Karen Amstutz

Dr. Karen Amstutz is Executive Vice President & Chief Medical Officer for AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need. With training in pediatrics and internal medicine, and more than two decades of experience as a health plan physician executive, she leads the clinical, quality, and population health strategy, policy, and clinical operations for the company.

Dr. Amstutz's expertise spans medicine, population health, health care operations and outcomes, and culturally competent care delivery, a hallmark of the AmeriHealth Caritas whole-person care model. She also brings additional expertise in establishing innovative clinical models and utilizing clinical analytics to drive clinical program activities and outcomes measurement, which helps to further enhance AmeriHealth Caritas’ focus on the health and well-being of members, caregivers, and the communities in which they live.

Prior to joining AmeriHealth Caritas, Dr. Amstutz served as Vice President of Community and Behavioral Health at Indiana University Health. She was responsible for community health strategy and program development, offering culturally competent and digitally sophisticated primary, secondary, and tertiary prevention for behavioral and psychosocial conditions. In a previous role as Chief Medical Officer at Magellan Health, she was accountable for clinical strategy development, product innovation, utilization management, and quality improvement. She also spent nine years serving Medicaid and Medicare members at WellPoint (now Anthem), overseeing clinical strategy and operations, quality, outcomes reporting, and accreditation.

Dr. Amstutz earned a bachelor’s degree in chemistry from Indiana University and a medical degree from the Washington University School of Medicine. She completed clinical training in internal medicine and pediatrics at Barnes Hospital in St. Louis and Massachusetts General Hospital in Boston. She has an MBA in entrepreneurship and econometrics from the University of Chicago.