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Subhankar SamalSS
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Subhankar Samal

@subhankarsamal1

Medical Director at Presbyterian Health Plan, using analytics to inform clinical strategy and improve care for 640,000+ members.

United States
Message

At Presbyterian Health Plan, I oversee medical policy, utilization management, and quality improvement for a health plan serving over 640,000 members. I chair the Medicare Star Rating and Credentialing Review committees and use analytics to inform clinical strategy, provider performance, and member engagement.

Previously, as Chief Medical Officer at Triad Adult and Pediatric Medicine, I expanded telehealth access across six sites and provided strategic direction for an Epic EMR implementation. My work also includes inpatient medicine, teaching, patient safety and quality improvement, and clinical research; I hold an MD and an MBA in Finance, Healthcare, and Operations.

Experience

Work history, roles, and key accomplishments

PS
Current

Medical Director, Presbyterian Health Plan

Presbyterian Healthcare Services

Dec 2024 - Present (1 year 10 months)

Oversee medical policy, utilization management, and quality improvement for the largest health plan in New Mexico serving over 640,000 members. Chair the Medicare Star Rating and Credentialing Review Committee and ensure adherence to CMS, NCQA, and state regulations.

CI

Locum Hospitalist and Outpatient Physician

Cugly Inc

Jan 2023 - Oct 2023 (9 months)

Provided locum inpatient hospitalist and outpatient clinical services. Worked with a clinical trial company supporting phase I clinical trials.

AH

Hospitalist Physician, Internal Medicine

Ascension Columbia St. Mary's Hospital

Jul 2019 - Dec 2022 (3 years 5 months)

Provided inpatient care in a tertiary referral hospital during the COVID-19 pandemic. Participated in Diabetic Executive and Stroke committees and trained clinicians on Epic during statewide launch.

WM

Chief Resident, Internal Medicine and Pediatrics

Western Michigan University Homer Stryker M.D. School of Med

Jul 2012 - Jun 2013 (11 months)

Served as chief resident with duties including clinical supervision of residents and students, leading educational conferences, coordinating schedules, and participating in hospital liaison and quality improvement committees.

Education

Degrees, certifications, and relevant coursework

University of Georgia logoUG

University of Georgia

Black Belt, Six Sigma

Training for Six Sigma Black Belt in team management, organization planning, and development.

Maulana Azad Medical College logoMC

Maulana Azad Medical College

MBBS, Medicine

MBBS (Bachelor of Medicine, Bachelor of Surgery) degree.

Kellogg School of Management logoKM

Kellogg School of Management

MBA, Finance, Healthcare, and Operations

MBA with focus on Finance, Healthcare, and Operations.

Johns Hopkins University logoJU

Johns Hopkins University

Certificate, Revenue Cycle Management

Certification in Revenue Cycle Management.

Western Michigan University School of Medicine logoWM

Western Michigan University School of Medicine

M.D., Internal Medicine and Pediatrics

Doctor of Medicine with residency training in Internal Medicine and Pediatrics.

American College of Healthcare Executives logoAE

American College of Healthcare Executives

Executive Program, Healthcare Executive

2024 - 2024

Executive Program completed in 2024.

Google logoGO

Google

Professional Certificate, Business Intelligence and Data Analytics

Professional Certificate in Business Intelligence and Data Analytics.

Northwestern University logoNU

Northwestern University

Certificate, Legal Strategy for Business

Certification in Legal Strategy for Business.

American Heart Association logoAA

American Heart Association

Certification, Advanced Cardiac Life Support and Basic Life Support

Certifications in ACLS and BLS.

Wharton School of the University of Pennsylvania logoWP

Wharton School of the University of Pennsylvania

Certificate, Financial Accounting

Certification in Financial Accounting and Income Statement Analysis.

Tech stack

Software and tools used professionally

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