Chief Medical Director, Post Acute Care and Government Programs at eviCore healthcare
Greater New York City Area
Anthem, Inc.
Regional Vice President, Medical Director
April 2014 to Present
WellPoint
Senior Medical Director, Amerigroup/WellPoint
2008 to March 2014
UnitedHealth Group
Medical Director, Americhoice/United Health Group
2007 to 2008
Prospect Medical Offices
Internist
1994 to 2007
Franklin Health/ParadigmHealth
Medical Director, Complex Care Management
1997 to 2006
New York Hospital Cornell Medical Center & Memorial Sloan Kettering Cancer Center
Residency Internal Medicine
1992 to 1994
University of Pennsylvania School of Medicine
Internship Internal Medicine
1991 to 1992
Albert Einstein College of Medicine of Yeshiva University
MD MD
1987 to 1991
State University of New York at Binghamton
BS Biochemistry Biochemistry
1983 to 1987
American College of Physician Executives
Physicians in Management CME
American College of Physician Executives
Meta-Leadership CME
American College of Physician Executives
Managing Physician Performance CME
Harvard Medical School
Update in Internal Medicine CME
Harvard Medical School
Update in Internal Medicine CME
Regional Vice President for Anthem's Medicare Advantage Division. Lead Medical Executive for medical cost management, utilization management, care management, quality management, Stars/HEDIS improvement. Design programs to reduce medical cost and improve quality. Clinical lead for provider collaboration initiatives. Regional Vice President for Anthem's Medicare Advantage Division. Lead Medical Executive for medical cost management, utilization management, care management, quality management, Stars/HEDIS improvement. Design programs to reduce medical cost and improve quality. Clinical lead for provider collaboration initiatives.
What company does Rick MD work for?
Rick MD works for Anthem, Inc.
What is Rick MD's role at Anthem, Inc.?
Rick MD is Regional Vice President, Medical Director
What industry does Rick MD work in?
Rick MD works in the Hospital & Health Care industry.
Who are Rick MD's colleagues?
Rick MD's colleagues are James M. Treat, Marshall Kidd, Baskar Arasu, Tracey Smith, Kiran MD, Leslie Schuler, Mattie Davis, Yvette LeFebvre, Vlad Umansky, and Susan Ott
đź“– Summary
Regional Vice President, Medical Director @ Regional Vice President for Anthem's Medicare Advantage Division. Lead Medical Executive for medical cost management, utilization management, care management, quality management, Stars/HEDIS improvement. Design programs to reduce medical cost and improve quality. Clinical lead for provider collaboration initiatives. From April 2014 to Present (1 year 9 months) Senior Medical Director, Amerigroup/WellPoint @ New Jersey Health Plan with 150,000 covered lives. Full responsibility for care management, utilization management including managing pharmacy benefits, quality management, provider relations and working with state regulators. Lead for Patient Centered Medical Home initiatives and plan lead for the CMS Comprehensive Primary Care Initiative. Chairperson for several NJ health plan committees. From 2008 to March 2014 (6 years) Medical Director, Americhoice/United Health Group @ New York Americhoice Health Plan, a Medicaid Managed Care company with 210,000 covered lives. Created care management, program and had comprehensive responsibility for utilization management and quality management. From 2007 to 2008 (1 year) Internist @ Board certified Internist for multi-specialty group practice including Oncology, Rheumatology, Gerontology, and Primary Care Internal Medicine. From 1994 to 2007 (13 years) Medical Director, Complex Care Management @ Complex care management for large health insurance companies and self-insured corporations - serving their most ill and complex patient populations. Company representive to the executive leadership of each account including: BC/BS, Ford Motor Co, Ingersoll Rand, Pepsi, Pharmacia & Upjohn. From 1997 to 2006 (9 years) Residency Internal Medicine @ New York Hospital Cornell Medical Center & Memorial Sloan Kettering Cancer Center From 1992 to 1994 Internship Internal Medicine @ University of Pennsylvania School of Medicine From 1991 to 1992 MD, MD @ Albert Einstein College of Medicine of Yeshiva University From 1987 to 1991 BS Biochemistry, Biochemistry @ State University of New York at Binghamton From 1983 to 1987 Physicians in Management, CME @ American College of Physician ExecutivesMeta-Leadership, CME @ American College of Physician ExecutivesManaging Physician Performance, CME @ American College of Physician ExecutivesUpdate in Internal Medicine, CME @ Harvard Medical SchoolUpdate in Internal Medicine, CME @ Harvard Medical School
Extraversion (E), Sensing (S), Feeling (F), Judging (J)
6 year(s), 1 month(s)
Unlikely
Likely
There's 78% chance that Rick MD is seeking for new opportunities
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