Pankaj Gupta
Chief Medical Officer, Anthem Bcbs, Nys (Medicaid) @Anthem Blue Cross and Blue Shield
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WORK HISTORY
Chief Medical Officer, Anthem Bcbs, Nys (Medicaid) @Anthem Blue Cross and Blue Shield
New York, NY, US
Chief Medical Officer for + member Medicaid plan for NYC operating in Downstate (NYC and neighboring counties). I oversee all aspects of medical management and execution of cost-of-care initiatives.
EDUCATION
Harvard University
Fellow, Geriatrics
Columbia University in the City of New York
Post-Baccalaureate, Pre-Medicine/Pre-Medical Studies
Harvard Medical School
Geriatrics fellowship
Cornell University - S.C. Johnson Graduate School of Management
MBA, General Management
Colgate University
Bachelors in Science, Economics
St. George's University
Doctor of Medicine - MD
ABOUT PANKAJ GUPTA
With over 18 years of payer experience and a dual degree in MBA and MD, I am a physician executive and entrepreneur who leads the medical management and cost-of-care initiatives for Anthem BCBS, a Medicaid plan for over members in New York. I am also the co-founder and CEO of a startup that protects employees from involuntary termination and improves their health outcomes using generative AI and ML. 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.
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