Charles Parente
Medical Director at Optum | Kahului, Hawaii, United States
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As the Medical Director of Medical Claim Review at Optum, Charles Parente leverages his extensive background in Family Medicine and deep expertise in Utilization Management (UM) and Value-Based Care (VBC) to enhance the efficiency and effectiveness of healthcare delivery. With over six years at Optum and prior experience at UnitedHealthcare (UHC) and as a contractor in UM, Charles has developed a nuanced understanding of the complexities involved in managing medical claims across diverse populations, including Medicare Advantage, Medicaid, and Commercial sectors.
In his current role, Charles is instrumental in performing comprehensive medical claim reviews for both facility and professional lines of business. His keen analytical skills enable him to assess claims with a focus on clinical appropriateness and adherence to regulatory standards, ensuring that patients receive the necessary care while optimizing resource utilization. His proficiency in claims management, prior authorization processes, and electronic medical records (EMR) systems allows him to streamline workflows and improve operational efficiencies.
Charles is also dedicated to fostering strong business relationships within the healthcare ecosystem, utilizing his exceptional presentation skills to communicate complex medical and claims-related information effectively to stakeholders. His commitment to statistical data analysis further supports his efforts in identifying trends and implementing evidence-based strategies that enhance patient outcomes and drive cost-effective care. Through his leadership, Charles continues to make significant contributions to the evolving landscape of healthcare, championing initiatives that align with the goals of value-based care and improved patient satisfaction.
Medical Director at Optum in July 2026 to Present
Sr. Medical Director at Optum in July 2026 to Present
Sr. Medical Director, Clinical Affordability at Optum in July 2026 to Present
Medical Director-Medical Claim Review at Optum in July 2026 to Present
Medical Director-Clinical Coverage Review at UnitedHealth Group in July 2026 to July 2026
Physician Expert Reviewer at Delmarva Foundation in July 2026 to July 2026
Physician at Urgent Care West Maui/West Maui Health Care in July 2026 to July 2026
Physician at Take Care Health Systems in July 2026 to July 2026
Physician at Inova Health System in July 1999 to July 2026
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Northwestern University, Master's Degree, January 2011 to January 2014
University of Virginia, MD, January 1991 to January 1995
Bucknell University, Bachelor of Arts (B.A.), January 1988 to January 1991
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Medical Claims Review
Regulatory Compliance
health insurance benefits
Health Insurance
Data Analysis
Business Relationship Management
C-Suite Selling
Team Management
Team Building
Team Leadership
Cross-functional Team Leadership
Presentation Skills
Strategic Influence
Medicare Compliance
Medicare Advantage
Claims Management
Payment Integrity
Prior Authorization
Value Based Care
Informatics
EHR
EMR
Healthcare Information Technology
CPOE
Utilization Review
Evidence-based Medicine
Statistical Data Analysis
Urgent Care
Family Medicine
Occupational Health
Hospitals
Primary Care
Pediatrics
Inpatient
Medicine
Virtual Collaboration
Utilization Management
Healthcare
Electronic Medical Record (EMR)
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Discover more about OptumWhat is Charles Parente email address?
Email Charles Parente at [email protected] and [email protected]. This email is the most updated Charles Parente's email found in 2026.
What is Charles Parente phone number?
Charles Parente phone number is +1.7035285545 and +1.18083591399.
How to contact Charles Parente?
To contact Charles Parente send an email to [email protected] or [email protected]. If you want to call Charles Parente try calling on +1.7035285545 and +1.18083591399.
What company does Charles Parente work for?
Charles Parente works for Optum
What is Charles Parente's role at Optum?
Charles Parente is Medical Director
What industry does Charles Parente work in?
Charles Parente works in the Hospital & Health Care industry.
Charles Parente Email Addresses
Charles Parente Phone Numbers
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