Senior Physician executive with proven leadership skills in the health insurance industry and the clinical environment. Extensive experience in leading utilization management, case management, health and disease management and quality improvement programs to ensure delivery of cost effective health care to the members of major, national health insurance companies. Demonstrated significant improvements in the physician peer review process and consistently exceeded utilization metrics through effective oversight and matrix management. Developed and implemented innovative award winning programs to improve the quality of care delivered to members and achieved the highest level of quality accreditation for several health plans. Significant experience in managing the complex issues of members with state funded insurance programs such as Medicaid and SCHIP programs.
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