HMO Expert Witnesses in North Carolina
The SEAK Expert Witness Directory contains a comprehensive list of hmo expert witnesses who testify, consult and provide litigation support on hmo and related issues. Hmo expert witnesses and consultants on this page may form expert opinions, draft expert witness reports, and provide expert witness testimony at deposition and trial. The issues and subjects these hmo expert witnesses testify regarding may include: Appeals, Ma, Managed Care, Medicare Advantage, Medicare Operations, Pa, Prior Authorization, Senior Care, Utilization Management, and Utilization Review.
Use the search box above to further refine your search for hmo expert witnesses by keyword and state. Attorneys contact the experts directly – with no middleman.
James J. McCormick, M.D., M.B.A
Medicare Advantage and Clinical Operations
Yanceyville, North Carolina
HMO, Insurance
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MA, Medicare Advantage, Medicare Operations, Prior Authorization, PA, Appeals, Managed Care, Prior Authorization, Utilization Review, Utilization Management, Senior Care
Edited for Relevant Experiences
National Utilization Committee August 2023 - April 2024
- led the effort to create governance, workflow and procedural requirements to meet CMSS rules changes effective 1/1/2024
- Accountabilities described below and added above responsibility
National Director Medicare Operations March 2022 - April 2024
- Grievances and Appeals
- STARS Appeals performance
- Outpatient Prior Authorization Operations
- Collaborated on national work groups/task forces
Regional VP Mid-Atlantic State March 2019 - March 2022
- Oversight of Prior Authorization and Concurrent Review Operations
- Collaborate on Enterprise Clinical Delivery Models of Care
National reviewing medical Director March 2018 - March 2019
- Reviews prior authorizations for medical necessity
V.P. Integrated Care and Associate CMO Jan 2015 - March 2018
- Multi-state prim...
You can also find HMO Expert Witnesses in:
California, Florida, North Carolina, South Carolina, and Texas
