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'health plan' Experts

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Expert in Pediatrics, Adolescent, & Young Adult & Administrative Medicine, Medical-Legal Issues, Public Health
Strong background since establishing the first student internship program in bioehtics at the Kennedy Bioethics Institute in 1972 - mentor Andre Helligers, then director of the CEnter. Published in medical ethics journals. Hospital ethics committee ... See full profile

California (CA), USA

Expert in Healthcare Vendor Management
He is a Subject Matter Expert in all aspects of pharmacy benefit management vendor oversight for the health plans. This includes all operational, contractual, financial, network adequacy, utilization and quality management aspects of these relationships ... See full profile

New Jersey (NJ), USA

Expert in Life and Health Insurance Financial Analysis, Product Development, Ratings Management
Expert developed a wide understanding of health and life insurance companies' business strategies, operations and profitability during her 11 years of experience at rating agencies. She was an active voting member of committees for assigning insurance ... See full profile

Pennsylvania (PA), USA

Expert in Rx Marketing, Rx Benefits, Specialty Pharmacy, Rx Benefits Management, Evidence-Based Rx Use
Since 1989, Expert has provided consulting related to pharmacy benefits, marketing of pharmaceuticals, biotechnology and biological products, pharmaceuticals- related business strategy and new business development. See full profile

California (CA), USA

Expert in Industrial Hygiene, Occupational Health, Hazardous Materials Management, Emergency Response
He championed the implementation of a variety of strategies to reduce workplace accidents and injuries. Strategies included establishment of on site workplace health and safety teams. These teams included both management and labor employees who worked ... See full profile

New Hampshire (NH), USA

Expert in Actuarial Science, Health Insurance, Managed Care, Agency Carrier Disputes
32 Years experience as a health actuary, serving technical and leadership roles within the corporate and consulting environments. Expertise: Health insurance, disability income and long term care; Plan design, pricing and underwriting; GAAP and Statutory ... See full profile

Pennsylvania (PA), USA

Expert in Healthcare - hospital delivery
Expert has been CEO of Expert's Firm for 33 years- he has managed the growth and success of the organization through numerous changes and challenges. Prior to being CEO he was the Chief Operating Officer and before that controller of the Hospital. See full profile

New York (NY), USA

Expert in Forensic Psychiatry, System Consultation, and Program Planning and Development Services
Expert has over 25 years of experience providing clinical treatment, case consultation and program planning and development services. He is board certified in general psychiatry and in child/adolescent psychiatry. He has consulted locally and ... See full profile

Minnesota (MN), USA

Expert in Clinical Epidemiology, Public Health Medicine, Drug Safety, Clinical Trials
Expert is Director of Pharmacoepidemiology in a Public Health Consultancy providing advice and expertise to the public, regulators and medical professionals on the evaluation and safety monitoring of drugs in the European Community. See full profile

United Kingdom

Expert in Infusion Center Expert, Hospital Infusion, Ambulatory Infusion Center, Phamaceutical Product Advisor
The infusion center business is highly complex; thin margins, adverse selection of patients, and challenging economic conditions can drive a potentially profitable business toward financial losses. This expert's firm has years of experience optimizing ... See full profile

Michigan (MI), USA

Expert in Provider Relations, Operations, Provider Network Development, Provider Contracting
Expert has been involved in Provider Relations/Network Development and Operations in the Health Insurance Industry as an executive (VP/Manager), both domestic and international and is experienced in all aspects of contract negotiations. See full profile

Pennsylvania (PA), USA

Expert in Telecommunications, Wireless, Networks, IT Management, Statistical Analysis, Contracts, IP & Patents
Expert is a highly versatile consultant with over 45 years of networking and telecommunications experience and over 25 years experience as an independent consultant. He has a thorough understanding of technology, its benefits in profitable ... See full profile

Maine (ME), USA

Expert in Computer Science: Embedded-Computer Systems, Statistical Analysis, Data Recovery, Languages
He carries out forensic consulting, writes specialized computer programs both for others and for his own amusement, edits technical books, tutors in English for speakers of other languages, serves as treasurer for not only the local Emergency Squad but ... See full profile

New Jersey (NJ), USA

Expert in Physician CPT Coding, Billing and Chart Reviews, Overpayment, F&A and Qui Tam Rebuttal
He is an expert in health care billing - focusing on coding, charts audits, billing compliance and operations. His expertise will prove invaluable for Revenue Cycle Enhancement, create a Compliance Program and/or provide high ROI Litigation Support ... See full profile

Maryland (MD), USA


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