Recently Senior Medical Director for Elixir Pharmaceutical Benefits Management Company for all lines of business, including Elixir Insurance Company (formerly known as Envision Insurance Company), a Part D Prescription Drug Plan. Handling appeals for all lines of business and testifying before administrative law judges for Medicare with 90% success rate of upholding adverse decisions in favor of the Plan. Only profitable subsidiary of Rite Aid Enterprise, which filed Chapter 11 Bankruptcy and termination of senior medical director position.
CORE COMPETENCIES
Internal Medicine | Geriatric Medicine | Managed Care | Pharmaceutical | Strategic Planning
Healthcare Information Technology | Workers Compensation | Clinical Research
Proficient in latest productivity apps included in Microsoft 365 | Decision Support Software | Adobe Acrobat Pro.
CERTIFICATIONS
American Board of Quality Assurance and Utilization Review Physicians
Health Care Quality and Management. 1992 - present
Subspecialty of Managed Care 1999 – present
Subspecialty of Workers Compensation 2002 – present
American College of Physician Executives
Certified Physician Executive. 1998 – present
Certification in Medical Management. 1998 - present
American Osteopathic Board of Internal Medicine,
Internal Medicine 1991 - present
Additional Qualifications in Geriatric Medicine 1993 - 2003