Robert Peters, Md, Phd
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Robert Peters, Md, Phd Email & Phone Number

Physician Reviewer at Sharp Health Plan
Location: San Diego, California, United States 7 work roles 7 schools
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Current company
Role
Physician Reviewer
Location
San Diego, California, United States
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Who is Robert Peters, Md, Phd? Overview

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Quick answer

Robert Peters, Md, Phd is listed as Physician Reviewer at Sharp Health Plan, a company with 175 employees, based in San Diego, California, United States. AeroLeads shows a matched LinkedIn profile for Robert Peters, Md, Phd.

Robert Peters, Md, Phd previously worked as Medical Reviewer at Sharp Health Plan and Senior Research Physician at Prosciento, Inc.. Robert Peters, Md, Phd holds Doctor Of Medicine - Md, Family Practice from Stanford University School Of Medicine / Sharp Health Care, San Diego, California.

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Sharp Health Plan

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Profile bio

About Robert Peters, Md, Phd

Physician Reviewer with proven track record responsible for the medical direction of Authorization Review for a Managed Care Organization. With a comprehensive understanding of regulatory standards, clinical guidelines, and evidence-based practices, I make educated decisions to ensure the quality of care and appropriate utilization in the most cost-effective, appropriate, and professional manner. I collaborate with multidisciplinary teams, that ensures care coordination, and effective communication while remaining dedicated to patient safety and continuous quality improvement.

Listed skills include Clinical Research, Medicine, Public Speaking, Board Certified, and 46 others.

Current workplace

Robert Peters, Md, Phd's current company

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Sharp Health Plan
Sharp Health Plan
Physician Reviewer
san diego, california, united states
Employees
175
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7 roles · 40 years

Robert Peters, Md, Phd work experience

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Medical Reviewer

Current

San Diego, CA

* Delivering high quality compliant medical necessity reviews for all ages, preauthorization, concurrent, and retrospective, for Commercial, POS, and Medicare, including Behavioral Health, and Pharmacy benefits.* Review efficient and timely, Appeals, Grievances, Utilization Management, and Claims reviews.* Ensure Commercial and Medicare plan members.

May 2015 - Present

Senior Research Physician

Prosciento, Inc.

San Diego, California, United States

Primary responsibility for human clinical trials (phase I-III) with focus on ensuring the integrity and validity of the studies and the safety and well-being of the subjects. Lead review (medical) of protocols, case report forms, clinical research findings, adverse events, clinical study reports, audit reports, and detailed review of statistical data..

Jun 2013 - May 2015

Physician

Private Practice

Greater San Diego Area

Ambulatory clinical medicine, diagnosed and treated a variety of diseases and injuries covering prenatal, adolescent, adult and geriatric patient populations. Surgical assisting privileges, (Advanced) at Sharp Memorial Hospital; assists included procedures such as thyroidectomy, laparoscopic cholecystectomy, bariatric surgery, appendectomy, small bowel.

Aug 1998 - Jun 2013

Chair Scientific Advisory Board

Tulip Biomed Inc.

San Diego. CA

Identified and established relationships with key opinion leaders, internationally renowned clinical and research leaders, academicians and medical doctors regarding awareness of company patented technologies for the living tissue markets, including plastic, cosmetic and orthopedic surgeries.

2006 - 2008 ~2 yrs

Senior Consultant

Owen & Associates, Inc.

Del Mar, California

Provided scientific and technical expertise to medical product companies (e.g. pharmaceutical, biotechnology, biomedical) and health care investment firms. Feasibility investigations and assessments of proposed therapeutics and diagnostics. Characterized and described the respective market segment opportunity and the competitive environment for proposed.

1988 - 2007 ~19 yrs

Director/ Biochemistry Department

Carlsbad, California

Designed clinical protocols and supported pre-clinical and early phase AIDS vaccine trials. Developed immunological assays to characterize and analyze cell mediated and humoral immunity responses to vaccine candidates. Developed quantitative polymerase chain reaction (PCR) methods to quantify patients viral burdens pre and post immunization.

1988 - 1991 ~3 yrs

Director / Immunology Department

Cytotech, Inc.

San Diego, California

Directed research and development of commercial infectious disease and autoimmune diagnostic kits including HIV ELISA, Western blot confirmatory and TORCH panel assays.

1986 - 1988 ~2 yrs
Team & coworkers

Colleagues at Sharp Health Plan

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7 education records

Robert Peters, Md, Phd education

Doctor Of Medicine - Md, Family Practice

Stanford University School Of Medicine / Sharp Health Care, San Diego, California

Family Practice Residency

Doctor Of Medicine - Md, Medicine

Loma Linda University / Loma Linda, Ca

Activities and Societies: Honors-distinction in Family Medicine

Immunology Fellowship, Cancer Immunology

University Of California San Diego,Theodore Gildred Cancer Center / San Diego, Ca

Activities and Societies: National Research Service AwardProduced human monoclonal antibodies to autologous tumors in humans by hybridoma.

Arthritis, Digestive & Metabolic Diseases Fellowship, Cell/Cellular And Molecular Biology

University Of California Riverside / Riverside , Ca

Activities and Societies: National Research Service AwardCell-free translation methods were developed and used for the quantitation of.

Cellular Biology Fellowship, Cell Biology

Jerry L. Pettis Memorial Veterans Administrative Hospital / Riverside, California

Characterized anesthetic drug interactions with biological membranes.

Doctor Of Philosophy - Phd, Biochemistry

University Of California, Riverside / Riverside, Ca

Activities and Societies: Ph.D. dissertation, University of California, Riverside, CA (1979) Peters, R.E., The effects of ozone on lipid.

Bachelor Of Science - Bs, Biology And Chemistry

University Of Arizona / Tucson, Az

Activities and Societies: Graduated with honors

FAQ

Frequently asked questions about Robert Peters, Md, Phd

Quick answers generated from the profile data available on this page.

What company does Robert Peters, Md, Phd work for?

Robert Peters, Md, Phd works for Sharp Health Plan.

What is Robert Peters, Md, Phd's role at Sharp Health Plan?

Robert Peters, Md, Phd is listed as Physician Reviewer at Sharp Health Plan.

Where is Robert Peters, Md, Phd based?

Robert Peters, Md, Phd is based in San Diego, California, United States while working with Sharp Health Plan.

What companies has Robert Peters, Md, Phd worked for?

Robert Peters, Md, Phd has worked for Sharp Health Plan, Prosciento, Inc., Private Practice, Tulip Biomed Inc., and Owen & Associates, Inc..

Who are Robert Peters, Md, Phd's colleagues at Sharp Health Plan?

Robert Peters, Md, Phd's colleagues at Sharp Health Plan include Kimberly Corona, Jonathan Josafat, Susan Pawlikowski, Antonio Carrasco, and Tiffany Tran.

How can I contact Robert Peters, Md, Phd?

You can use AeroLeads to view verified contact signals for Robert Peters, Md, Phd at Sharp Health Plan, including work email, phone, and LinkedIn data when available.

What schools did Robert Peters, Md, Phd attend?

Robert Peters, Md, Phd holds Doctor Of Medicine - Md, Family Practice from Stanford University School Of Medicine / Sharp Health Care, San Diego, California.

What skills is Robert Peters, Md, Phd known for?

Robert Peters, Md, Phd is listed with skills including Clinical Research, Medicine, Public Speaking, Board Certified, Clinical Trials, Biochemistry, Immunology, and Infectious Diseases.

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