Sheree Starrett MD, MS
Physician Analyst at NYCHSRO\Medreview- Claim this Profile
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Bio
Credentials
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American Board of Hematology
ABIMJun, 1980- Sep, 2024 -
American Board of Medical Oncology
ABIMJun, 1979- Sep, 2024 -
American Board of Internal Medicine
ABIMJun, 1976- Sep, 2024
Experience
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Physician Analyst
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May 2019 - Present
Post service DRG Physician Validation Specialist for acute care hospital coding. Post service DRG Physician Validation Specialist for acute care hospital coding.
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Self-employed
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Real Estate
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1 - 100 Employee
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Consultant Managed Care for Oncology and Post Acute Care
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Jul 2017 - May 2019
Expert Medical Managed Care Consultant for evaluating all aspects of post acute care and oncology medication and procedure utilization. Trained in UM, Peer to Peer, Prior authorization and Appeals processes. Skilled user of Milliman Clinical Guidelines and Medicare coverage decisions. Six years of experience in Medicare Advantage Managed Care including institutional special needs plans for Medicare/Medicaid dual eligibles. Eight years of experience as a skilled nursing facility Medical Director with leadership on hiring for both the medical and consulting staffs, facilitating the interdisciplinary care team, budgetary responsibilities for pharmacy, radiology and laboratory services. Passionate about palliative care and how to avoid medical futility. Lifelong learner Show less
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Aetna
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United States
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Appliances, Electrical, and Electronics Manufacturing
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1 - 100 Employee
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Medical Director
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Jan 2014 - Jul 2017
Medical Director for PostAcute Care Aetna New Jersey Medicare Market Knowledgeable in all aspects of managed care including appeals, organizational determinations, peer to peer discussions, and precertifications for DME, specialty medications, procedures and hospital admissions Member of National Aetna Oncology management team Medical Director for PostAcute Care Aetna New Jersey Medicare Market Knowledgeable in all aspects of managed care including appeals, organizational determinations, peer to peer discussions, and precertifications for DME, specialty medications, procedures and hospital admissions Member of National Aetna Oncology management team
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Medical Director
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May 2011 - Oct 2013
ArchCare Advantage is a Medicare Advantage institutional special needs program for residents of nursing homes. We manage all Medicare Part A, B and D services. We have achieved our targets for increasing pharmacy generic utilization and decreasing hospitalizations and readmissions. ArchCare Advantage is a Medicare Advantage institutional special needs program for residents of nursing homes. We manage all Medicare Part A, B and D services. We have achieved our targets for increasing pharmacy generic utilization and decreasing hospitalizations and readmissions.
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Medical Director of Rivington House
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May 2006 - Jan 2011
Medical Director of 206 beds skilled nursing facility for patients with HIV/AIDS supervised 7 primary care physicians, 2 psychiatrists, 4 consultants managed department budget and achieved cost savings in Pharmacy, Lab, Radiology and Medical Services Championed development of Hospice and Palliative Care Program Wrote Family Health Care Decision Act Policies Reviewed and added Medical Policy and Procedure Manual Chaired Pharmacy P and T Committee Organized monthly CME programs and annual symposium on HIV Show less
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Promesa, Inc.
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Hospitals and Health Care
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1 - 100 Employee
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Medical Director
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Dec 2002 - May 2006
Medical Director for HIV/AIDS services including the supervision of three physicians and one psychiatrist. Managed budget for Medical Department Developed an interdisciplinary team of nurses, social workers and medical providers for the management of 200 HIV positive outpatients Developed a behavior risk management tool for HIV/AIDS Medical Director for HIV/AIDS services including the supervision of three physicians and one psychiatrist. Managed budget for Medical Department Developed an interdisciplinary team of nurses, social workers and medical providers for the management of 200 HIV positive outpatients Developed a behavior risk management tool for HIV/AIDS
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Education
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1969 - 1973
New York Medicine Jobs
MD, Medicine -
1998 - 2003
Saint Elizabeth University
MS, Health Care Management -
1965 - 1969
Douglass College
BA, Pre-Medicine -
Asbury Park High School
Community
