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
- 2012 -now Corporate Medical Director for Medical Policy @
- 2009 -2012 Medical Director, National Network Operations @
- 2004 -2009 Physician Advisor, Strategic Advisory Group @
- 2005 -2012 Part time internist and pediatric @
- 2009 -2011 Public Reporting Working @ AQA Alliance
- 2009 -2011 health plans member @ Greater Louisville Charter Value Partnership
- 2008 -2011 Board member @ Colon Cancer Prevention Project
- 2006 -2011 Various Work Groups @ NQF, AQA, PCPI
- 1994 -2011 Humana medical director @ UAW Community Health Alliance
- 1981 -2011 Fellow, Life Member @ American College of Physician Executives
- 2008 -2010 Health Plan representataive @ Greater Louisville Value Exchange Partnership
- 1994 -2000 Medical Director, Louisville @ Anthem
- 1991 -1994 MidAtlantic Medical Director @ Travelers Health Network
- 1991 -1994 Mid-Atlantic Medical Director @ Travelers Insurance
- 1988 -1991 Medical Director @ Sentara Health Plan
- 1980 -1988 Medical Director, Kentucky and VIrginia @ HealthAmerica
Tom James Education
- University of Pennsylvania School of Medicine
(Pediatrics residency)
1976-1978 - Temple University - Lewis Katz School of Medicine
(Internal Medicine residency at Temple University Hospital and at Pennsylvania Hospital)
1972-1974 - University of Kentucky College of Medicine
MD (Medicine)
1968-1972 - Duke University
BA (Member of BOG, MSGA and ASDU)
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 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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