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Last Update

2012-05-23T00:00:00.000Z

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Health Net

Background Information

Employment History

Vice President and Actuary

Transamerica Reinsurance

Vice President

Pricing

Director of Underwriting

PacifiCare Health Systems Inc.

Affiliations

Founder
Key HealthCare Concepts LLC

Education



Indiana University


Mathematics
Indiana University


Mathematics
IndianaUniversity

Web References (5 Total References)


Reza Mohasesi, FCA, ASA, ...

www.khcllc.com [cached]

Reza Mohasesi, FCA, ASA, MAAA

Mr. Mohasesi has founded Key HealthCare Concepts to provide solutions to the problems faced by the health insurance and healthcare-related organizations. He has more than 22 years experience in the health insurance industry in various capacities, including as a consultant and an executive. He is an actuary with executive experience with insurance, reinsurance, third party administrators, provider groups, employee benefits and managed care entities. He specializes in: Risk Management - Provider network evaluation, financial analysis and forecasting, reserve assessment, pricing and underwriting guidelines. Commercial Sector - Product management and development for HMO, PPO, self funding, dental, vision, prescription drug and group life. Public Sector - Pricing, product development and financial analysis for Medicare (med Supp and MA-PD) , Medicaid (acute and long term care) lines of business. Business Development - Opportunity identification and assessment, merger & acquisition, turn around strategy. Actuarial Reports and Certifications - IBNR, GASB (16, 43, 45), FASB 106, small employer group certification, etc.
Prior to founding KHC, Mr. Mohasesi served as Vice President of Pricing and Underwriting for Health Net of Arizona. In this role, he was responsible for developing underwriting guidelines for both group and individual products, pricing and development of rating factors, experience analysis and forecasting of the healthcare cost. Furthermore, he participated in different task forces and processes such as reserve analysis/development, financial forecasting, development of an experience refund product, a self-funded and consumer driven health coverage. As a key member of the executive team, he participated in development and implementation of a strategy for Health Net, resulting in a financial turn around in Arizona.
Mr. Mohasesi was the Director of Underwriting for PacifiCare (Desert Region covering Arizona and Nevada) prior to joining Health Net. At PacifiCare, he was responsible for underwriting operations and working with other regions of PacifiCare to develop uniform underwriting guidelines. Moreover, he participated in the development and launch of PPO and ASO plans while keeping the financial stability of the HMO and POS book of business secure. Through implementation of these initiatives, the company became the most profitable health insurance plan in Arizona while increasing its market share.
Mr. Mohasesi's professional experience also includes serving as the Vice President and Actuary for Transamerica Reinsurance. In this role, he oversaw the actuarial functions related to reinsurance pricing and reserving for group life, health , AD&D, HMO excess, portfolio excess, specific and aggregate employer stop loss, catastrophic coverage, clash coverage and disability products. In addition, he was involved in contract negotiation with the retro carriers. He also represented some clients in provider reimbursement negotiation and partnership with different vendors to enhance premium collection and claim payment.
Beyond his professional experience, Mr. Mohasesi graduated from IndianaUniversity in Mathematics and received his credentials from Council of Consulting Actuaries and Society of Actuaries as well as the AmericanAcademy of Actuaries.


Reza Mohassessi, FCA, ASA, ...

www.hoemkeassociates.com [cached]

Reza Mohassessi, FCA, ASA, MAAA

Mr. Mohassessi has founded Key HealthCare Concepts to provide solutions to the problems faced by the health insurance and healthcare-related organizations. He has more than 18 years experience in the health insurance industry in various capacities, including as a consultant and an executive. He is an actuary with executive experience with insurance, reinsurance, third party administrators, provider groups, employee benefits and managed care entities. He specializes in Risk Management, Product Management and Development, Public Sector, Business Development, and Employee Benefits.
Prior to founding KHC, Mr. Mohassessi served as Vice President of Pricing and Underwriting for Health Net of Arizona. In this role, he was responsible for developing underwriting guidelines for both group and individual products, pricing and development of rating factors, experience analysis and forecasting of the healthcare cost. Furthermore, he participated in different task forces and processes such as reserve analysis/development, financial forecasting, development of an experience refund product, a self-funded and consumer driven health coverage. As a key member of the executive team, he participated in development and implementation of a strategy for Health Net, resulting in a financial turn around in Arizona.
Mr. Mohassessi was the Director of Underwriting for PacifiCare (Desert Region covering Arizona and Nevada) prior to joining Health Net. At PacifiCare, he was responsible for underwriting operations and working with other regions of PacifiCare to develop uniform underwriting guidelines. Moreover, he participated in the development and launch of PPO and ASO plans while keeping the financial stability of the HMO and POS book of business secure. Through implementation of these initiatives, the company became the most profitable health insurance plan in Arizona while increasing its market share.
Mr. Mohassessi's professional experience also includes serving as the Vice President and Actuary for Transamerica Reinsurance. In this role, he oversaw the actuarial functions related to reinsurance pricing and reserving for group life, health , AD&D, HMO excess, portfolio excess, specific and aggregate employer stop loss, catastrophic coverage, clash coverage and disability products. In addition, he was involved in contract negotiation with the retro carriers. He also represented some clients in provider reimbursement negotiation and partnership with different vendors to enhance premium collection and claim payment.
Beyond his professional experience, Mr. Mohassessi graduated from Indiana University in Mathematics and received his credentials from Council of Consulting Actuaries and Society of Actuaries as well as the American Academy of Actuaries.


Reza Mohassessi ...

www.soa.org [cached]

Reza Mohassessi


Reza Mohassessi ...

library.soa.org [cached]

Reza Mohassessi


The Executive Group

www.execgroup.com [cached]

REZA MOHASSESSI, FCA, ASA, MAAA

Mr. Mohassessi has more than 15 years of experience in the health care industry, both as a consultant and an executive.Most recently he served as vice president of pricing and underwriting for Health Net.During his tenure at Health Net, Mr. Mohassessi participated in development and implementation of a strategy, which resulted in a financial turn around in Arizona.Prior to joining Health Net, Mr. Mohassessi was responsible for underwriting operations at PacifiCare and participated in the development and launch of PPO and ASO plans.Through these initiatives, PacifiCare enjoyed the most profitable health plan status in Arizona.Mr. Mohassessi's professional experience also includes serving as the vice president and actuary for Transamerica Reinsurance where he oversaw the financials of reinsured blocks of business.Among his consulting assignments were the evaluation of a hospital network and the preparation of Medicaid coverage RFP response for 16,000 eligibles.During his career, Mr. Mohassessi has developed extensive experience in provider network evaluation, financial analysis and forecasting, pricing and underwriting, product management and business development.
Mr. Mohassessi is a graduate of Indiana University.He has received his credentials from Council of Consulting Actuaries, Society of Actuaries and American Academy of Actuaries.His personal interests include, golfing, hiking and reading fiction

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