PankajGuptaMD

Summary

• With over 20 years of payer experience and a dual degree in MBA and MD, I am a physician executive and entrepreneur who recently led the medical management and cost-of-care initiatives for Anthem BCBS, a Medicaid plan for over 500,000 members in New York.
  I hold a patent that assesses risk of employees from unemployment. I also hold a patent that alerts the payor in real-time once a member enters an emergency room for care. I hold 3 other patents that focuses on SDoH- addressing access to care, health literacy, and member-knowledge of health care systems.
  
  My core competencies include clinical and population health management, operations, strategy, change management, healthcare analytics, reporting, and collaboration. I have a thorough understanding of managed care, risk arrangements, capitation, performance profiling, outcomes management, pharmacy management, and PCMH concepts.
  
  I am committed to enhancing the end-user experience by building innovative IT solutions that leverage data-driven, personalized insights at the point of care. I am board certified in geriatrics and lean six sigma green belt certified.