MedReview has been a leading authority in payment integrity for more than 40 years. As a physician-led organization with a passion for ensuring healthcare claims represent care provided, MedReview provides timely, accurate independent audits and clinical validation of provider claims, saving our clients billions of dollars.

Co-lead the development and operation of innovative programs and projects to support the overall strategy of Optum Health; virtual programs, cardiac rehab, medication adherence, clinical decision support, and similar.

Review literature and guidelines for incorporation into United Health Group policies and procedures. Review all internally generated clinical content including internal guidelines, marketing material, educational material and similar.

Commercial Health Plan in the Pacific NorthwestIn partnership with the with quality, network, and compliance teams, drive health plan performance. Build and deepen relationships with area hospitals, physicians, and other health care providers. Advocate for UnitedHealthcare’s clinical value story, evidence-based medical policies, and member health with government/state regulatory entities, professional and medical society chapters, employers, and as part of external communications and media relations. Provides subject/specialty based clinical expertise and leadership to UCS and the enterprise.OptumProvide leadership and subject matter expertise to a variety of clinical projects and initiatives within the United Health enterprise including clinical governance, digital and traditional clinical pathways, care management, population health, contracting, analytics, provider relations, and clinical operations.

Tasked with establishing new metrics to revamp all regulatory and quality efficiencies to maintain compliance. Responsible for overseeing care management and integration, safety, quality, performance improvement, and patient experience. Managed operations for medical staff of 600, including contracting and regulatory affairs.

Responsible for operational oversight of quality, risk management, IRB, graduate medical education, informatics, antibiotic stewardship, and infection prevention. Supervised staff of 50 and managed Family Practice residency.

Hired to provide strategic operational oversight to expand service offerings, improve quality of care, and enhance performance. Chaired Medical Directors’ group and Value Assessment Committee to ensure proper utilization.

• Director Cardiovascular Symposium – annual CME granting cardiology symposium 2009 – 2011 • Director of Cardiovascular Education- medical resident and student rotations 2007 – 2011

• Director Intensive Care Unit 2004 – 2011 • Director Cardiac Rehab/Pre-hab and Heart Failure 2006 – 2009• Director Nuclear Cardiology Lab 2004 – 2011 • Director Echocardiography Lab 2005 – 2011