Aaron Segal Email & Phone Number

Littleton, Co, Us

Tulsa, Oklahoma Area

Work with CommunityCare’s team of nurses on pre-authorizations.Maintain an effective and diplomatic relationship with providers in order to facilitate good working relationships and decrease plan-provider friction.Perform utilization review and supervisory management activities in the absence of Senior VP & Chief Medical Officer.Focus on quality improvement (QI) and work with the Senior Vice President of Health Network Division to develop programs for strategic implementation.Research and development of new and existing practice and coverage guidelines.Develop proprietary software for workflow automation and clinical data analytics.Other special projects and duties as deemed by the executive staff of CommunityCare Managed Healthcare Plans or the Senior VP & Chief Medical Officer.

The Jacobson Group is an insurance recruiting firm based out of Chicago.I was employed by Jacobson and placed as an Interim Medical Director for a community health plan in Tulsa. This became a permanent role on April 16 2018.

Denver, Colorado

* CHAPs is DMG's Comprehensive Health Assessment Program.* We promote the delivery of comprehensive, high quality patient care through proper coding and documentation, to facilitate accurate reimbursement for that care.* As a critical part of DMG's care model, key activities include: - Patient engagement - Clinician empowerment through education, clinical data and patient care tools - Coding and documentation to accurately record patient conditions and treatment - Analytics and auditing to support performance and integrity* I shared market responsibilities for Florida and New Mexico with my nonclinical dyad.* Oversight of a multistate clinical chart review program with a prominent external vendor.* Authored a detailed training deck for new clinicians covering clinical diagnostics, documentation, coding, and risk-adjustment.* Serving as a subject matter expert on national workgroups for EHR development and Population Health management tools.* Developing a model for regional disease prevalence analytics* Participation in multiple committees including: - Clinical Guidelines - Clinical Correlation

Dallas, Tx

CenseoHealth combines individual health assessments with proprietary statistical analysis to ensure that your organization stays optimized for revenue. Our model is to consistently monitor every patient’s situation and outcomes to create the best risk adjustment in a changing healthcare landscape.I am responsible for the performance of Censeo’s network of 3000-5000 independently contracted physicians.Management of two Regional Medical Directors, three Clinical Coordinators, and a clinical Educator.Clinical expert in multiple committees including Credentialing, Provider Oversight, Coding, QA/CDI, mobile technology development, and Executive leadership team.Client facing, particularly from the standpoint of reporting on existing business.Clinical services include:- Oversight of contracted providers. Quality assurance reviews of provider’s assessments- Management and oversight of Regional Medical Directors- Development and delivery of educational material for clinicians- Clinical data analytics (SQL Server, Tableau, Excel)Committee chair for:- Credentialing- Physician Oversight- Clinical Form Committee

Plano, Tx

• Engage with providers, hospital leaders, and internal clinical and non-clinical personnel to lower inpatient utilization while promoting evidence based practices• Applied MCG (Milliman Care Guidelines) to ensure the delivery of appropriate treatment at the right time and appropriate level of care. • Managed utilization for acute, long term acute, inpatient rehabilitation, and subacute levels of care for commercial and managed Medicare members in Texas and Oklahoma• Served on multiple committees including Medical Advisory Committee, Physician Advisory Council, and Vital Signs, an effort to promote workplace satisfaction.• Participated in national enterprise workgroups to improve operational efficiencies.• Advisor to two national project teams regarding development of software utilities to standardize and facilitate medical director work• Advisor to national project team to analyze inpatient medical director duties and streamline medical director workflow.• Independently developed software tools to streamline daily medical director workflow and to expedite and ensure compliant physician documentation• Subject matter expert in MCG, adverse determination language, MD process automation, Macro-Express, daily census analysis tools• Regular conference with UHC Network personnel to provide clinical perspective to facility and physician contracting team.• Developed onboarding manual and provided training and mentoring of four new hires.

The Commission on Health Care Services and Managed Care emphasizes the urgency of proactive TAFP involvement in managed care issues and policy development. The Commission also strives to provide TAFP members with an understanding of the ever-changing world of health care delivery systems.

Plano, Tx

* Full-time family medicine physician in a three doctor / one-midlevel practice.* Comanaged daily operations including medical direction, and human resources.* Clinical duties included a robust practice from neonatal through adulthood, male and female. Acute, chronic, and preventive care. In-office procedures including minor dermatologic surgeries, joint injections.* Shared responsibilities for training of front office, billing, and clinical staff.* Oversaw all I.T. functions for the office including workstations, network management, server maintenance, MySQL.* eClinicalWorks expert user and support at user, server, and database-level.* Collaborated with eClinicalWorks development team as a beta-test site.** (2013) Comprehensive data migration from eCW to GE Centricity via SQL with custom VBA and PHP conversion utilities.

Plano, Tx

Served in bimonthly meetings to review exceptional cases presented by nurse case managers, social work. Also discussed issues related to physician and hospital compliance, discharge planning, electronic ordering (CPOM), and electronic medical records.

Not for Profit organization serving over 220 primary care physicians in North Texas with contracting, group purchasing and support.

Chief Resident of Family Medicine.Shared position with trusted colleague, Dr. Stephanie Doenges.

Member of P&T Committee. Participating in monthly meetings regarding research and decisions regarding purchasing and appropriate use of pharmaceutical products and devices for the hospital.

Family medicine residency at the tertiary care center for Tarrant County.

M.D., Medicine

- Gross Anatomy teaching assistant. - President, Family Medicine Student Association - Maimonedes Society

Bachelor’S Degree, Computer Science / Premed

Activities and Societies: TAMU EMS // B'nai Brith HillelDepartment of Engineering Bachelor's degree in Computer Science. Minor.

Education record