Learn About My Professional Background and Expertise…
About me and my medical writing:
I’m a U.S.A. board-certified internal medicine physician available for healthcare industry medical writing and editing. My writing includes all levels from basic, for medical laypersons and public-facing materials, to advanced for professionals. For over 26 years I’ve had extensive medical writing, analytic, and consulting experience as an administrative healthcare physician. I’ve communicated healthcare information and persuaded readers in many areas of healthcare, ranging from specific medical content to issues involving the healthcare payer system.
I write with a mastery of English at all levels of complexity.
My career experience:
I’m a United States-trained physician (M.D.) who’s board-certified in internal medicine. Most recently, I was a medical director in administrative medicine with the largest private insurer in the United States. Before that, I spent 21 years in administrative medicine as a Medical Consultant for the California Medicaid program (Medi-Cal). After medical school and residency training in internal medicine (with board certification), I worked in clinical medicine as an attending physician before transitioning into administrative medicine.
My prior areas of experience in administrative medicine include all of the following: knowledge of private and governmental insurer systems (commercial insurance, Medicaid, Medicare), extensive knowledge and experience in insurance and reimbursement issues, medical review auditing, medical documentation improvement, medical coding, recovery audits, healthcare fraud/waste/abuse, quality of care assessment, medical necessity determinations, utilization management evaluation, value-based care, and advanced program knowledge of California’s Medicaid program.
With my prior experience, I have a broad perspective that I incorporate into medical writing and editing.
Brief Professional Synopsis
Administrative Physician (Licensed Medical Doctor) Freelancer and Independent Contractor | Independent Contracting in Healthcare Writing and Editing, Healthcare Consulting, & Graphic Design (Healthcare and General Design) | April 2020 – Present
Medical Director (Medicaid, Commercial and Medicare Benefit Decisions, Medical Claims Review) | UnitedHealth Group | October 2016 – April 2020
Medical Director (Medicaid, Commercial and Medicare Provider Appeals and Grievances) | UnitedHealth Group | November 2014 – September 2016
Medical Consultant for California’s Medicaid Program | State of California Department of Health Care Services | May 1993 – November 2014
Attending Physician (Internal Medicine) | Southern California Kaiser Permanente Medical Group | October 1988 – May 1993
Awards and Memberships
American Medical Association (AMA) PHYSICIANS RECOGNITION AWARD 2003, 2006, 2009, 2012, 2016
California Department of Healthcare Services SUPERIOR ACCOMPLISHMENT AWARD
Elected into membership of THE AMERICAN COLLEGE OF PHYSICIANS
Member, CALIFORNIA MEDICAL ASSOCIATION
Member, LOS ANGELES COUNTY MEDICAL ASSOCIATION
Member, THE AMERICAN MEDICAL WRITERS ASSOCIATION