Pharmacy Management Expert Witnesses

Los Angeles, California

Pharmacist, Health Informatics - Patient Safety, Pharmacy Management, e-medication, e-prescribing, Health IT, health informatics, EHR systems, EHR audits, REMS, Drug Safety, Medication Errors, Root Cause Analysis, False Claims, HIPAA, Medical Records, Health Care Litigation, Medical Malpractice, Pharmaceutical, Pharmacovigilance

Dr. Ajit Dhavle is the Vice President of Health IT Audits and Life Science at Quandary Peak Research, where he oversees a team of health informatics experts to provide Strategy, Management, Product Management, Software Development Life Cycle (SDLC), Patient Safety, Compliance, and Engineering Consulting and Audit services to both Government and Commercial entities. Previously, Ajit founded Adviva Health, Inc a SaaS prescription medication history reconciliation and analytics platform designed to streamline the medication experience for EHR users. Ajit joined Surescripts in its early years and helped replace the paper prescription and start the first National E-prescribing network. At Surescripts, he last served as the Vice President of Clinical Quality and was responsible for corporate clinical quality, patient safety, and quality research initiatives. While at Surescripts, he also built and ran the first-of-its kind enterprise-wide clinical quality program – a critical component ...

Frankfort, Illinois

Pulmonary Critical Care Medicine, Critical Care Medicine - Medical Management, Medical Utilization & Location of Care, Fraud & Abuse, Compliance, Medical Necessity, Medical Devices, Pharmacy Management, Genomics & Personalized Health, Insurance Reviews of Plan Benefits, Insurance Clinical Policy Reviews, Long Term Acute Care & Long Term Care

Triple Board Certified physician executive/consultant, (Board Certified in Internal Medicine, Pulmonary Medicine, and Critical Care Medicine), with vast experience in medical necessity and utilization review. Over 12 years of experience in national insurance and payer companies. Has served as Medical Director for Aetna, Blue Cross Blue Shield Association, and interim CEO for Next Level Health Partners. Consultation services to companies and manufactures in various areas, (pharmacy, genomics, medical devices, medical management, utilization, etc.), regarding healthcare medical necessity, compliance and educational issues. Fraud and Abuse. Government plans: Medicare & Medicaid. Private insurers all plans: HMO, PPO, Specialty networks. Expert reviews and medical litigation support performed. Sub-specialty medical reviews in Pulmonary and Critical Care Medicine. Current license: Illinois; New Mexico; Oklahoma; Kentucky; New Mexico ...