Deborah Ratliff
Senior Medical Director, Physician's Medical Group of San Jose at Optum | San Diego, California, United States
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Deborah Ratliff serves as the Senior Medical Director for the Physician's Medical Group of San Jose, where she leverages her extensive experience in Health Plan management, Independent Practice Associations (IPAs), and Pharmacy Benefit Management (PBM) to drive quality healthcare initiatives. In her current role, Deborah is responsible for overseeing healthcare and pharmaceutical utilization across a diverse portfolio of 8 Medicare, 2 Medi-Cal, and 7 Commercial health plans. Her expertise in developing and revising clinical criteria and policies ensures that all lines of business adhere to the highest standards of care while effectively managing costs.
A key aspect of Deborah's role involves presenting Health Information and Clinical Effectiveness (HICE) reports, medical policies, and various dashboards to the Utilization Management (UM) Committee. This critical function not only informs decision-making but also enhances the organization's commitment to quality improvement and NCQA accreditation. Deborah collaborates closely within the Joint Operating Committee (JOC) and various workgroups, fostering a culture of teamwork and shared goals among healthcare professionals.
Her proficiency in healthcare information technology and clinical leadership enables her to implement evidence-based clinical guidelines that optimize healthcare delivery and pharmaceutical utilization, particularly concerning high-cost prescriptions. With a strong foundation in health policy and healthcare consulting, Deborah is adept at navigating the complexities of the healthcare industry, ensuring that the Physician's Medical Group remains at the forefront of innovative healthcare solutions. Her leadership and strategic vision are instrumental in advancing the organization's mission to provide high-quality, accessible healthcare to its diverse patient population.
Senior Medical Director, Physician's Medical Group of San Jose at Optum in June 2019 to Present
Medical Director at MedImpact Healthcare Systems, Inc. in March 2018 to May 2019
Associate VP Medical Director at Blue Shield of California in February 2014 to March 2018
Contributing Physician Editor at MCG Health in April 2006 to December 2013
Regional Medical Director at Sharp Community Medical Group in February 2005 to December 2005
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Healthcare Information Technology
Guideline Development
Managed Care
Healthcare
Clinical Leadership
Health Insurance
Medicine
Pharmaceutical Guideline Development
Leadership
Disease Management
Utilization Management
Medicare
Health Policy
Physicians
Healthcare Consulting
Healthcare Industry
Inpatient
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Discover more about OptumWhat is Deborah Ratliff email address?
Email Deborah Ratliff at [email protected]. This email is the most updated Deborah Ratliff email found in 2026.
What is Deborah Ratliff phone number?
Deborah Ratliff phone number is +13234404594 and +15402541387.
How to contact Deborah Ratliff?
To contact Deborah Ratliff send an email to [email protected]. If you want to call Deborah Ratliff try calling on +13234404594 and +15402541387. (updated on October 30, 2024)
What company does Deborah Ratliff work for?
Deborah Ratliff works for Optum
What is Deborah Ratliff's role at Optum?
Deborah Ratliff is Senior Medical Director, Physician's Medical Group of San Jose
What industry does Deborah Ratliff work in?
Deborah Ratliff works in the Pharmaceutical Manufacturing industry.
Deborah Ratliff Email Addresses
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