Mark A. Fish

Mark Fish has nearly 30 years of healthcare industry experience with a focus on Health Plans, Managed Care and Value Based Transformation. While at FTI Consulting, he has assisted numerous clients with value-based care initiatives, innovative payment models, ACO development, risk management strategies and managed care contracting. He has served in various leadership positions in his career in finance, operations, contracting, strategy, analytics, actuarial and risk management.

Prior to joining FTI Consulting, Mr. Fish served as the Chief Financial Officer at MVP Health Care, where he was responsible for the oversight of operations with revenue exceeding $2.5B, an investment portfolio of $500MM, and an administrative expense budget of $270MM. He was a member of the Executive Leadership Team and held executive positions as Chief Actuary, Chief Financial Officer, EVP Network Management and EVP Medical Affairs.

During Mr. Fish’s tenure as Chief Financial Officer, MVP reported Net Income of $100 million over a 3-year period. In addition, he led a $100 million financial turnaround of MVP’s Commercial business and directed a 20% reduction in administrative expenses. His functional responsibilities included Accounting, Treasury, Audit, Planning & Budget, Facilities, Actuarial, Underwriting and Billing & Enrollment. He was the executive sponsor for the company’s ACA Health Exchange strategy and was responsible for the financial results of MVP’s Medicare Advantage and Managed Medicaid government programs and TPA businesses covering 150,000 and 130,000 members, respectively.

As Executive Vice President of Network Management, Mr. Fish had responsibility for MVP’s provider network of health systems, hospitals, physicians, IPAs, PHOs, labs and ancillary providers for all lines of business, including overall contracting strategies, reimbursement arrangements, negotiations and credentialing. Under his direction, MVP partnered with CIGNA to offer a national network to its members.

Mr. Fish served as MVP’s first in-house Chief Actuary. In his role as Chief Actuary, Mr. Fish had overall responsibility for MVP’s $2 Billion premium rate setting process for Commercial, Self-Insured TPA, Medicare and Medicaid business units, and underwriting support for MVP’s experience rated business. Additionally, Mr. Fish has experience as a Consulting Actuary at Milliman and began his career at Aetna in their actuarial leadership development program.

Mr. Fish holds his B.S. in Business Administration in Actuarial Science and his B.S. in Mathematics from the University of Wisconsin. He is also a Fellow in the Society of Actuaries and Member of the American Academy of Actuaries.