practices
 Execute strategy by working with regulators in a highly political environment
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2. Michael Regis
mikeregis@gmail.com ~ (860)306-5839 ~ Huntington Beach, CA
Awards
Actuarial Integrity Award (Aetna 2013): Awarded annually to the actuary at Aetna who
has ably represented Aetna’s core Actuarial values of integrity, professionalism,
leadership, collaboration and results orientation.
Professional Experience
Executive Director Actuary, West Region
June 2013–Present: Aetna HealthCare, Santa Ana, CA
 Oversee $7B and 1.5M commercial members from individual, small group
and large group fully insured segments
 Analyze newly formed ACA individual and small group segments
 Manage strategic pricing, reserving and forecasting strategy for all pools
working with Underwriting, Finance, Medical Economics, Senior
Management
 Identify and develop talent and leadership throughout actuarial team
consisting of 35 FSAs, ASAs, actuarial students and non-actuaries
Corporate Senior Actuary, Mid-Atlantic Region
July 2011–May 2013: Coventry HealthCare, Harrisburg, PA
 Lead vision for 2014 healthcare reform pricing of individual and small group
segments and implement new state and federal rate filing requirements
 Oversee regional reserve development for Commercial, Medicare and
Medicaid
 Develop trend estimates and work to lower trends by working with medical
management and contracting
 Develop and lead team of 15 FSAs, ASAs, actuarial students and non-
actuaries
Regional Vice President, West Region, Actuarial Pricing
January 2006 – July 2011: United HealthGroup, Cypress, CA
 Responsible for pricing small business and large group segments making up
about 2.5M members
 Oversee PHS and Sierra integrations. Integrate different cultures, rating tools
and methodologies while considering national best practices and efficiencies
 Analyze legislative changes on customers and rate adequacy, particularly for
CO and OR small business when they transitioned to community rating.
 Established technology team to build innovative tools to enhance pricing
analyses, use data more effectively, and create more efficient analyses
 Manage team of 15 employees consisting of FSAs, ASAs, actuarial students
and non-actuaries
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3. Michael Regis
mikeregis@gmail.com ~ (860)306-5839 ~ Huntington Beach, CA
 Developed and maintain actuarial student program. Oversee strategy to recruit
college graduates and establish rotation program.
Director of Pricing, Healthcare Medical Pricing
July 2003 – December 2005: United HealthGroup, Hartford, CT
 Developed rates and relativities for new products including HSA plans
 Automated quarterly rate analysis that will save the cost equivalent of 1 FTE
 Analyzed impact of member cost sharing on utilization in relativity study
 Maintain and update pharmacy pricing model
 Supervised one ASA pricing actuary
Healthcare Medical Cost Analysis
August 2002 – July 2003: CIGNA Corporation, Hartford, CT
 Developed cost trends to support Pricing and Reserves
 Studied impact of provider contracts, utilization rates, medical action plans,
legislation, public funding, and macro-economic forces on trend
 Devised action plans for mitigating trend escalation
 Managed three analysts to maintain forecasting model and support research
Investment Management
July 2000 – July 2002: CIGNA Corporation, Hartford, CT
 Allocated statutory net investment income among lines of
business for financial reporting
 Monitored earnings risks by implementing monthly
forecasting and variance analysis
Healthcare Medical & Expense Pricing
August 19986– June 2000: CIGNA Corporation, Hartford, CT
 Monitored costs and premiums for Midwest region
 Discussed market dynamics and account characteristics with Underwriting,
Sales, and Product Development to ensure adequate rates, favorable member
selection, and profit levels
 Explained rate filings to DOIs and completed small business certifications
 Led training for Pricing department on annual rate review process
 Developed expense factors, including custom expense loads for national
accounts
 Improved account level tracking of claim handling expenses
Education
Fellow of the Society of Actuaries
Member American Academy of Actuaries
Hamilton College, Clinton, NY, May 1996
Major: Mathematics
Minor: Physics
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