Chief Medical Officer, Medicare Advantage Plans
CurrentStrategically building and overseeing Population Health initiatives within the Medicare Advantage landscape. Specializing in Medical Loss Ratio (MLR) management, I drive efficient healthcare delivery through targeted strategies. In Medical Risk Adjustment, I lead the strategy and implementation for optimal results.Lead Utilization Management transformations to enhance resource utilization and improve overall healthcare outcomes. My role encompasses fostering Member Engagement through innovative approaches, ensuring a patient-centric focus.Provide clinical oversight for designing and implementing Value-Based Care programs and managing networks for optimal performance. I oversee Medical Management and Utilization Management.I chair Quality and Improvement Committee that shapes and implements robust Medical Policies and Procedures.
