2013 - Present (independent since 2026)
Physician Executive
Population Health Management & Clinical Informatics · ex-Anthem · ex-CVS
- ✦Drove clinical strategy and informatics at the enterprise level across a national health plan, a population-health analytics platform, and a large healthcare enterprise - three organizations spanning the breadth of US managed care.
- ✦Architected hundreds of clinical algorithms and population-health analytics, from ICD/CPT/HCPCS/LOINC/NDC coded logic for health-status characterization to care-management program evaluations across millions of lives.
- ✦Partnered with data science teams at all three organizations to build production predictive models - preventing adverse drug events, monetizing care-management ROI, and operationalizing predictive capabilities from research into deployed product.
- ✦Championed enterprise AI/ML business cases and value-based care frameworks across emerging, commercial, state, and federal models - building financial models of projected economic impact, securing senior-leadership investment, and guiding product roadmaps for STAR ratings, HEDIS, risk adjustment, and care-management economics.
- ✦Served as lead clinical voice to executives, clients, and external physician review panels - across Client Advisory Boards, national RFP responses, conference keynotes, product-strategy sessions, and medical-director engagement.
