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Medical Physician

Location:
Knoxville, Tennessee, United States
Posted:
April 23, 2018

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Resume:

Glenn D. Meyers, M.D.

*** ******** ***

Knoxville, TN

954-***-****

EDUCATION & LICENSES

Fellowship, Cleveland Metropolitan General Hospital 1986 – 1988

(Specialty: Cardiovascular Medicine)

Internship and Residency, Worcester Memorial Hospital 1983 – 1986

(Specialty: Internal Medicine)

Medical School, University of Miami 1978 – 1983

Medical/ DEA License June 1988

MBA, Jack Welch Management Institute In Progress/Began l late 2015

Executive Development Program-Humana Completed 1-2017 7 (6 RMD’s chosen per year-6 month course includes two 3 day classes, one project, weekly reading, weekly 60 minute calls)

MEDICAL PRACTICE, LEADERSHIP & PLANNING EXPERIENCE

GAHTAA-1 Consultant

Currently consulting for a Digital Allergy Testing firm on funds acquisition

2003-Present

Visiting Professor LMU School of Medicine

April 2018- Value Based Care teaching to Medical Students

Adjunct Professor- University of TN School of Nursing

Appointed on 7-27-2016

Teaching Nurse Practitioner students

Regional Medical Director, Humana-Mid-South Region of Humana (1-19-2015-December 2017)

Clinical Leadership of the Mid-South Region of Humana that includes TN, AL, and 13 counties in SW VA

Chairman of the Health Advisory Board for the local (Knox County and surrounding counties) area of Humana. We strive to improve the health of the communities we serve 20% by the year 2020

Oversees 3 other Medical Directors and the HEDIS/5 STAR Team for the region

Front end, post acute, waiver, SNF, LTACH, and IRF reviews.

Teaches the overall Humana Community Nationally via webex on Cardiology, Pulmonary, and other topics

Interfaces with the Regions’ PCP’s on topics of Value-Based Care, Quality, and others as the need arises- important relationship building with CMO’s, Medical Directors, and providers as needed

Case by case interaction with the Mid-South team to help individual members as needed on a day to day basis

Advises Case Managers in the outpatient care of members when called upon

Completed Humana’s PEDP (Physician Executive Development Program) January 2017

Various projects as they become necessary:

Other Initiatives: ASPIRE, CHF-Connected Scales, Serious Illness Initiative, One-Med Experience (peripherally), CHF as a serious illness analysis of trajectory, Non-PAR Lab saved $4.4M per annum for Mid-South Region and more throughout the enterprise), Multiple lectures at the Humana Knoxville Guidance Center to Seniors (We have the fastest growing-most active GC enterprise-wide), Opiate initiative (early), Ophthalmology Initiative (very large cost savings to date), Initiated contracting with Hospitalist group for VBC

Medical Director, Continucare (Broward County Region and MSO for Dade, Broward, and Palm Beach Counties) May 2013 – 1-9-2015 (North Broward (4 offices) the entire time and South Broward (4 offices) since January 1st, 2014 and added a 9th Office in Broward on Dec. 1, 2014)

Medical Director for 45% of the company’s offices and all of the MSO

Serviced over 600 physicians for one plan within the initial seven months with the company as MSO Program Medical Director

Acts as backup Medical Director for referrals for offices within the Tampa Bay Region

Assists with expansion logistics such as filling open medical positions during times of growth and turnover, identifying new growth opportunities, and initiating negotiation conversations with private practitioners

Trains physicians in MRA, Five-Star, and HEDIS documentation practices based on U.S. government/CMS policies

Evaluates over 200 Medicare Advantage patient referrals, including all specialties for Broward County and

Cardiology-specific referrals for patients throughout the CNU practice per day

Responsible for approvals and disapprovals of referrals and managing relationships with outside specialists

Evaluates profit and loss for 8 offices,

Manages quality of care by overseeing 17 primary care providers, reviewing charts, dealing with patient and staff complaints, resolving issues in 8 offices

Works with other medical practitioners to help make patient care decisions

Involvement in all initiatives and concerns involving patient safety, quality, risk management and patient service, especially those related to physician issues

Oversight and evaluation of other physicians at the company

Integrates departmental services with the organization’s primary functions and coordinates with other department/services in a manner that fosters a collaborative environment for teamwork within the department and with other departments/services.

Serves as a change agent for those activities that will create clinical improvement and optimization of related activities or goals.

Collaborates with other executive leaders to foster greater physician alignment.

Serves as a resource for the vetting, development and implementation of related activities within Continucare

Coordinates efforts for determined public and privately reported metrics that serve to provide benchmarks and establish Continucare as a leading care provider.

Works with CMO and other Medical Directors to establish standards of care for patient services.

Works with physicians and administration to identify key market drivers and develop plans and strategies to address trends and future business development efforts.

Provides leadership and alignment of physicians and physician services within Continucare’s strategic plan and clinical program priorities.

Provides service, guidance, and promotion of quality standards through audits, peer review, quality management, and education initiatives.

Works with Physicians and Coding staff on coding/quality issues and the use of principal, co-principal, and secondary diagnoses.

Deals with clinical systems problems, identifying cause and developing action plans for effective resolution of issues.

Addresses patient family provider grievances and follows up on successful resolution.

Serves as resource to resolve disputes between members of the Medical Staff; follows up on Medical Staff behavioral issues.

Actively engaged in the implementation of an Electronic Health Record for the practice.

Assists in updating physician recruitment plan and oversees physician recruitment visits.

Monitors physician resources consumption and supports the development and implementation of standards for equipment, supplies, procedures and technology utilization.

Reviews and makes recommendations on physician-requested capital budget items.

