Kelly Backes

Kelly has over 20 years of actuarial experience, working with health plans and state and federal agencies.

Kelly's deep expertise lies in the Medicare Advantage (MA) market. They have provided MA organizations with bid pricing and preparation, strategic planning, product design, desk review, and audit services, claims processing analysis, risk sharing arrangement analysis, experience analysis, organizational start-up assistance, forecasting, Part D settlement analysis, and financial statement analysis and certification. Kelly also conducted bid desk reviews and audits on behalf of CMS for several years.

Kelly has also worked in the Medicaid and Commercial markets. They have provided pricing for new and existing Medicaid programs and for a number of different populations. Kelly also worked extensively in the pre-ACA and early ACA individual markets. Kelly led the pricing and filing of products, managed form discontinuance and rollover support, and provided statistical analysis related to corporate retention and application placement initiatives. Kelly also provided other services, including reserving, forecasting, assisting federal and state governments with ACA compliance and initiatives, and reviewing state filings.