Tim is a Senior Actuary at Optumas. He provides program, strategy, and operational consulting services and actuarial analysis for a variety of projects related to health care reform. Tim also develops and certifies to rates for Medicaid populations compliant with the CMS Rate Setting Checklist for use by states in contracting with managed care organizations, including long-term care and behavioral health populations. In addition, Tim has developed upper payment limits for use in PACE programs compliant with the Upper Payment Limit (UPL) Checklist.

Jared is a Senior Consultant at Optumas. He has over 21 years of experience assisting state Medicaid agencies. Jared’s areas of expertise include strategic planning, healthcare economics, managed care operations, claims / encounter data collection and analysis, state/federal health policy including waiver (1915b/c and 1115) applications and actuarial rate setting for Medicaid managed care programs (acute, long term care, behavioral health, adult expansions). Jared’s prior client experience includes working for the State of New Mexico for over 18 years. Other state experience includes Florida, Louisiana, Nevada, New Hampshire, New Jersey, New York, and North Carolina.

Barry is a Consulting Actuary at Optumas. He is a Fellow of the Society of Actuaries and a member of the American Academy of Actuaries. Barry has 10+ years of experience with Medicaid and CHIP capitation rate-setting and risk assessment in various states, including Physical Health, Behavioral Health, Integrated Care and Managed Long Term Care, and PACE programs. Additionally, he has worked with states to help develop savings estimates for State Innovation Models.

Seth is a Consulting Actuary at Optumas, and has 10+ years of experience with Medicaid managed care rate setting and other actuarial analyses pertaining to public health programs. His Medicaid managed care experience includes physical health capitation rates, mental health/substance abuse capitation rates, PACE AWOP development, case rate development, and rate development for populations/services with limited Medicaid data. This work includes detailed statistical and actuarial analysis, such as risk adjustment, full credibility testing, and trend analysis to inform the appropriate actuarial adjustments for accurate rate development.

Carol oversees the contracting and invoicing process and is responsible for the flow of all our financial analyses on a day to day basis. She also directs the administrative support for all members of the Optumas consulting team. In addition, Carol is our work-flow coordinator, overseeing the assignment of staff, data, and IT resources for all of our consulting projects to ensure we exceed our client expectations by consistently delivering our analyses on or before our deadlines and at or below our contracted budgets.

As the founder of Optumas, Steve established the vision and foundation for the organization’s work in health care reform and innovative health care purchasing strategies. Throughout his career, he led the design, development, and implementation of transformative health care initiatives across the country, helping large health care purchasers address access to coverage for both uninsured and underinsured populations while improving the delivery of health care services within diverse markets.

Steve’s expertise spans strategy development, risk management and analysis, public policy, communications, and expert witness testimony. His leadership and contributions have played a significant role in shaping Optumas’ approach to helping clients navigate complex health care challenges and drive meaningful system improvements.

Dr. Pelberg, with over 35 years of medical experience, is the chief medical consultant at Optumas. His experience includes: overseeing all clinical operations of six managed care organizations, advising health care start-up companies in operations and strategies, heading the CMS quality review team in Florida and New York for troubled Medicare risk programs, and developing and teaching managed care programs for Medicaid managed care programs in several states.