Grievances Expert Witnesses

Education & Schools, Employment - Higher Education, Faculty Affairs, Student Affairs, Academic Affairs, Tenure and Promotion, Personnel Decisions, Grievances, Accreditation, Policies and Procedures, Faculty Discipline, Student Discipline, College, University

Dr. Elias is a distinguished professor, accomplished scholar, and senior administrator with over 15-years of diverse higher education administrative experience. His administrative roles have included, for example, Dean, Associate Dean, Director, Department Head, Doctoral Program Director, and Graduate Coordinator. While Dr. Elias has previously earned tenure and promotion in both psychology and management, he is currently serving as Dean of the School of Business Administration at Fort Lewis College, a rural and Native American-Serving Non-Tribal Institution (NASNTI) that serves more than 180 Tribal nations. In addition, Dr. Elias is also the Founder and Director of the US Economic Development Administration funded Fort Lewis College Center for Innovation. In terms of academic experience, Dr. Elias has received numerous honors and awards, has received millions of dollars in grant funding, has published over 20 peer-reviewed articles, has edited one book (Deviant and criminal behavi...

Medical Management, Insurance - Accountable Care Organizations (ACO), Health Insurance, Grievances, Pharmacology, Provider Credentialing, Medical Management, Medical Necessity, Medicare, Medicaid, Healthcare Fraud & Abuse, Medical Billing & Coding, Medical Utilization, Utilization Review, Qui Tam, Clinical Case Theory Development.

Senior physician executive in the health insurance industry, with licensure in Kentucky, North Carolina, Pennsylvania, and Virginia. Certified as Health Insurance Executive. National insurance companies worked for include Oxford Healthplans, Blue Cross & Blue Shield, Wellpoint, Anthem, and Cigna. Responsibilities have included case management, fraud and abuse, physician credentialing, peer review, physician grievances & appeals, patient grievance & appeals, and patient safety. Board-certified in both internal medicine, and emergency medicine. Holder of multiple patents. Experienced public speaker. Chief Medical Correspondent WVGB-FM in Beaufort, South Carolina. Yale-educated, NIH trained. Conducted over 5,000 physician credentialing reviews; over 5,000 medical necessity/utilization management reviews; patient & physician appeals, & hearings; and over 2,000 committee and in-person patient grievance & appeal reviews. Served as an Examiner for the Malcolm Baldrige National Quality...