
Pankaj Gupta Md
With over 20 years of payer experience and a dual degree in MBA and MD, I am a... | New York City Metropolitan Area, New York City Metropolitan Area, United States
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Pankaj Gupta Md’s Emails pg****@em****.com
Pankaj Gupta Md’s Phone Numbers No phone number available.
Social Media
Pankaj Gupta Md’s Location New York City Metropolitan Area, New York City Metropolitan Area, United States
Pankaj Gupta Md’s Expertise With over 20 years of payer experience and a dual degree in MBA and MD, I am a physician executive and entrepreneur who recently led the medical management and cost-of-care initiatives for Anthem BCBS, a Medicaid plan for over 500,000 members in New York. I hold a patent that assesses risk of employees from unemployment. I also hold a patent that alerts the payor in real-time once a member enters an emergency room for care. I hold 3 other patents that focuses on SDoH- addressing access to care, health literacy, and member-knowledge of health care systems. My core competencies include clinical and population health management, operations, strategy, change management, healthcare analytics, reporting, and collaboration. I have a thorough understanding of managed care, risk arrangements, capitation, performance profiling, outcomes management, pharmacy management, and PCMH concepts. I am committed to enhancing the end-user experience by building innovative IT solutions that leverage data-driven, personalized insights at the point of care. I am board certified in geriatrics and lean six sigma green belt certified.
Pankaj Gupta Md’s Current Industry Optum
Pankaj
Gupta Md’s Prior Industry
Citi
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Albany Medical Center
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Harvard University
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Horizon Blue Cross Blue Shield Of New Jersey
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Unitedhealth
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Humana
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Senior Whole Health
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Emblemhealth
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Clover Health
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Anthem Blue Cross And Blue Shield
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Optum
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Work Experience

Optum
National Medicare Advantage Medical Director, Clinical Innovation
Mon Jan 01 2024 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Anthem Blue Cross And Blue Shield
Chief Medical Officer, Anthem BCBS, NYS (Medicaid)
Sat Oct 01 2022 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Aug 01 2023 00:00:00 GMT+0000 (Coordinated Universal Time)
Clover Health
Medical Director, Medicare Advantage Physician Executive and Geriatrician
Sat May 01 2021 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Sep 01 2022 00:00:00 GMT+0000 (Coordinated Universal Time)
Emblemhealth
Senior Medical Director: Commercial, Medicare Advantage
Wed Nov 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Jun 01 2020 00:00:00 GMT+0000 (Coordinated Universal Time)
Emblemhealth
Medical Director: Commercial, Medicare Advantage Physician Executive and Geriatrician
Wed Feb 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed Nov 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time)
Senior Whole Health
Chief Medical Officer- NYS (Dual Eligible: Medicare AND Medicaid)
Sat Nov 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time) — Sun Nov 01 2015 00:00:00 GMT+0000 (Coordinated Universal Time)
Humana
Regional Medical Director- Senior Products
Fri Nov 01 2013 00:00:00 GMT+0000 (Coordinated Universal Time) — Sat Nov 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time)
Unitedhealth
Regional Medical Director: North East, Medicaid
Tue Mar 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Nov 01 2013 00:00:00 GMT+0000 (Coordinated Universal Time)
Unitedhealth
Medical Director (Medicaid)
Sat Dec 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Mar 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time)
Horizon Blue Cross Blue Shield Of New Jersey
Medical Director: Commercial, Medicare Advantage
Thu Mar 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Dec 01 2008 00:00:00 GMT+0000 (Coordinated Universal Time)
Harvard University
Fellow- Geriatrics. Harvard Medical School
Thu Jul 01 1999 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Jun 01 2000 00:00:00 GMT+0000 (Coordinated Universal Time)
Albany Medical Center
Internal Medicine Resident
Mon Jul 01 1996 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Jun 01 1999 00:00:00 GMT+0000 (Coordinated Universal Time)
Citi
Assistant Manager
Wed Mar 01 1989 00:00:00 GMT+0000 (Coordinated Universal Time) — Sat Sep 01 1990 00:00:00 GMT+0000 (Coordinated Universal Time)