Deborah White, Md, Mba Email & Phone Number

Washington, DC

• Conduct quality assurance surveys of managed care entities.
• Reviewer for Special Needs Plan Model of Care (SNP MOC) program submissions since 2011; Executive Reviewer 2015.
• Physician Surveyor Trainer since 2013.
• Member of the Review Oversight Committee since December 2013.
• Executive Reviewer for QIS (QIS = Quality Improvement Strategies required of Qualified Health Plans participating in the Marketplace for two or more consecutive years in accordance with section 1311(g) of the.

Tarrytown, NY

• Medicaid Population Health Management
• Medical Director for General Medicine, Health and Recovery Plan (HARP).
• Wrote the HARP section of the 2016 MVP QI Program Description.
• Member, interdisciplinary team that reviewed HARP care plans and approved levels of service.
• Led the workgroup that developed risk stratification of HARP members to prioritize outreach to those not in Health Homes.
• Helped develop and implement Medicaid performance improvement projects required by NY State DOH for HARP and mainstream Medicaid.

New York, NY

• Provided clinical leadership for Care Management, Quality Improvement and Utilization Management.Organized priorities into the following categories:
• Clinical Operational Excellence.
• Administrative Operational Excellence.
• Revenue Optimization.
• Compliance.For each priority category, formulated tactics to accomplish:
• Improved population health.

Garden City, NY

• Special Needs Plan Program
• Wrote SNP Model of Care for 2 clients; received 3-yr approval for each.
• Led prep for CMS SNP MOC audits; policies & procedures I wrote were cited as best practice.
• Tracked SNP population health improvement with PQIs.
• With IT developed registries to manage SNP population.
• Prepared annual SNP MOC training materials.

New York, NY

• Responsible for oversight of the Clinical Services and the Care Management departments of Royal Health Care (an MSO) and Neighborhood Health Providers (a PHSP).
• Performed all pre-service, concurrent and post-service reviews requiring physician input.
• Conducted weekly conference call rounds with the case management staff to facilitate clinically appropriate and cost-effective care.
• Participated in weekly conference call case review rounds with the behavioral health vendor to facilitate clinically appropriate and cost-effective care.Responsible for oversight of the Quality Management departments.
• Coordinated an ongoing and systematic Quality Improvement Program.
• Ensured operational and regulatory compliance with all Federal, New York State and New York City regulations related to Managed Medicaid, Child Health Plus, Family Health Plus and Medicare+Choice products.

New York, NY

• Managed the clinical and administrative functions of a freestanding, Article 28, federally-qualified diagnostic and treatment center in the heart of West Harlem with over 19,000 patient visits during calendar year 2007.
• Responsible for oversight of adult and pediatric primary care, dentistry, podiatry, gynecology, HIV comprehensive care, social work and substance abuse counseling programs.
• Responsible for the health of the 611 consumers who were residents in the housing component of the agency.
• Administered a school-based health center serving approximately 1,000 children from pre-K to sixth grade.
• Strengthened the skills of the management staff by instituting an “Administrator of the Day” program with the goal of equipping clinical and non-clinical management staff to adeptly handle unexpected administrative.
• Monthly reported treatment center status and outcomes to the Board of Directors.

New York, NY

• Provided oversight, management, clinical leadership and guidance for the Quality Management Department.
• Achieved Excellent accreditation status for Commercial, Medicare and Medicaid product lines.
• Implemented SMART objectives to restructure and quantitatively evaluate the Quality Improvement Program.
• Implemented SMART objectives to manage and evaluate staff performance.
• Responsible for HEDIS & QARR data collection and performance improvement.
• Implemented processes that resulted in obtaining over 95% of medical records each year for all hybrid measures. (Prior to my arrival, approximately 60% of medical records had been obtained for some hybrid.

New York, NY

• Senior Medical Director, Quality (2000 - 2002)Medical Director, Quality (1998 - 2000)Medical Director (1997 - 1998)Associate Medical Director (1996 - 1997)Progressively expanded my responsibilities within the Quality.
• Credentialing Committee.
• Physician Review Committee.
• Provider Appeals Committee.
• Performance Monitoring Committee.
• Practice Guidelines Sub-committee.Chaired and co-chaired the Continuous Quality Improvement Committee.Semi-annually reported Quality Improvement Program updates to the Board of Directors.Provided clinical consultation.

New York, NY

• Responsible for providing and improving obstetrical and gynecological outpatient care.
• Chaired the OB/GYN Patient Retention Task Force at the request of the Chief Operating Officer.
• Developed and implemented patient education and marketing tools to enhance the OB/GYN and pediatric care continuum.
• Over a six-month period, initiatives increased delivery within network from 20% to 70%; postpartum and pediatric visits within network increased 60%.
• Collaborated with the Chief Operating Officer, the Medical Director and the Associate Medical Director to resolve a service quality and cost effectiveness challenge created by primary care physicians who were not doing.

New York, NY

• Responsible for providing inpatient and outpatient care in an academic medical center.
• Trained and supervised resident physicians, medical students, midwifery students, physician assistant students, and nursing students.Chief of Education for OB/GYN Residents (1986-1992)Responsible for the didactic.
• Formulated departmental educational objectives.
• Developed and implemented a didactic curriculum using problem-based learning.

Mba, Finance

Obstetrics & Gynecology Residency At St. Luke'S-Roosevelt Hospital Center

Md, Medicine

Ba, Biology

Activities and Societies: Graduated Magna Cum Laude

Education record