John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe work email
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John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe personal email
Experienced Physician Executive with a demonstrated history of successful leadership in numerous segments of health care. A servant leader and team player known for innovative ideas and a passion for driving collaboration and multidisciplinary teams to improve health outcomes. A highly effective and engaging communicator known for listening and developing strategies to drive improved business or health outcomes. Skilled in Medical and Organizational leadership, Evidence-based decision making, Population health, Medicare, Medicaid, Private Insurance, and Board Certified In Family Medicine.Experience in driving success in leadership roles in the health insurance industry, public health departments, private practice, non-profit organizations, and professional associations. Strong business development professional with a Doctor of Medicine (M.D.) from Brown Medical School and a Masters In Public Health (M.P.H.) from Yale University Medical School.
Health Care Decision Making Inc.
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Physician Executive And ConsultantHealth Care Decision Making Inc.Fleming Island, Fl, Us
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Physician Executive/ConsultantHealth Care Decision Making Inc. May 2023 - Present
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Regional Vice President And Chief Medical Officer Medicare SflHumana Jan 2022 - Jan 2023Louisville, Kentucky, Us• Led Health Service Organization for the Nation’s #1 Overall MA Plan in their #1 MA market in South Florida. Developed clinical strategy with fiscal responsibility for Trend Management for >1M Medicare Members.• Developed 1st SFL Medicare trend team that identified and engaged the top 20 MSO groups each managing $20 - $30M in medical expense to improve their patient’s health, and financial health of their medical groups. -
Vice President/Market Medical Officer/Health Plan Medical DirectorHumana Oct 2012 - Feb 2022Louisville, Kentucky, Us• Developed financial medical management strategy for all national and strategic Employer Group Accounts serving >1.2 M Commercial members for numerous Public and Private Sector companies across the nation.• Appointed to serve additional role as Health Plan Medical Director to impact and improve the health of Humana’s 46,000 employees and their dependents, a number which eventually increased to >90,000 employees in 2021.
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Medical Director Lead - NationwideHumana Feb 2012 - Nov 2012Louisville, Kentucky, Us• Drove active engagement of team of 15 Medical Directors to enhance and improve operational efficiency of UM functions and well as increased involvement in clinical policy development and market medical decisions.
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Regional Medical Director - FloridaHumana Oct 2010 - Feb 2012Louisville, Kentucky, Us• Transformed clinical decision making for outpatient UM in Florida. Provided evidence-based medicine and clinical quality management skills and expanded involvement of medical director in policy development and contract negotiations that significantly reduced length of stay, denial rates, and increased provider engagement.
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Senior Vice President/Clinical Innovation/Chief Medical OfficerGorman Health Group Oct 2009 - Sep 2010Fort Lauderdale, Fl, Us• Led and deployed medical management strategies for MA plans to C-Suites across the country educating MA Plans on Risk Adjustment. HCC Coding, and Provider Engagement strategies that laid the groundwork for driving integration of multidisciplinary team to improve clinical and financial outcomes. -
Senior Medical Director Provider ServicesFlorida Insurance Representing Florida Blue (Blue Cross/Blue Shield) Mar 2009 - Oct 2009Us• Instrumental in helping to promote cultural competency and diversity and addressing innovative ways to address health care disparities both locally and nationally.• Facilitated plan being first and only health plan represented on AMA-NMA Commission to End Health Care Disparities. -
Vice President Professional RelationsFlorida Insurance Representing Florida Blue (Blue Cross/Blue Shield) Jul 2007 - Mar 2009Us• Pioneered the company’s strategic plan to establish highly effective communication strategies with physicians, organized medicine and national and state medical organization.• Positioned plan as pre-eminent health plan proactively identifying and addressing physician issues, and achieved unprecedented relationship being elected as President of County Medical Society while VP of plan.
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Vice President Senior Care SolutionsFlorida Insurance Representing Florida Blue (Blue Cross/Blue Shield) Nov 2005 - Jul 2007Us• Created the first Medicare Advantage Senior Care Solutions Business Unit and developed internal disease management and care management programs for seniors that avoided external vendor cost at the same time providing internal high quality nurse care programs.
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Managing Medical Director Professional Affairs And QualityFlorida Insurance Representing Florida Blue (Blue Cross/Blue Shield) Dec 2004 - Nov 2005Us• Instrumental in bringing Evidence Based Medicine to clinical policy coverage guidelines, enhancing quality and value of medical coverage policies.• Spearheaded national partnership with American Cancer Society to increase colorectal cancer screening that increased HEDIS rates and also uncovered colon cancer in over 40 plan members.
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Medicare Medical DirectorFirst Coast Service Options, Inc. (Bcbsfl Subsidiary) Jul 2003 - Dec 2004• Recognized for Innovation in health care financing in the handling of pre and post medical claims review that significantly streamlined the process of claims adjudication.• Spearheaded payment guidelines for cyberkniife therapy, prostate bachytherapy and a number of other emerging medical technology for medical coverage determinations.
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Interim Director/Public Health OfficerVolusia County Health Dept Apr 2003 - Jul 2003Daytona Beach, Florida, Us• Appointed as Interim Director to restore trust and Integrity for Department and health care community during tumultuous public health leadership crisis. • Successfully restored credibility with Department, hospital district and community and honored by Resolution acknowledging work accomplished. -
Director Of Health Services/Chief Medical Officer/Chief Medical EpidemiologistDuval County Health Dept Apr 2001 - Jul 2003• Led the development and implementation of Academic Public Health Clinics providing medical, dental and pharmacy service for largest landmass city in US.• Created the Public Health Response to 9 /11, including training physicians on weapons of mass destruction as well as the response for all public health emergencies for county of 1M citizens.
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe Skills
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe Education Details
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Brown Medical SchoolMedicine -
Yale School Of MedicineEpidemiology And Public Health
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Brown UniversityGeneral
Frequently Asked Questions about John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe
What company does John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe work for?
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe works for Health Care Decision Making Inc.
What is John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe's role at the current company?
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe's current role is Physician Executive and Consultant.
What is John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe's email address?
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe's email address is jm****@****ana.com
What schools did John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe attend?
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe attended Brown Medical School, Yale School Of Medicine, Brown University.
What are some of John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe's interests?
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe has interest in Gourmet Cooking, Cooking.
What skills is John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe known for?
John Michael Montgomery, Md, Mph, Faafp, Cpe, Chie, Facpe has skills like Cross Functional Team Leadership, Communication, Executive Management, Public Health, Public, Public Policy, Public Speaking, Leadership, Population Health, Strategic Planning, Medicine, Healthcare.
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