Tom James Email & Phone Number
Corporate Medical Director for Medical Policy @ AmeriHealth Caritas
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Tom James Location
- Louisville, KY, US
Tom James Work
- Corporate Medical Director for Medical Policy @ (October 2012 - Present)
- Medical Director, National Network Operations @ (January 2009 - October 2012)
- Physician Advisor, Strategic Advisory Group @ (August 2004 - January 2009)
- Part time internist and pediatric @ (January 2005 - October 2012)
- Public Reporting Working @ AQA Alliance (January 2009 - January 2011)
- health plans member @ Greater Louisville Charter Value Partnership (January 2009 - January 2011)
- Board member @ Colon Cancer Prevention Project (January 2008 - January 2011)
- Various Work Groups @ NQF, AQA, PCPI (January 2006 - January 2011)
- Humana medical director @ UAW Community Health Alliance (January 1994 - January 2011)
- Fellow, Life Member @ American College of Physician Executives (January 1981 - January 2011)
- Health Plan representataive @ Greater Louisville Value Exchange Partnership (January 2008 - January 2010)
- Medical Director, Louisville @ Anthem (January 1994 - January 2000)
- MidAtlantic Medical Director @ Travelers Health Network (January 1991 - January 1994)
- Mid-Atlantic Medical Director @ Travelers Insurance (January 1991 - January 1994)
- Medical Director @ Sentara Health Plan (January 1988 - January 1991)
- Medical Director, Kentucky and VIrginia @ HealthAmerica (January 1980 - January 1988)
Tom James Education
- University of Pennsylvania School of Medicine
Pediatrics
1976-1978 - Temple University - Lewis Katz School of Medicine
Internal Medicine Residency
1972-1974 - University of Kentucky College of Medicine
MD (Medicine)
1968-1972 - Duke University
BA (Chemistry)
1964-1968
Tom James Skills
- Networking
- Management
- Microsoft Word
- Clinical Research
- Healthcare
- Charter
- Operations
- Managed Care
- Health Policy
- Medicare
- Healthcare Consulting
- Medicaid
- Disease Management
- Healthcare Management
- Healthcare Information Technology
- Health Insurance
- Medicine
- EHR
- Utilization Management
- Healthcare Industry
- Provider Relations
- HIPAA
- Physicians
- EMR
- HMO
- Quality Improvement
- Hospitals
- Informatics
- Medicaid Managed Care
- Physician Relations
- Revenue Cycle
- Pharmacy Benefit Management
- Population Health
- Health Information Exchange
- Credentialing
- Network Development
- HEDIS
- NCQA
- PPO
- Clinical Trials
- Health Care Reform
- Nursing
- Accountable Care
Tom James Summary
- Tom James, based in Louisville, KY, US, is currently a Corporate Medical Director for Medical Policy at The AmeriHealth Mercy Family of Companies. Tom James brings experience from previous roles at Humana, Inc, Norton Healthcare and AQA Alliance. Tom James holds a 1976 - 1978 Pediatrics @ University of Pennsylvania School of Medicine. With a robust skill set that includes Networking, Management, Microsoft Word, Clinical Research, Healthcare and more. Tom James has 3 emails and 2 mobile phone numbers on RocketReach.
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