Erica Mitchell has more than 15 years of experience in healthcare and actuarial consulting and has worked across numerous healthcare lines of business including Medicaid, Commercial, Individual, and Medicare with a deep focus on pricing. Her multi-functional role includes frequent collaboration with policy and financial reporting teams to ensure that managed care organization contracts are properly updated and communicated, that CMS-64 reporting is consistent with approved waivers, and that rate development is consistent with contracts and clinical policies.
In the Medicaid space, Mitchell has served as the co-lead actuary for two States for the past three years and is currently co-lead actuary for another state. Her work includes rate setting, cost effectiveness, budget neutrality, ad hoc modeling, and directed payment support for both financial modeling and preprint development. She has also presented on high-cost drug risk mitigation methods for MCOs and States in Medicaid.