Population Health Expert Witnesses

Union, Kentucky

Endocrinology, Diabetes - Adrenal, Cushing's Disease, Thyroid, Hypothyroidism, Hyperthyroidism, Parathyroid, Osteoporosis, DKA, Pituitary, Obesity, GLP-1, Addison's Disease, Population Health, Quality Improvement, Growth Hormone, Testosterone, Hypogonadism, Hormone, Hormone Replacement

I am a physician licensed to practice medicine in the state of Kentucky. I am a clinical endocrinologist at the St. Elizabeth Physicians Regional Diabetes Center. I am also the Clinical Director of Value-Based Performance and Director of Endocrinology Research for St. Elizabeth Physicians. I am an Adjunct Assistant Professor of Medicine at the University of Kentucky. I am the Northern Kentucky course director for MD 824: Endocrinology and Reproductive Systems. I hold hospital privileges at the St. Elizabeth Hospitals in Northern Kentucky. I have post-graduate medical education in Internal Medicine, Pediatrics, Diabetes, Endocrinology, and Metabolism. I maintain an active board certification in Diabetes, Endocrinology, and Metabolism. I have been in active clinical practice in Endocrinology for over 16 years. I see approximately 200 patients monthly treating Type 1 and Type 2 Diabetes and another 200 patients monthly for other endocrinologic diseases.

Saint Louis, Missouri

Insurance, Medical Management - Medicaid, Managed Care, Medicare, Dual Eligible, Marketplace, Medical Policy, Utilization Management, Risk Management, Payer Operations, Quality Improvement, Regulatory Compliance, Expert Witness, Internal Medicine, Corporate Compliance, Medicare Advantage, Utilization Review, Access to Care, Population Health, Insurance

Physician executive, internist, MBA, and thought leader in managed care with 27 years of leadership experience across Medicaid, Medicare, Dual Eligible/D-SNP, Marketplace, utilization management, medical policy, quality performance, population health, and payer operations. Former Senior Vice President and Corporate Chief Medical Officer for Centene, a Fortune 25 healthcare enterprise, and Washington University faculty member with extensive experience in enterprise clinical strategy, risk management, and work with corporate lawyers, corporate compliance, and senior leadership on litigation-related matters, depositions, fair hearings, regulatory issues, medical affairs, and complex managed care operations Washington University faculty member, with appointments in the School of Medicine, School of Law, Olin Business School, and Brown School of Social Work. Board-certified internist, Fellow of the American College of Physicians, and Missouri-licensed physician. Earned an MD from Washin...

San Antonio, Texas

Preventive Medicine, Family Medicine - Health Insurance, Utilization Management, Government Contracts, Quality, Outbreak, Communicable Diseases, TRICARE, Medicare, Medicaid, HIV, LGBT care, Migrant Care, Non-profit or indigent care, Correctional facility care, Denial/Appeals, Academic health, Population health, Tuberculosis, Non-Profit

Executive Physician and former Chief Medical Officer with extensive leadership experience across public health, health insurance, complex health systems, government agencies, and nonprofit organizations. Brings deep clinical, administrative, and policy expertise to cases involving population health, disease prevention, standards of care, health plan operations, and organizational oversight. Areas of Expertise Public Health • Preventive Medicine • Family Medicine • Population Health • Health Insurance and Health Plan Operations • Clinical Oversight and Standards of Care • Utilization Management, Denials, Case and Disease Management • Outbreak and Contamination Response • Disaster Health • Clinical Quality Improvement and HEDIS Attainment • Accreditation and Certification • Clinical Safety • Provider Network Credentialing • Social Determinants of Health • Health Equity • Government Health Programs (Federal, State, Local) • Clinical Analytics, Metrics, AI and Predictive Analytics • Pub...