Medical Director

• Conduct regular reviews to monitor the appropriateness of care provided to beneficiaries and recommend any necessary interventions or adjustments need to align with CMS National and Local Coverage Determinations (NCD/LCD)
• Assist in the training and development of clinical teams on CMS NCD/LCD guidelines, clinical documentation and compliance
• Provide recommendations for improvements in clinical practices based on findings from record reviews, data analysis, and best practices in the field
• Participate in the development and implementation of quality improvement initiatives to enhance care delivery and achieve CMS performance goals
• Maintain accurate and up to date records of all clinical reviews, audits and quality improvement efforts

Internist, ABIM/AOBIM Medical Director

Regional Medical Director

Clinical Director

Medical Director – IP Claims Management

Medical Director – Scientific Affairs

Inpatient Medical Director