Rich Sweetman, FSA, MAAA
Owner, Consulting Actuary
Rich is an actuary with over thirty years of experience in the health care industry. Over the past fourteen years, Rich has been lead actuary in more than seventy Medicare Advantage and Prescription Drug Plan bid audits for CMS, and prior to that Rich supported over 50 CMS Medicare Advantage ACR audits. He has extensive experience designing and implementing new rating formulas for insurance carriers, product pricing, and rate filings for traditional medical and managed care products. In addition, he has performed actuarial analyses of rating and underwriting processes to identify areas preventing organizations from achieving profitable results. Rich has worked on both sides of the regulatory table - working on behalf of state insurance departments and also assisting Medicare Advantage sponsors and insurance companies who are subject to regulatory reviews. He also has extensive IBNR analysis experience. Rich is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.
Marina Zompatori, FSA, MAAA, Ph.D.
Marina is an actuary with over thirteen years of experience in the health care industry. Since joining Granite Dolphin in 2015, Marina has been lead actuary in more than twenty-two Medicare Advantage and Prescription Drug Plan bid audits for CMS. Prior to that, Marina worked for local insurance plans in the fields of financial planning and profitability reporting, Medicaid-rate-adequacy analysis, disease management, and pricing. Marina is a Fellow of the Society of Actuaries, a Member of the American Academy of Actuaries and holds a Ph.D. in Mathematics.
Senior Actuarial Analyst
Laura has more than fifteen years of experience in health care analytics and informatics. She joined Granite Dolphin in 2013 to support Medicare Advantage bid audits by compiling and scrubbing data, creating validation models, and providing ad hoc analytic support. Prior to joining Granite Dolphin, Laura was manager of medical economic reporting and analytics at a local Blue Cross Blue Shield plan. Laura is best known for making reports transparent and efficient through her expert use of SAS and Excel. She has provided leadership in identifying drivers of trend, while also ensuring consistency and transparency in data trends, themes and findings across various market segments. Laura's past experience has also included Medicare bid development, commercial pricing, and reserving.