Francesco Federico M. D.

Medical Director Utilization Management @Anthem, Inc

Glendale, CA, US
MOBILE NUMBERS
+18•••••••97

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WORK HISTORY

Nov 2020 — Present

Medical Director Utilization Management @Anthem, Inc

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US

EDUCATION

1968 — 1976

Harvard College AB 72 Harvard Medical School MD 76

Harvard College AB '72 Harvard Medical School M.D. '76

SKILLS

PhysiciansUtilization ManagementHealthcareClinical ResearchEhrMedicareRevenue CycleMedicinePhysician RelationsEmrHospitalsPractice ManagementHealthcare Information TechnologyNetwork DevelopmentCredentialingHipaaHealthcare IndustryCptRevenue Cycle ManagementMedical BillingHealthcare ManagementIcd-9Disease ManagementHmoPhysician RecruitmentProvider RelationsHealthcare ConsultingMedical RecordsMedicaidHealth InsuranceManaged CareMedical Coding

ABOUT FRANCESCO FEDERICO M. D.

Federico Health Group LLC is a health care consulting, legal expert review/witness, advisory, interim management services company.(10/1/12 – present) PRESIDENT• SInce 1986, the Lakeside Organization was an integrated, coordinated, comprehensive healthcare company. I served in numerous roles including most recently : Lakeside Systems (20••••09) PRESIDENT/CEOI have extensive healthcare clinical and administrative experience excelling in: • Medical operations-auths, care management, UM • Provider network development & management, contracting, clinical integration, ACOs• Leadership development• Operational TQM management style with focus on teams, accountability, value promotion• Group multispecialty staff model development and operations• Corporate development,• Business development• Financial risk management under the prepayment system and financial turnarounds• Organizational design and governance Harvard College Degree: A.B. 1972• Harvard Medical School: Degree: M.D. 1976 POST GRADUATE Harbor UCLA Medical Center -Medical Oncology Fellowship 07/1980 – 06/1982• USC Los Angeles County Medical Center -Hematology Fellowship 07/1982 – 06/1983 BOARD Diplomat American Board of Internal Medicine 11/1980, Certified• American Society of Clinical Oncology 11/1983, Certified• American Society of Hematology 11/1984, Certified

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