10 medical policy development experts

Experience: Director of Medical Policy · Providence Health Plan

Director of Medical Policy at Providence Health Plan since April 2023. At Providence Health Plan the profile also lists Medical Policy Manager (2019–2023) and Medical Policy Research Analyst (2017–2019), and before that Senior Clinical Research Assistant at Oregon Health & Science University (2014–2017).

Experience: Director of Medical Policy · WellSense Health Plan

Director of Medical Policy at WellSense Health Plan since May 2021 and former Medical Policy Manager there (2012–2021). The profile describes the current role as responsible for the oversight and management of end-to-end processes for the Medical Policy Program, working with the VP and Senior Medical Directors.

Experience: Medical Policy Research Manager · Blue Cross and Blue Shield of Minnesota

Medical Policy Research Manager at Blue Cross and Blue Shield of Minnesota since June 2022 and Manager, Medical Policy and Reimbursement Strategy there since May 2026. Former Senior Medical Policy Research Consultant (2020–2022) and Medical Policy Research Consultant (2018–2020) at Blue Cross and Blue Shield of Minnesota.

Experience: Staff Vice President - Office of Medical Policy & Technology Assessment · Elevance Health

Staff Vice President - Office of Medical Policy & Technology Assessment at Elevance Health since October 2022 and former Medical Director Office of Medical Policy & Technology Assessment there (2014–2022). The profile lists specialties including evidence-based medicine, medical policy, clinical pharmacy policy, and clinical epidemiology and research design.

Experience: Associate Director Medical Policy Development Process · UnitedHealth Group

Former Associate Director Medical Policy Development Process at UnitedHealth Group (2025–2026) and Director Medical Policy Operations and Innovation there since April 2026. At UnitedHealth Group the profile also lists Associate Director Community and State Medical Policy (2025) and a Medical Management Analyst and Consultant RN role as policy writer and medical policy health equity lead (2021–2025).

Experience: National Chief Medical Officer & EVP Medical Policy, Population Health Innovation · UnitedHealthcare

National Chief Medical Officer & EVP Medical Policy, Population Health Innovation at UnitedHealthcare since August 2024 and National Chief Medical Officer Clinical Program Innovation & Evaluation there since June 2023; the profile describes leading the Medical Policy team as a National Chief Medical Officer of UnitedHealthcare. Former National Medical Director Clinical Program Development & Evaluation at UnitedHealthcare (2021–2023).

Experience: Director, Medical Policy and Appeals · Geisinger

Former Director, Medical Policy and Appeals (2013–2015), Manager, Medical Policy Claims Research (2007–2012) and Medical Policy Research Coordinator (2000–2007) at Geisinger. The profile says a background in electroneurodiagnostic technology and clinical neurophysiology research was applied to the design and development of medical policy.

Experience: Medical Policy Unit Manager · Blue Cross and Blue Shield of Alabama

Medical Policy Unit Manager at Blue Cross and Blue Shield of Alabama since December 2014 and former Medical Policy Analyst there (2011–2014). Former Quality Review Coordinator at Blue Cross and Blue Shield of Alabama (2008–2011). The profile describes experience as a policy manager in the insurance industry.

Experience: Medical Director, Office of Medical Policy and Technology Assessment · Anthem, Inc.

Medical Director, Office of Medical Policy and Technology Assessment at Anthem, Inc. since February 2015; the profile describes supporting development and maintenance of Medical Policies and Clinical UM guidelines and presenting the evidence basis for positions at committees. The profile also lists Chief Medical Officer at Anthem UM Services, Inc since 2011.

Experience: Medical Director for Medical Policy · Point32Health

Medical Director for Medical Policy at Point32Health since October 2018; the profile describes the role as Medical Director for Clinical Medical Policy at Tufts Health Plan and Harvard Pilgrim Health Plan. Former Senior Medical Director at Tufts Health Plan (2016–2018), where the profile also lists a Subject Matter Expert Sleep Medicine role since 2016.