Position:
Part time Medical Director--Medicare Advantage division at Blue Cross Blue Shield Tennessee
Work:
Blue Cross Blue Shield Tennessee
- Nashville, TN since Jun 2012
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Part time Medical Director--Medicare Advantage division
MedSolutions
Jan 2009 - Feb 2012
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Chief Science Officer and Medical Director
MedSolutions
Jan 2005 - Jan 2009
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Western Region Medical Director
MedSolutions
- Franklin, TN Jan 2004 - Jan 2005
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Associate Medical Director
Cardiovascular Surgery Associates, P.C.
- St. Thomas Hospital, Nashville, TN Jul 2001 - Aug 2002
-
General Thoracic Surgeon
Education:
Memorial Sloan-Kettering Cancer Center/New York Presbyterian Hospital-Weill Cornell Medical Center 1999 - 2001
Cardiothoracic Surgery Fellowship, Cardiothoracic Surgery
Royal North Shore Hospital, Sydney, Australia 1998 - 1999
Senior Registrar, General Surgery
Barnes-Jewish Hospital, Washington University School of Medicine 1991 - 1998
General Surgery Internship and Residency, General Surgery
The Johns Hopkins University School of Medicine 1987 - 1991
Doctor of Medicine (MD)
Princeton University 1983 - 1987
AB, Molecular Biology
Skills:
Utilization Management, Managed Care, Medicaid, Medicare, Medical Management, Prior Authorization, Clinical Guideline Development, Decision Support Systems, Work Flow Processes, Presentations, Product Development, URAC and NCQA Certification Processes, Data Analytics, Informatics, Utilization Review, Clinical Research, Hospitals, Process Improvement
Interests:
Guideline development, Clinical Decision Support Systems, Predictive modeling, Data Analysis
Honor & Awards:
Biltmore Who's Who Executive of the Year 2011-2012, Outstanding Young Woman of America Award 1997, Lange Medical Publications Award 1988 and 1989, McGraw Hill Awards Program 1988, Franklin Paine Mall Prize in Anatomy 1988, McClellan Scholarship (Jefferson Medical College) 1987, Robert Woodruff Fellowship in Medicine (full scholarship to Emory University School of Medicine) 1987
Certifications:
American Board of Surgery (recertification)
American Board of Thoracic Surgery