John Kim, Mph Cph Email & Phone Number

Through innovation and analytics, I add value by anticipating tomorrow's needs & challenges to continuously drive progress within the Medical Management division at a major health insurer in the greater Philadelphia region. My team focuses on evaluating care cost savings based on clinically appropriate guidelines. We have a heavy focus on reducing the administrative burden of prior authorization where it makes sense, including exploitation of GenAI and automated clinical decision-making. We also support technical enhancements & process improvements based on operational efficiencies. Over the past 9 years, I have been directly involved in driving over $160M in medical cost savings. I empower my associates to expand their technical expertise and increase accountability to impact business results. I collaborate with other leaders in the healthcare industry to drive outcomes.

Listed skills include Leadership, Six Sigma, Sas Programming, Management, and 11 others.