Experience

Community Health Options

• Insurance
• 1 - 100 Employee

• Chief Medical Officer

  • Jan 2023 - Present

  Lewiston, Maine, United States Chief Medical Officer at this dynamic, mission-driven non-profit supporting the needs of Maine residents on the exchange, in individual programs, small, large businesses and ASO. Portfolio includes UM, CM, Quality, and Pharmacy. In the time that I've been at Community Health Options, we have, while remaining well within budget, --Continued as a 4 star health plan, begun 3 joint quality programs with ACO's --Saved millions with site of care pharmacy programs --Planning for… Show more Chief Medical Officer at this dynamic, mission-driven non-profit supporting the needs of Maine residents on the exchange, in individual programs, small, large businesses and ASO. Portfolio includes UM, CM, Quality, and Pharmacy. In the time that I've been at Community Health Options, we have, while remaining well within budget, --Continued as a 4 star health plan, begun 3 joint quality programs with ACO's --Saved millions with site of care pharmacy programs --Planning for comprehensive risk stratification --Developing Next Generation Care Management --Implemented Fertility Care for all Members Show less



Commonwealth Care Alliance

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Senior Vice President, Medical Services

  • Oct 2018 - Jan 2023

  Boston As the Senior Vice President of Medical Services of a top duals plan in the country (40,000+ dual members and growing) I'm one of CCA's senior physician executives. My team provides medical support whether direct, consultative, or programmatic to the organization, including care management and utilization management, direct care in our primary practices and crisis units, medical policy, palliative care, and geriatrics. --85 million dollar budget over 6 areas --Portfolio includes… Show more As the Senior Vice President of Medical Services of a top duals plan in the country (40,000+ dual members and growing) I'm one of CCA's senior physician executives. My team provides medical support whether direct, consultative, or programmatic to the organization, including care management and utilization management, direct care in our primary practices and crisis units, medical policy, palliative care, and geriatrics. --85 million dollar budget over 6 areas --Portfolio includes primary care, behavioral health, geriatrics, medical policy, education, ACO partnership --Reorganization of 23 million dollar complex care practice to increase team based care and driving of data --Implemented highly rated palliative care program. Decreased hospital costs by $1,000/admission; increased revenue --Helmed organizational Covid response, vaccine administration and ongoing care Show less



Commonwealth Care Alliance

• United States
• Hospitals and Health Care
• 700 & Above Employee

• VP Medical Affairs

  • Jan 2017 - Feb 2018

  Boston, Massachusetts, United States VP Medical Affairs for dynamic, non-profit, integrated health plan. Roles included pharmacy management, quality, program development, supervision of health plan and utilization medical direction.



Brigham and Women's Hospital

• Hospitals and Health Care
• 700 & Above Employee

• Medical Director

  • Apr 2009 - Jan 2017

  As the medical director of the largest practice at the Brigham, I oversee the clinical operations and strategy of a practice with 18,000 patients and over 100 physicians, many of whom are trainees. Over the last 5 years we have transformed the practice with innovations that include: 1. Increased PCMH-A scores by over 50% and readiness for NCQA Application 2. Same day access. We see over 1000 urgent care patients a month. 3. Exceed national benchmarks on colon cancer… Show more As the medical director of the largest practice at the Brigham, I oversee the clinical operations and strategy of a practice with 18,000 patients and over 100 physicians, many of whom are trainees. Over the last 5 years we have transformed the practice with innovations that include: 1. Increased PCMH-A scores by over 50% and readiness for NCQA Application 2. Same day access. We see over 1000 urgent care patients a month. 3. Exceed national benchmarks on colon cancer screening 4. Embedded sub specialists including geriatrics, diabetology, and pain control. 5. Two major grants - from Harvard Medical School and AHRQ to transform primary care and to use systems engineering to improve transitions of care. 6. Highest Press-Ganey overall scores of academic practices in our area. Currently, we are working on our own dashboard to think about metrics to follow along with improvements to our opioid prescribing and safety.

• Staff Physician

  • Jul 1994 - Jan 2017