Premila Mary Kumar

Chief of Quality Initiatives at CARE DESIGN NY, LLC

Premila Mary Kumar is the Chief of Quality Initiatives at Partners Health Plan and Care Design New York. Premila has over 20+ years of experience working within the Managed Care environment for such companies as CIGNA Healthcare, Horizon Blue Cross Blue Shield of NJ, and CenterLight Healthcare.

Prior to coming to PHP, Premila’s most recent employment experience was as Vice President of Population Health Management and Quality Assurance Performance Improvement at GuildNet. Prior to her position at GuildNet, Premila was the Assistant Vice President for Medical Management at Center Light Healthcare, New York. Premila is known for implementing innovative initiatives to improve quality measures, HEDIS rates, reduce ER visits, hospital admissions and overall costs for consumers and employers. She is also known for developing disease management programs at Horizon Blue Cross Blue Shield of NJ and CIGNA Healthcare Tristate region.

Premila has been a speaker at several national professional conferences and has contributed her expertise to develop award-winning health education products for Managed Care plans. She has been a guest faculty speaker at Rutgers School of Pharmacy, served on the editorial board for Population Health Insider magazine and was appointed as a resource member for the legislated New Jersey Obesity Prevention Task Force. She most recently participated and was a member of the Value-Based Payment NYS MLTC Clinical Advisory Group. She earned her medical degree from Stanley Medical College, Madras University, India as well as a professional designation from Academy of Healthcare Management.


Org chart