Robert M.

Medical Operations | Financial Services | Healtcare

United States of America
EN

Seasoned physician executive with extensive health plan experience across Medicare, Medicaid, and commercial lines of business. Most recently served as Chief Medical Officer and Vice President Medica...see more

  • Financial Services Banking & Insurance
  • Healthcare Wellness & Fitness
  • Professional Services

710

/hr
  • Pre-vetted expert
  • Confirmed hourly rate
  • Available on short notice

Experience

Advisory Board

Endear Health
6 months
Current position
Jan 2022 - Present
Building consumer-centric tools for the Medicare population.

Principal

Resilient HealthOutcomes Advisors, LLC
2 years
Current position
Aug 2020 - Present
Principal at Resilient HealthOutcomes Advisors, LLC

Seasoned physician executive with extensive health plan experience

2 years
Current position
Jul 2020 - Present
Strategic, tactical, and operational experience in care management including population health, case management, value based care, clinical efficiency/medical management, pharmacy and d...see more

Vice President, Medical Operations and Chief Medical Officer Medicare

Aetna, a CVS Health Company
6 years
Mar 2014 - Jul 2020
In this role, Dr. Mirsky drives operational excellence and best-in-class care management through our medical management, provider collaboration, network strategy, and medical economics ...see more

Chief Medical Officer

North Shore-LIJ CareConnect Insurance Company, Inc.
8 months
Jul 2013 - Mar 2014
The first commercial provider-owned health plan in New York State, CareConnect was created by Northwell Health (formerly North Shore-LIJ Health System) to make it easy for people to get...see more

Chief Medical Officer

Coventry, Mid Atlantic Region (HealthAmerica)
4 years
Mar 2009 - Jul 2013
Senior clinician executive for Mid Atlantic Region, Coventry Health Care

Chief Medical Officer

Gateway Health Plan
2 years
Jan 2007 - Jan 2009
Senior clinical executive

Medical Director/Senior Medical

Florida Insurance representing Florida Blue (Blue Cross/Blue Shield)
6 years
Jan 2001 - Jan 2007
Multifaceted roles including heading up field medical director team

Industries, roles and expertise

Industry experience

  • Financial Services Banking & Insurance
  • Healthcare Wellness & Fitness
  • Professional Services

Expertise

  • Insurance
  • Quality Improvement
  • Network Development
  • Medicare Part D
  • Physician Relations
  • Health Savings Accounts
  • Provider Relations
  • Medicaid Managed Care
  • Credentialing