Daniel A. Liévano H.
Medical Director - IPMI - Claims - International Health Assistance - Health Insurance - Travel insurance - Reinsurance - Medical Audit Leader - Health Administration - Medical Network - Relationship Development
- Role
- Medical Director at Best Doctors Insurance
- Location
- Miami, FL, US
- LinkedIn followers
- 500 followers
About Daniel A. Liévano H.
Senior Management in Public Health and epidemiologist. Medical Travel Assistance…
Experience
Medical Director
Aug 2025 — Present · Miami, US
Establish and lead the company’s global medical strategy, ensuring consistent application across all medical operations and service lines.Direct and optimize high-impact medical decision-making for services such as air ambulance, organ transplants, chemotherapy, and radiation, balancing clinical excellence with cost-effectiveness.Oversee medical necessity reviews for coverage, case management, and claims resolution, applying benefit plan guidelines, clinical protocols, and best practices.Define and implement standardized work processes through internal training, continuous improvement initiatives, and KPI-driven performance monitoring.Collaborate with the Actuarial, Operations, Client Services, Legal, Marketing, Sales, and Provider Relations teams to ensure medical guidelines, cost control strategies, and service standards are met and continuously improved.Lead the Case Management and Medical Audit teams, setting negotiation strategies, cost-containment goals, and UCR guidelines while fostering cross-functional communication.Drive internal education programs (e.g, medical terminology, CPT coding) to elevate team expertise, productivity, and service quality.Design staffing and resource models to optimize workload distribution, ensure compliance with assignments, and maintain service excellence.Participate in policy review and development, proposing updates based on medical insight and operational needs.Represent the medical area in stakeholder engagement with agents, clients, and partners through calls, emails, seminars, and conventions.Supervise the on-call medical process, ensuring adequate resources, clear requirements, and uninterrupted high-quality service.Act as a coach and mentor to medical staff, fostering a culture of professionalism, continuous learning, and collaboration.
Education
Universidad Internacional de La Rioja
Master in Business Administration (MBA)
Fundación Universitaria San Martín
Doctor of Medicine - MD, Medicine
1998 — 2004
Universidad Autónoma de Bucaramanga
Postgraduate Degree, Epidemiology
2015 — 2017
Fundación Universitaria de Ciencias de la Salud
Postgraduate Degree, Health/Health Care Administration/Management
2017 — 2019
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