Experience

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  Healthcareplan/univera

  Jan 1991 - Jan 1998

  Served as Corporate Medical Director for this regional HMO which included both staff model and network model delivery systems. Medical Director responsible for staff model HMO operations. Served as a primary care internist in a multispecialty group setting. In addition, served as faculty/mentor for SUNY at Buffalo Primary Care Internal Medicine residents for their ambulatory care experience within our practice location. Physician management position within staff model HMO. Physician management role within staff model HMO.

  • SVP, Medical Affairs - Corporate Medical Director

    Jan 1997 - Jan 1998

  • Medical Director of the Medical Centers Division

    Aug 1994 - Jan 1997

  • Primary Care Internist

    Jan 1987 - Jan 1997

  • Senior Associate Medical Director

    Jan 1992 - Jan 1994

  • Associate Medical Director

    Jan 1991 - Jan 1992
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  Buffalo community health

  Mar 1996 - Apr 2001

  Board member of a Medicaid HMO plan. Initial Medical Director at newly developed Medicaid HMO affiliated with HealthCarePlan/Univera. Developed initial quality improvement program and credentialing/recredentialing program.

  • Board Member

    Jun 1996 - Apr 2001

  • Medical Director

    Mar 1996 - Jun 1996
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  Medical partners of western new york

  Jan 1997 - Jan 1998

  Medical director

  Medical Director leadership role in a large, multispecialty medical group comprised of primary care physicians (Internal Medicine, Pediatrics, Family Practice, Ob-Gyn) and a variety of medical and surgical sub-specialists.

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  Promedicus health group

  Jan 1998 - Jan 2001

  Chief medical officer

  Chief Medical Officer leadership role in a large, multispecialty medical group comprised of primary care physicians (Internal Medicine, Pediatrics, Family Practice, Ob-Gyn) and a variety of medical and surgical sub-specialists.

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  Ncqa

  Jan 1998 - Jan 2001

  Member of NCQA's accreditation decision-making body, analyzing survey findings and assigning accreditation status based on compliance with NCQA standards, as well as HEDIS performance. Led and participated in multiple managed care organization surveys. Often called upon to lead survey teams for large group model and staff model HMOs. Chairman of NCQA's accreditation decision-making body. The Review Oversight Committee is responsible for analyzing survey findings and assigning accreditation status based on compliance with NCQA standards, as well as HEDIS performance. As Chairman, also served as the Review Oversight Committee liaison to the NCQA Standards Committee.

  • Member, Review Oversight Committee

    Jan 1995 - Jan 2001

  • Surveyor

    Jan 1991 - Jan 2001

  • Chairman, Review Oversight Committee

    Jan 1998 - Jan 2000
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  Pwc

  Apr 2001 - Jun 2015

  Areas of focus include strategy, physician alignment, clinical quality improvement, efficient healthcare resource utilization, performance improvement and accreditation. With over 25 years of healthcare experience, clients have included both provider and managed care payer organizations. Working with hospital management teams and medical staff leadership, efforts often assist in bridging the gap between the business and care aspects of healthcare, with emphasis on reducing cost and waste while simultaneously increasing quality of care. Show less

  • Director

    Jul 2012 - Jun 2015

  • Manager

    Apr 2001 - Jun 2012
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  American board of internal medicine

  Oct 2015 - now

  Chief medical officer

  Lead ABIM’s effort to incorporate feedback from practicing physicians and key stakeholders into clinical aspects of all of ABIM activities, including Certification and Maintenance of Certification (MOC). Build and lead ABIM’s Clinical Affairs efforts to support the organization’s work in defining and assessing physician competencies. Integrate physician voices into the design and operation of ABIM activities to ensure that all products and services, including Certification and MOC, contribute to the highest quality practice of medicine and better outcomes for patients. Show less