605 - Predictive Modeling, ASOPs, AI Governance – What’s an actuary to do?

More and more of a healthcare actuary’s work is centered on predicting financial, clinical, and business outcomes—projections that carry meaningful implications for patients, providers, and shareholders alike. With the growing reliance on predictive modeling and AI, these tools are drawing heightened scrutiny, leading many organizations to establish AI committees and governance frameworks. This session explores not only the types of modeling actuaries are using today, but also the risks, professionalism considerations, and governance structures needed to ensure responsible application. Attendees gain insight into where predictive modeling can drive value, while also learning practical approaches for balancing innovation with accountability, transparency, and sound professional judgment.

Speakers:

James Dolstad

Optum

Kev Coleman

Sherry S Chan

Ernst & Young

Credits:

CPD Credit: 1.50