John K. Campbell

Utilization Management Medical Director

Role
Medical Director at HealthAxis Group
Location
Raleigh, NC, US
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

About John K. Campbell

Summary: I am a clinically focused leader who leads physicians and matrixed teams to achieve enterprise success. My role involves serving as the primary interface to clinical and health system partners, employers, community groups, and members. I drive value-based strategies, clinical effectiveness, and provider network engagement. I analyze emerging technologies and evidence-based medical and reimbursement policies. Additionally, I support sales and new strategies and oversee quality assurance and cost-effective care management. Specific Responsibilities- Innovations in utilization management, case management, medical review, and appeals to drive member, provider, and employer client experience- Evaluation of new and management of existing vendors and solution partners- Data gathering, management, and analysis: Evaluate clinical and other data to identify opportunities for appropriate interventions to improve health outcomes and financial performance. Discuss data trends and performance metrics with providers, employers, accreditors, and regulators as needed. Benchmark key performance indicators and major processes to move toward best practices and assure alignment and consistency of these indicators across the organization. Communication- Representation through the delivery of presentations, speaking engagements, leadership of advisory groups with external audiences related to health care transformation. Publish high-impact content focused on improving accessibility, quality, and affordability. Innovation- Payment model design - Identify market trends that influence key investments (new technologies, best practices)- Evaluation of investment/partnership opportunities.

Experience

  1. Medical Director

    HealthAxis Group

    Jan 2025 — Present · Tampa, FL, US

Education

  • University of Mississippi Medical Center

    Doctor of Medicine (M.D.)

    1987 — 1991

  • The Johns Hopkins University

    Bachelor's degree, Natural Sciences

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John K. Campbell — Medical Director at HealthAxis Group in Raleigh, NC, US | Unifers