Dr Kimberly Chen

Executive Physician » Speaker » Author

Experienced healthcare executive with a demonstrated history of working in the insurance industry. Skilled in Healthcare Consulting, Medicine, Healthcare, Healthcare Management in all line of business segments, including commercial, ACA, Medicare, and Medicaid. Strong healthcare services professional graduated from University of Texas at Dallas with Master of Science in Healthcare Leadership & Management.
Dr Kimberly Chen
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Dr Kimberly Chen
Senior Physician

Executive Physician Consultant Services

Our executive physician consultancy extends beyond healthcare insurance and utilization management to address the unique needs of diverse healthcare sectors, including pharmaceutical companies and diagnostic labs. We leverage experience, strategic insight, and innovative solutions to optimize operational efficiency, enhance patient outcomes, and maximize financial performance.

Healthcare Insurance Strategy

Payer Contract Negotiation

Payer Contract Negotiation

Expert guidance for favorable contracts with insurance providers.

Revenue Cycle Management

Revenue Cycle Management

Strategies to streamline billing processes and reduce denials.

Risk Management

Risk Management

Assessment and mitigation strategies for risk-based contracts.

Utilization Management Optimization

Clinical Pathway Development

Clinical Pathway Development

Collaborative creation of evidence-based pathways for efficient care delivery.

Quality Improvement Programs

Quality Improvement Programs

Initiatives to enhance care quality and patient satisfaction.

Cost Containment Strategies

Proven methodologies to identify and mitigate unnecessary costs.

Pharmaceutical Consulting

Payer Engagement Strategies

Payer Engagement Strategies

Targeted strategies to effectively engage with payers and position products within health plan formularies.

Reimbursement Optimization

Reimbursement Optimization

Expertise in optimizing reimbursement processes, including securing favorable rates and addressing coding challenges.

Health Plan Integration

Health Plan Integration

Collaboration to seamlessly integrate pharmaceutical products into health plan benefits, enhancing patient access and market penetration.

Value-Based Contracting

Value-Based Contracting

Implementation of innovative contracting models aligning reimbursement with demonstrated product value and outcomes.

Market Access Solutions

Tailored approaches to overcome barriers, expand product reach, and maximize commercial success.

Customized Solutions

Our consultancy services are tailored to address specific needs across pharmaceuticals, diagnostic labs, and beyond. Whether you need improvements in utilization management or strategic guidance for market access, we work closely to align solutions with your organizational goals.

Why Choose Us

Proven Expertise

Led by a seasoned executive physician consultant with a successful track record.

Strategic Insight

In-depth industry knowledge to anticipate trends and navigate regulatory changes.

Collaborative Approach

We foster a partnership, working seamlessly with your team to achieve defined objectives.

Employment History

Experienced healthcare executive with a demonstrated history of working in the insurance industry. Skilled in Healthcare Consulting, Medicine, Healthcare, Healthcare Management in all line of business segments, including commercial, ACA, Medicare, and Medicaid. Strong healthcare services professional graduated from University of Texas at Dallas with Master of Science in Healthcare Leadership & Management.

State License

Ohio, Virginia, Michigan, New Jersey, Illinois

Pending State License

California, Washington, Florida, Kentucky, New Mexico

Education Journey

The University of Texas at Dallas

Master of Science in Healthcare Leadership and Management, 2017

1995

University of Central Florida, Orlando

Bachelor of Art in Psychology, Magna Cum Laude,1991

2017

Kansas City University of Medicine and Biosciences, Missouri

Doctor of Osteopathic Medicine, 1995

1991

GRADUATE MEDICAL EDUCATION

Summa Health System, Akron, Ohio

Residency in Internal Medicine, 1995 to 1998

1995-1998

Frequently Asked Questions

Our consultancy stands out due to the depth of experience and proven expertise of our team, led by a seasoned executive physician consultant. We bring a collaborative approach, tailoring solutions to meet the unique needs of each healthcare organization.

We offer specialized services, including navigating payer landscapes, optimizing reimbursement, and integrating products seamlessly into health plan benefits. For pharmaceutical companies, our expertise spans from market access to clinical development. For diagnostic labs, we focus on workflow optimization, quality assurance, and strategic growth initiatives.

Absolutely. Our consultancy services are highly customizable. Whether you need assistance with utilization management, market access, or specific strategic challenges, we work closely with your team to tailor solutions that align with your organizational goals.

We employ a strategic approach to payer negotiations, aiming for favorable contracts and optimal reimbursement rates. Our team specializes in identifying and addressing coding and billing challenges to streamline revenue cycle management.

Our services include the implementation of value-based contracting models, aligning reimbursement with demonstrated product value and patient outcomes. This ensures a strategic approach to pricing and reimbursement that benefits both the pharmaceutical company and payers.

Certainly. Our strategic insight encompasses anticipating trends in payer dynamics, navigating regulatory changes, and positioning your organization for long-term success in a rapidly evolving healthcare landscape.

We believe in fostering a collaborative partnership. Our approach involves seamless collaboration with your team, ensuring that our strategies align with your organization’s goals and values.

Getting started is simple. Contact us today to discuss your organization’s specific needs. We will arrange an initial consultation to understand your challenges and explore how our services can tailor solutions to elevate your success in healthcare.

My Thinking

Get Started

Embark on a journey towards enhanced operational efficiency, improved financial performance, and superior patient care. Contact us today to discuss how our executive physician consultancy can tailor solutions to elevate your organization’s success in healthcare.

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