High Cost Medical Claims Consulting
additional information
Experience
Lockton Benefit Group
Chief Medical Officer
Strategic Practice Leadership for Lockton’s Health Risk Solutions
- Provide guidance to employer clients on ways to lower medical plan costs through managing and improving health.
- Development of the InfoLock clinical and population health data analytics reporting capabilities
- Provide internal clinical and industry expertise, authority, and advocacy.
- Develop enterprise risk products and services – medical, workers’ comp, absence management, total productivity (consulting services and products).
- Develop Global Wellness capabilities.
Public Spokesperson for Health Risk and Medical Cost Solutions
- Speak at client seminars, industry forums, or other engagements to promote Health Risk Solutions.
- Write and publish white papers focused on innovative ways to improve health and engage people in making sustained changes to improve their health. Client/Prospect Services.
- Meet with our prospects and Provide marketing support both in the pre-sale and ongoing client management functions.
Willis Towers Watson
National Practice Leader, Health Outcomes
- Organize and deploy National Practice Health Outcomes solutions in: population health behaviors; targeting identified risks in a population; and improving access to care.
- Design and coordinate go-to-market consultation process, tools and capabilities.
- Grow the Practice’s vendor relationships in wellness, telemedicine, onsite health capabilities, medical transparency and disease management.
- Strengthen Willis clinical data analytics and reporting.
- Strengthen Willis’ health and productivity consulting capabilities.
- Provide senior level strategic and clinical consultation for Willis clients in prevention, wellness, health and productivity and population health initiatives.
- Deliver data-driven recommendations for employer-sponsored populations in the areas of wellness, incentives disease management, case management, and access to care.
- Deliver keynote addresses at national and regional conferences in employee benefits and health and productivity.
Wells Fargo Insurance Services
Senior Vice President, National Practice Leader: Health & Productivity
- Responsible for driving the Wells Fargo National Practice as a thought leader in Population
- Health and Employee Benefits.
- Deliver national and regional presentations on topical issues in human capital, health and
- productivity and financial wellness.
- Provide senior level strategic and clinical consultation for Wells Fargo clients in prevention, wellness, health and productivity and population health initiatives.
- Organize and deploy National Practice Health Solutions capabilities to the Wells Fargo Insurance Services enterprise.
MetLife Vice President, National Medical Director
- Led industry thought leadership for MetLife’s U.S. Business, focusing on health, wealth and employee benefits.
- Publication of MetLife’s Annual Employee Trends Study.
- Frequent keynote public speaker at industry conferences, trade associations and educational events in employee benefits, and health and productivity.
- Represented MetLife on the Executive Board of Integrated Benefits Institute (IBI) and Disability Management Employers’ Coalition (DMEC). Served as MetLife representative to America’s Health Insurance Plans (AHIP).
- Authored The Benefits Edge: Honing the Competitive Value of Employee Benefits, 2009.
- Authored A Year in the Life of a Million American Workers, a visual almanac of absence management and disability data.
- Represented private disability insurers on the Institute of Medicine’s (IOM) Committee on Improving the Social Security Administration’s Disability Decision Process.
- Developed MetLife’s proprietary disability durations guidelines based on multi-year claims experience analysis.
Education
Boston University
MPH, Population Health
The Wharton School
MBA, Health Care
Thomas Jefferson University
Medical Doctor
Emory University
Bachelors of Science