
Patrick Baiza
Patrick Baiza is an associate actuary specializing in medical and pharmacy (Rx) trend analysis, benchmarking analytics, and predictive modeling. He develops and implements comprehensive analytics frameworks for repricing, forecasting, and reporting by supporting health plans and organizations in making data-driven decisions. In addition to his broader actuarial work, Patrick works with CMS’s Virtual Research Data Center Medicare data to develop healthcare data solutions, delivering actionable insights into medical and pharmacy performance. His work enables clients to identify opportunities for improvement, monitor utilization patterns, and optimize healthcare cost management. Patrick’s expertise in advanced analytics and actuarial science drives impactful strategies that enhance performance across the medical and pharmacy landscape.
Experience
Patrick’s primary areas of expertise as a healthcare consultant include:
- Medical and pharmacy (Rx) trend analysis and benchmarking
- Claims and membership analytics
- Effectiveness study development
- Claims repricing
- Data processing, visualization, and automation
- Associate, Society of Actuaries Member, American Academy of Actuaries
- BBA, Actuarial Science, University of Texas at San Antonio