Performs other related duties as assigned or requested.

Physician Advisor, Team Lead, Physician Trainer, Quality Assurance, Accretive Health July 2011- May 2012

Reviewed hospital cases sent by case managers to assist in LOC (Level of Care) decisions based on risk stratification, CMS rules, and Millman Classifications/research based.

Reported patient status recommendations such as ‘Observation’, ‘Inpatient’, or ‘Outpatient in a Bed’ to physicians in an effort to help the hospitals correctly and efficiently bill third party payers

Participated in PPTP (Physician Peer to Peer) Reviews with an 80% success rate on these cases

Involved in DSR (Designated Secondary Reviews) process, through which reviews done by other Accretive Health Physicians are reviewed by our team to ensure accuracy

Member of the company-wide physician training team, with a focus on hospital case review

Acted as site lead for 10 HCA hospital clients by:

Reporting monthly to corporate team regarding hospital clients

Facilitated day-to-day problem solving tactics and communications with case managers

Traveled regularly to hospital’s corporate office in order to communicate with case managers teach, answer questions, meet with physicians, and build relationships for ongoing business growth within the company

Worked on several special projects such as reviewing the cardiology cases for a specific client to help them understand decisions.

Gathered data on frequently used diagnoses requested by client and formatting data so that in-house physicians can essentially code consults by diagnosis correctly

Responsible for assuring a robust peer review and credentialing process, ensuring quality, safety, service and behavioral issues on the part of the medical staff are addressed fairly and in a timely fashion.

Active participation in the care coordination program including monitoring of the appropriateness of procedures, admissions and utilization of resources.

Assures compliance with Federal and State law and accrediting and licensing agencies.

Develops and implements physician communication strategies that inform, promote information exchange, and socialization.

Promotes information sharing, benchmarking, and best practice identification across the system.

Corporate Medical Advisor, Various Companies January 2008 – July 2011

Assisted in fundraising for various publicly traded bio-technology companies

Reviewed the science behind technology for medical accuracy and potential profitability

Evaluated reasonableness of the board’s expectations before agreeing to help them raise funds

Aided in the development of business plans

IceMD Audio Blogger, IceColdStocks.com March 2007 – August 2009

Researched, wrote, and recorded three medical information pieces per week

Chose medical topics to record for the site based on timeliness and relevancy to demographics with a goal attract a larger audience to the site by providing helpful information on healthy living for listeners and their families

Managing Physician/ Bariatrician, U.S. Bariatrics August 2003 – November 2004

Practiced Bariatric Medicine

Acted as the Managing Physician from August 2003 to November 2004

Shaved $380,000 of recurring annual expenses off the practices overhead

Models and provides leadership for delivery of excellent customer service and ensures the successful implementation of effective strategies and approaches.

Founder/ Owner, GAHTAA-1, LLC December 2004 – Present

This is a Consultative entity working predominately in the fields of (the business of) Medicine and Real Estate Investment. GAHTAA-1 has accomplished the due diligence and acquisition of five major multifamily properties totaling over 1600 units. I helped run four of them and helped accomplish the disposition of 4 of these properties as well. My creative abilities, leadership skills, years of experience in Medicine, as well as my years of interest and subsequent experience in the Real Estate industry have helped make GAHTAA-1 very successful. My networking capabilities have continued GAHTAA-1’s success into the present market. I arranged mezzanine financing for an over $200M project in North Carolina. Persistence and getting the customer what he/she wants was the basis of our mission. After working multiple commercial and Hotel deals over the 18 months up to January 2009 in a very down market as a 50% owner of Your Choice Brokers, Corp (NY and FL) Commercial Real Estate.

Founder, CEO and Medical Director, 21st Century Medical Scanning August 2001 – February 2003

This was a $3,000,000 enterprise I started just 6 weeks before 9-11-01. It was a Wellness Body/Heart Scanning business that was self-pay as most insurance companies won’t pay for Preventative Medicine. Over the course of 18 months, we did approximately 1300 scans and found 30-40 early stage cancers, 50-60 patients with coronary artery disease requiring Bypass surgery, and over 300 patients that needed angioplasty or stents for coronary artery blockages. All of these patients were diagnosed before any symptoms occurred. We gave many people ‘Peace of Mind’ when their scans were normal.

Raised $490,000 from family and friends and negotiated for the rest of the money. Put together the entire deal and had the center open within 7.5 months from conception. This included an over $300,000 build out of the center with installation of a $2.15 Million EBT (Electron Beam Tomography) unit which is a high contrast CT machine.

Founder and Owner, The Cardiology Clinic of Florida January 1989 – August 2001

Owned and operated private cardiology/ internal medicine practice for over 12 years

Worked closely with various specialists to create both short-term and long-term patient care plans

Cardiologist and Internist, Treasure Coast Medical Specialists July 1988 – November 1988

INVOLVEMENT

Board of Directors, L.E.A.H. (League for Education and Awareness of the Holocaust) 2002 – 2004/ 2012 - Present

Board of Directors, P.R.O.P.E.L. (People Reaching Out to Promote Education and Leadership) 2006 – 2009

Treasurer/Business Advisor, Chabad of Parkland 2004 – Present

Medical Advisory Board Member, DrFirst

A privately held very successful Medication Reconciliation, Doctor-to-Doctor HIPPA certified communications, electronic prescribing company, among other functions. Won the TEPR award for the last 6+ years as well as many other honors. First to find the solution for securely e-prescribing schedule three medications. Has assisted Medicaid systems in various states entire States to organize and consolidate their medication delivery systems, hence saving them a great deal of money.

COMPUTER BASED SKILLS

MS Office/Excel/Word/and Power Point



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