Senior Physician Executive in managed care with exceptional success in medical analytics, disease management, and provider relations. Extensive knowledge and experience in commercial insurance and government programs. Ten years of direct patient care with board certification.
Specialties:Medical Policy
Disease Management
Claim payment policy
Medical Analytics
Utilization Management
Network resource
Pay for Performance
Clinical Leadership
Sales support
Chief Medical Officer @ From 2008 to Present (7 years) Vice President, Quality and Medical Policy @ From January 2008 to August 2008 (8 months) Vice President of Medical Integration @ From January 2005 to January 2008 (3 years 1 month) Medical Director @ From May 1998 to December 2004 (6 years 8 months)
MBA @ Pace University - Lubin School of Business From 1999 to 2003 MD @ Columbia University College of Physicians and Surgeons From 1979 to 1983 B.A., Mathematics @ Yale University From 1972 to 1976 Scott Breidbart is skilled in: Managed Care, Disease Management, Utilization Management, Medicine, Provider Relations, Health Policy, Leadership, Healthcare Industry, Medicaid, EMR, Medicare, Healthcare Management, Healthcare Consulting, HIPAA, Physicians, Policy, HMO, Medicare Part D, Practice Management, Claim, Health Insurance, Quality Improvement, Health Care Reform, Healthcare Information..., Hospitals, Informatics, PPO, EHR, Healthcare, Public Health, Clinical Research, Analytics, Network Development, Revenue Cycle, NCQA