James T.

Healthcare professional with expertise in Medicare, data & documentation, and risk strategy

United States of America
EN

I’m a physician aligning cultural change agent, persuasive communicator, negotiator and public speaker. My expertise is in Medicare Advantage and data systems analysis, data mining, outpatient CDI, ph...see more

  • Healthcare Wellness & Fitness
  • Professional Services
  • Consulting
  • C-Level & Leadership
  • ...

400

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

Experience

Consultant - Medicare Advantage/Physician Documentation/Value Based Care/

Principled Advantage, LLC
2 years
Current position
Feb 2021 - Present
Consultant with expertise in Medicare Advantage, Physician Documentation, and Value Based Care.

National Medical Director (Houston and Kansas City Markets)

Partners in Primary Care
1 year
Jan 2020 - Feb 2021
I developed materials and trained providers on Medicare Advantage model and documentation standards required by CMS. Additionally, I simplified query process used by coders, clarifying...see more

Medical Director of Medicare Risk Operations

Iora Health
4 years
Feb 2016 - Jan 2020
Director, Medicare Risk Operations 2016 to 2019 I was recruited to implement training and guide EMR solutions, driving quality resulting in physicians receiving 95% documentation accura...see more

Chief Medical Officer

Colorado Access
10 months
Apr 2015 - Feb 2016
I developed materials and trained providers on Medicare Advantage model and documentation standards required by CMS. Additionally, I simplified query process used by coders, clarifying...see more

Chairman Of The Board

Colorado Permanente Medical Group (CPMG)
4 years
Jan 2009 - Dec 2012
2 of the 4 years as Board Chair. Helped lead a 1,000 MD group in the Denver metro area.

Medical Dir Revenue Cycle

Kaiser Permanente
20 years
Jan 1995 - Apr 2015
Senior Medical Director – Revenue Cycle / MA 2012 to 2015 Here I led the implementation of strategy, transitioning traditional HMO into fee-for-service compatible organization, leading ...see more

Industries, roles and expertise

Industry experience

  • Healthcare Wellness & Fitness
  • Professional Services

Role experience

  • Consulting
  • C-Level & Leadership
  • Healthcare Services