Member Profile

Current Responsibility: Susan Pantely is a principal and consulting actuary with Milliman's Health Practice. She is located in San Francisco, California, and Pittsburgh, Pennsylvania, and joined the firm in 1988.

Professional Work Experience: Susan provides actuarial and consulting services to a broad range of clients, including Blue Cross/Blue Shield plans, HMOs, commercial insurers, government agencies, and healthcare providers. Her work includes rate development, provider contract review, reserve certification, capitation development, Medicare risk feasibility studies, HMO start­ups, HMO due diligence, and development of risk sharing and reimbursement arrangements for physician groups, PHOs, ACOs, and other integrated delivery systems. In addition, Susan has extensive experience with the valuation, financial analysis, and projection of healthcare services for several state public health insurance (Medicaid) programs.