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Michael F. Montijo, MD, MPH, FACP
Medical Director - Fraud Prevention Services (FPS) CMS at CMS/CGS
Dr. Michael F. Montijo, MD, MPH, FACP, is a distinguished Senior Health Care Executive, Consultant, and Advisor with a proven track record of spearheading large-scale turnarounds and overseeing successful start-ups in the healthcare sector.
With a dynamic and visionary approach, Dr. Montijo has effectively managed and operated various public for-profit and not-for-profit health care organizations, showcasing expertise in handling P&Ls ranging from $50 million to $1.5 billion, securing funding, and expanding market reach.
His leadership is marked by a commitment to innovation, organizational enhancement, and value creation, further bolstered by a strong mentorship style that caters to individual skill sets and experiences.
Dr. Montijo's areas of expertise encompass Health Plan Management, Start-up Operations, Change Management, Product & Service Development, Quality Management, Utilization Improvement, Privacy, Decision Analysis, Mergers & Acquisitions, P&L Management, Medicare, and Medicaid.
An alumnus of prestigious institutions like Harvard T.H. Chan School of Public Health and David Geffen School of Medicine at UCLA, he holds degrees in MPH, MD, and BS in Biology from the University of California, Riverside.
Throughout his career, Dr. Montijo has held key positions in reputable organizations such as positions at CMS, Oncology Analytics, Inc., Axis Health Point, Vanderbilt Health Alliance Network, Amadeo, LLC, EvidenceCare, among others, showcasing a diverse and rich professional background.
His experience spans roles like Chief Medical Officer, President, COO, Advisor, CEO, and Founder, demonstrating his versatility and skill in driving healthcare entities towards success and sustainability.
Dr. Montijo's contributions include lecturing at esteemed institutions like John Hopkins Bloomfield School of Public Health and holding executive roles at prominent healthcare companies, underlining his expertise in the field.
With a willingness to relocate and a holistic understanding of healthcare operations, Dr. Montijo stands as a notable figure in the industry, ready to tackle challenges and drive impactful change across the healthcare landscape.