I am a Pediatrician who is currently thriving within the nonclinical healthcare sector
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I am a pediatrician looking to further expand and develop within the nonclinical healthcare sector. I have worked in the private sector doing claims correction, payment accuracy and physician advisory work. Currently working in academia and looking for my next leadership role.
Cleveland State University, Cleveland OH 2021 – Present
EXECUTIVE DIRECTOR, PATHWAY TO PRACTICE
Brought on to lead the CSU pre-medical & dentistry program focused on preparing students for acceptance to medical and dental school and instilling a commitment to giving back to underserved communities to enrich the health and heritage of underserved patients in Northeast Ohio. Report directly to the Dean of the College of Health while collaborating with a wide range of stakeholders to establish a best-in-class program that prepares CSU students for education and career opportunities in medicine and dentistry to empower them to meet the needs of underserved communities. Serve as a high-level and strategic interface with city/county agencies and schools, as well as an extensive network of nonprofit and for-profit community partners while responsibly managing all aspects of the program, including planning and fiscal management.
Take the lead in driving continuing improvement in program performance in critical areas including student development, student relations, and stakeholder engagement. Closely liaise with community groups and external agencies to enhance program efficacy and create opportunities to showcase the CSU Pathways to Practice program.
Ohio Medical Alliance, Cleveland OH 2020 – 2024
On a part-time weekend basis, evaluate medical records of patients in the State of Ohio to confirm qualifying conditions for medical marijuana. Patients are seen via Doxy.me telehealth platform as new patients and for annual renewals. The State of Ohio currently has 21 qualifying conditions to receive medical marijuana recommendation from MMJ-certified physicians.
Change Healthcare, Cleveland OH 2019 – 2020
VICE PRESIDENT, VALUE CONSULTING
Recruited in newly created role as key member of Network and Financial Management Value team to build physician-centered capability for providing clinical leadership to customers. As transformational influencer grew value consulting by helping clients optimize systems. Drive go-to-market, network value, benchmarking, and new clinical concepts.
Advise and educate customer physicians and other customer executives. Set product and customer roadmaps. Build organizational resources and capability including team of physicians. Play leadership role in development of this unique business model.
MultiPlan, Inc, Cleveland, OH 2017 – 2019
Recruited to lead fraud/abuse clinical team providing clinical expertise in evaluating claims, cases, and coding/billing patterns to drive cost containment for clients comprised of major healthcare plans and Medicare Advantage companies. Facilitate resolution of potential compliance irregularities and inconsistencies.
Evaluated clinical cases to ensure proper billing designation (observation versus inpatient status).
Evaluated billing and utilization practices to ensure compliance with coding and billing regulatory guidelines.
CenseoHealth, Cleveland, OH 2015 – 2017
Conducted healthcare evaluations on behalf of Medicare Advantage Managed Care plans. Deployed proactive approach to healthcare by assessing adult patient population to clarify and update active diagnosis and medications. Assessed well-being of patients via home visit health questionnaire and physical examination. Provided quality health assessments through comprehensive physical exams and tests isolating poorly controlled diagnoses and implementing new care plans, as warranted.
Assessed patients for signs or symptoms of acute illness during home visits.
St. John Medical Center/UHHS, Westlake, OH 2003 – 2015
MEDICAL DIRECTOR, PEDIATRIC HOSPITALIST, 2007 – 2015
RAINBOW RAPID CARE ATTENDING PHYSICIAN, 2000 – 2015
PEDIATRIC HOUSE PHYSICIAN, 2003 – 2005
During 17+-year affiliation with Medical Center, contributed to turnaround and growth of Pediatrics and its reputation as “go-to” site for quality care. From rollout of Rainbow Rapid Care to establishing first hospitalist program, influenced care and reputation in Pediatrics and throughout hospital. Drove strategic outreach initiatives, referrals from pediatric practices/clinics in adjacent counties, and recruitment to other practices.
Converted in-house physician model to hospitalist model, improving patient care and cost efficiencies.
Increased pediatric referrals 20%+.
Rolled out Rainbow Rapid Care, a triage methodology developed by Rainbow Babies and Children’s Hospital (TeamHealth) to ensure proper care and placement of pediatric patients.
Established quality benchmarks that contribute to continuous process improvement.
Based on success of Pediatric Hospitalist Model, program adopted within Adult Care and Ob/Gyn.
Lakewood Hospital, Cleveland Clinic Hospital System, Lakewood, OH 2005 – 2007
Brought in to strengthen and revitalize pediatric program in face of declining resources. Instilled focus on safe and comprehensive medical care.
Developed and instituted equipment protocols to ensure safe treatment of children in Pediatric Express Center.
Earlier positions: Hospitalist, Rainbow Babies and Children’s Hospital; Consultant (insurance clinical audits) with CGI, Inc, and Attending Physician with Free Clinic of Cleveland. Completed Pediatric ER Fellowship at Akron Children’s Hospital and Pediatric Residency at University of Chicago.
BA, Biology Brown University
MD, Tufts University School of Medicine
MSHM, University of Texas at Dallas
