
Danjie Zhou
FSA, MAAA
Associate Actuary
Seattle, WA, US
Danjie Zhou is an actuary with the Health Practice in the Seattle office of Milliman. She joined the firm in 2019.
Experience
Danjie is an experienced actuary with more than 10 years of healthcare experience across both health plan and consulting environments. She has worked with health plans, hospital systems, and provider groups, and joined Milliman in 2019.Her primary areas of experience as a healthcare actuary include:
- Developing provider reimbursement benchmarking and comparison tools that identify contract improvement opportunities
- Supporting Medicare Advantage and Part D bid modeling and feasibility studies
- Estimating quarterly and year-end Incurred But not Reported (IBNR) claims and premium deficiency reserves
- Serving as an expert with Medicare fee schedules, including Inpatient Rehabilitation Fee Schedules and Inpatient Psychiatric Fee Schedules
- Supporting clients in analysis claims and membership to inform product, network, and performance decisions
Publications and Presentations
Commercial Reimbursement Benchmarking: Commercial payment rates for medical services as percentage of Medicare Fee-for-Service rates
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- Dual MS, Business Analytics /Quantitative Finance and Risk Analytics, Rensselaer Polytechnic Institute
- BS, Mathematics and Applied Mathematics, Beijing Forestry University
- BS, Economics, Peking University