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Kosloff, Thomas

Kosloff, Thomas

National Director of Clinical Policy

Followers of Kosloff, Thomas260 followers
location of Kosloff, ThomasTrumbull, Connecticut, United States

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  • Timeline

  • About me

    Evidence-Based Review Methods | Value-Based Care | Data Analysis | Medical Writing | Guideline (Policy) Development | Product Development | Utilization Management | Quality Assurance | Managed Care | Musculoskeletal SME

  • Education

    • Northeast College of Health Sciences

      -
      Doctor of Chiropractic

    • McMaster University

      -
      Graduate Diploma in Clinical Epidemiology Health/Health Care Administration/Management

    • Niagara University

      -
      Bachelor of Science - BS

  • Experience

    • OptumHealth

      May 2005 - Mar 2022
      National Director of Clinical Policy

      I developed, implemented, and monitored a national portfolio of utilization management policies for physical health services for multiple payor clients. I further coordinated the development and application of related client medical and reimbursement policies. The core aims of my role were to improve healthcare quality and patient experience. I provided critical support for current and planned Quality initiatives and UM programs with evidence-based guidance and process mapping.

    • Noridian Healthcare Solutions, LLC

      Aug 2022 - now
      Senior Medical Policy Research Analyst

  • Licenses & Certifications

  • Volunteer Experience

    • Fundraising Coordinator

      Issued by United Way
      United WayAssociated with Kosloff, Thomas