Dr. Craig Hersh will drive all clinical aspects to help MRIoA be the preferred technology-enabled provider of clinical insights to payers and patients. MRIoA empowers better decisioning through analytics, and through evidence-based clinical opinions derived from independent specialty reviews.
Salt Lake City, UT (June 7, 2021) – Medical Review Institute of America, LLC (MRIoA) has appointed Dr. Craig Hersh as new Chief Medical Officer. Dr. Hersh brings more than 20 years of experience in the administration, delivery and management of healthcare services. He is deeply committed to innovative solutions that help patients, by improving quality, cost, and satisfaction. He will lead the organization’s efforts, alongside our Leadership, Product, and Commercial teams, to achieve excellence in healthcare advancement, including clinical and utilization review with MRIoA’s Nurses, Pharmacists, and Medical Directors.
Dr. Hersh comes to MRIoA from Anthem’s Northeast Region where he was Senior Clinical Officer and Regional Vice President, responsible for leading their largest market which encompassed approximately 5 million members. During his career (Accolade, WellCare, Aetna, and Holy Name Medical Center) he has consistently demonstrated success in leading and cultivating relationships to grow business while maintaining a patient-centric focus. He has great experience developing and implementing clinical programs, including utilization management and case management, to improve health outcomes.
“Dr. Hersh’s wealth of expertise provides MRIoA with opportunities to accelerate our clinical insights to healthcare organizations and patients through analytics and evidence-based clinical opinions derived from independent specialty reviews and virtual 2nd opinion solutions that empower better decision-making,” said Ron Sullivan, Chief Executive Officer at MRIoA. “With MRIoA’s transition to this broader sphere, we have been searching for a Chief Medical Officer who can help us accelerate the implementation of vision into reality – and Dr. Hersh is the perfect fit. We are fortunate to welcome such an experienced medical professional to MRIoA.”
“Throughout my career, I’ve been dedicated to creating and implementing programs that benefit the patients we serve,” said Dr. Hersh. “I’m excited to join an organization whose transformation aligns with my life’s work and values. I look forward to working with the MRIoA team of distinguished leaders to empower better decisioning and understanding of healthcare analytics for those we serve.”
Dr. Hersh is Board-Certified in Family Medicine. He earned his Doctor of Medicine at SUNY Upstate Medical School, and his Bachelor of Science from Tulane University. He completed his Medical Residency in New Jersey at the Mountainside Family Practice.
About Medical Review Institute of America, LLC (MRIoA)
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Founded in 1983, Medical Review Institute of America, LLC (MRIoA) is the top medical review company in the United States. With the largest, most extensive review network, industry-leading turnaround times (TATs), and UR licensing in all states that require it, our professionalism, enthusiasm and collaborative approach are transforming clinical care delivery nationwide. MRIoA provides independent clinical and utilization reviews, virtual second opinions and appropriate utilization analytics for many of the country’s largest health plans, PBMs, TPAs, government entities and self-insured employers. To learn more about MRIoA, visit our website at www.mrioa.com, or follow us on LinkedIn
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Dawn Maloney, MRIoA, Vice President of Marketing