Medical Director

• Leads the ProgenyHealth Medical Management program, with accountability for the performance and outcomes of the Clinical Operations Department.
• Maintains and oversees the NICU Utilization Management (UM), NICU & Maternity Case Management (CM) and Quality Management (QM) Programs and monitors adherence and compliance by reviewing and analyzing company data and dashboards to measure effectiveness.
• Builds customer loyalty through data-driven insights and compelling demonstration of program value.
• Supports the preparation, evaluation, and presentations of client program results at periodic client meetings.
• Engages and builds relationships with payer medical directors as well as hospital NICU teams, outpatient obstetric clinicians, and community partners as needed.
• Provides oversight of external publications that highlight ProgenyHealth’s medical management results.
• Works in close partnership with the SVP of Clinical Operations to ensure best-in-class training programs for all clinical staff.
• Will assist with the implementation and successful launch of new clients, new product lines, and/or technologies, as needed.
• Responsible for our continued successful accreditation by URAC and NCQA, as well as oversight of all State, Federal and Client standards/regulations necessary for ProgenyHealth to provide our services to our customers.
• Leads the Medical Advisory Board and Quality Improvement Committee and manages relationships with members that include practicing physicians across the US.

Chief Medical Officer – CMO

Medical Director – Clinical Reviews

Associate Medical Director – Gastroenterology, Hepatology

Medical Director, Safety Evaluation – Risk Management, Neuromuscular

Regional Medical Director

Clinical Director