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Credentialing Manager Medical Director

Location:
Reboucas, Parana, 80230, Brazil
Posted:
December 18, 2022

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Resume:

H.Robert Harrison, D.Phil., M.D., M.P.H.

Phone (M) 404-***-****

E-mail: adt4r7@r.postjobfree.com

Highly respected as a physician-leader in Atlanta by a wide spectrum of community and hospital-based and academic colleagues. Imaginative, energetic, trustworthy, and personable in challenging and innovative situations. Viewed by hospital administrators and Board members as a leader, counselor, and negotiator. Extensive experience in private practice, academic and hospital medicine, and medical staff leadership. 5 years experience in forming Integrated physician networks in collaboration with Children’s Health Care of Atlanta. 6 years experience as Medical Director as Medical Director, Memorial Health Partners, Savannah, GA

EXECUTIVE POSITIONS AND ACHIEVEMENTS

2014-2020 – Medical Director, Memorial Health Partners (MHP). In charge of credentialing, Peer Review, physician issues, analysis of managed care data, Medicare Advantage plans, development of strategies to improve physician and network performance, statistical analyses of data. Advisor to CEO, MHP

•Assumed role of MHP Medical Director during time of urgent network need

•Managed and enhanced Gulfstream relationship improving its viability and credibility

•Essential role in data validation, analysis and development of clinical protocols

•Instrumental in HCA pivot to Value Based Care with MHP

•Elevated level of understanding of clinically integrated networks in the Savannah medical community

•Helped transition credentialing vendors and train credentialing manager

•Implemented Memorial’s infectious disease clinic, provided clinical coverage, and training

•Conducted payor data analysis and led physician outreach initiative for network VBC education

•Epic HCC Optimization project

2020-2022 Medical Consultant to Memorial Health Partners

2012-2014 – Attending, Backus Children’s Hospital at Memorial Pediatric Infectious Diseases Clinic, Savannah, GA

2011- Co-chairman, Georgia Pediatric Medicaid Accountable Health Care Network Initiative – to work with DHS, physicians, and children’s hospitals to improve access, quality, and decrease cost for Medicaid children

2005-2011 – Chief Executive Officer and Chairman, Georgia Pediatric Subspecialists IPA. 200 physicians, 13 medical and Surgical Practices

2006-Co-Chairman-CHOA System Peer Review Committee

Chairman, Board, The Children’s Health Network

Member, System executive committee

Member, Aetna Physician Advisory Board-involved directly in payment and

Managed-care policy issues

oCurrently helping negotiate and solve Medicaid managed-care physician and hospital contracting via TCHN

2005-Co-Chairman Children’s Healthcare of Atlanta (CHOA) System Peer Review

Committee

Vice Chairman, Board, The Children’s Health Network

2003, 2004-Immediate Past President, CHOA Professional Staff

Continued involvement in all functions detailed below, as well as advisor to

current Medical Staff and Administrative leaders.

Initiator of Georgia segment of class-action managed-care lawsuit leading to Aetna and Cigna settlements.

Member, Aetna Physician Advisory Committee formed pursuant to Aetna Settlement.

Board Member, The Children’s Health Network

2002- President, CHOA Professional staff. (First year of Egleston/Scottish Rite merger).

Instrumental role in advising corporate executives on helping competing factions and interests within the two institutions and medical staffs reach consensus and alignment

Extensive interaction with the Board on numerous levels.

Chairman of the CHOA Medical Executive Committee.

Multiple Collegial interventions (on behalf of Peer Review).

Chairman and guider of several subcommittees of Peer Review dealing with problem physicians.

Initiator of CHOA Nursing Quality Care Program.

2002-2004 Member, CHOA System Peer Review Committee.

Continuing guidance to colleagues since 1988 on maintaining continuity and consistency in the process of Peer Review.

2001-President, Professional Staff, Scottish Rite Hospital (SRH).

Leadership role in representing SRH staff interests and gaining acceptance of the concept of facility parity to the 10-year facilities planning process for CHOA.

Collegial interventions and Board interactions as above.

After JCAHO review, initiator of process leading to CHOA letter to JCAHO. This letter lead to elimination of several JCAHO practices with potential conflict-of-interest implications.

H. Robert Harrison, MD Page 2

2000-President-elect, SRH Professional Staff.

Participation in Medical Staff Governance: Peer Review, Credentials. Active in Board of Trustees Subcommittees.

1988-2001-Member, SRH Peer Review Committee.

Integral and guiding role in establishing common Peer Review protocol in

preparation for integration of SRH and Egleston committees into System

Committee.

2000-Co-Chairman, SRH Peer Review Committee

OTHER POSITIONS AND ACHIEVEMENT

1989-2011-SRH Epidemiologist. First and only physician in this position.

Creation of the role and guidance of infection-control manager and nurses.

Leadership in minimizing incidence of nosocomial RSV, Rotavirus, MRSA, and construction-related infections.

1986-2011t-Pediatrician, Sandy Springs Pediatrics, PA. Consultant, Pediatric

Infectious Diseases Associates, PA.

Currently Vice-President of both corporations.

1983-1986-Centers for Disease Control and Section of Infectious Diseases, Dept. of

Pediatrics, Emory University Medical School.

Academic patient care, resident teaching, research on C. trachomatis and sexually transmitted diseases.

Named Clinical Studies Section Chief, Operational Research Branch, CPS, CID, CDC

1980-1983-Member, Bacteriology and Mycology II Study Section, NIAID, NIH.

Scientific merit evaluation and funding recommendations for research grant proposals submitted to NIH.

1978-1983-Assistant to Associate Professor, Dept. of Pediatrics, Section of Infectious

Diseases, University of Arizona Health Sciences Center.

Patient care, medical student and resident teaching.

Nationally-recognized research on chlamydial genital infections and other sexually transmitted diseases in pregnancy and infancy.

H. Robert Harrison, MD Page 3

EDUCATION

Yale College, Yale University. B.S. Magna cum Laude, High Honors in Chemistry

Marshall Scholar to Oxford University. D.Phil., Chemical Crystallography

Harvard Medical School. M.D.

Pediatric Internship and Residency, University of Washington

Pediatric I.D. Fellowship, Universities of Washington and Arizona

University of Washington School of Public Health. M.P.H., Epidemiology

Chief Resident, University of Arizona Department of Pediatrics

Personal references and full academic curriculum vitae, including bibliography, available on request.



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