Suggestions
Tom James
Corporate Medical Director for Medical Policy at The AmeriHealth Mercy Family of Companies
Dr. Tom James is a highly experienced professional specializing in Internal Medicine and Pediatrics, with a remarkable thirty years of expertise in health benefits and managed care.
His educational background includes a study of Pediatrics at the University of Pennsylvania School of Medicine, Internal Medicine Residency at Temple University - Lewis Katz School of Medicine, MD in Medicine from the University of Kentucky College of Medicine, and a BA in Chemistry from Duke University.
Dr. James has held various significant positions in prestigious organizations, including being the Corporate Medical Director for Medical Policy at The AmeriHealth Mercy Family of Companies, Medical Director at Humana, Inc, and involvement in initiatives like AQA Alliance and Greater Louisville Charter Value Partnership.
His extensive career also involved roles such as Board member at the Colon Cancer Prevention Project, Health Plan representative at Greater Louisville Value Exchange Partnership, and contributions to work groups at NQF, AQA, PCPI.
Dr. James has a rich history of professional engagements, where he served as a part-time internist/pediatrician at Norton Healthcare, Physician Advisor at Humana, Inc, Medical Director at UAW Community Health Alliance, Anthem, Travelers Health Network, Travelers Insurance, Sentara Health Plan, and HealthAmerica.
He is a Fellow and Life Member of the American College of Physician Executives, highlighting his dedication to professional development and excellence in the medical field.
