Summary
Overview
Work History
Education
Skills
Boardcertificationmembershipandlicenses
Committeeappointments
Administrativeappointments
Timeline
Generic

Benjamin Sigal

Guilford,CT

Summary

With a distinguished career at Optum and expertise in healthcare management and strategic planning, I have led successful quality improvements and staff development initiatives. My focus has always been on enhancing patient and physician relations, demonstrating unwavering commitment to clinical excellence and effective process implementation.

Overview

28
28
years of professional experience

Work History

Medical Director, Utilization Management

Optum
08.2023 - Current
  • Company Overview: Home and Community Care Transitions
  • Home and Community Care Transitions

Emergency Department Medical Director

Middlesex Health Shoreline Medical Center
01.2009 - 08.2023
  • Company Overview: Westbrook, CT
  • Operational Management of free-standing ED
  • Monitored data on Door-to-Triage, Door-to-Provider, LOS, Radiology and Lab TATs, and LWBS for process improvement
  • Provider Relations and Communication
  • JCAHO and NIH visit preparation
  • Provider Staffing plan and new provider orientation
  • Identified patients and help design care plans integrating with hospital behavioral health and community partners
  • Quality case identification and provider peer reviews
  • Patient Satisfaction (Press Ganey) management
  • Complaint/Grievance management
  • Community Outreach (high school students, EMS, Police, SNFs)
  • Westbrook, CT

Emergency Physician

Middlesex Health
07.2008 - 08.2023
  • Company Overview: Middletown, CT
  • Senior Attending
  • Middletown, CT

Consultant Medical Reviewer

MAXIMUS Federal Services
01.2020 - 01.2021
  • Quality management peer review

Medical Director for ED Advanced Practice Providers

01.2009 - 01.2018
  • APP Continuous Quality Improvement

Health Plan Consultant

Uniformed Services Family Health Plan
05.2001 - 09.2001
  • Provider, member, and military relations during a regional expansion

Quality Management Coordinator

St. Elizabeth’s Medical Center
01.1997 - 01.2000
  • Company Overview: Brighton, MA
  • Caritas Health Services - Ambulatory care sites
  • Uniformed Services Family Health Plan (USFHP) - Northeast region
  • Quality Assurance: Reviewed patient care, analyzed utilization, monitored patient satisfaction, and managed the complaint/grievance process in order to provide feedback to providers
  • Performance Improvement Projects: Coordinated prescription error tracking, nurse-patient education, and referral process operations
  • Community Outreach: Facilitated educational and screening initiatives focused on health promotion and disease prevention
  • Brighton, MA

Education

Certificate - Health Care Administration

University of Michigan/ St. Joseph Mercy Hospital
Ann Arbor, MI
06.2008

Doctor of Medicine -

Tufts University
Boston, MA
06.2004

Master of Public Health - Social and Behavioral Sciences, Health Promotion and disease prevention

Boston University
Boston, MA
09.1997

Bachelor of Arts - Biology

Washington University
St. Louis, MO
06.1996

Skills

  • Strategic planning
  • Staff development
  • Practice management
  • Clinical quality improvement
  • Medical education
  • Patient health education
  • Clinical leadership
  • Healthcare management
  • Quality improvement
  • Patient relations
  • Physician relations
  • Process implementation
  • Patient education
  • Process improvement

Boardcertificationmembershipandlicenses

  • American Board of Emergency Medicine, Certified, 06/2009, 12/2029
  • Fellow of the American College of Emergency Physicians, FACEP
  • American Association for Physician Leadership
  • CT Physician/Surgeon License, 07/31/25
  • Medicare and Retirement Certified, Level 1

Committeeappointments

  • Optum, Home and Community Care, Pre-Service Coordinator Committee, 2023, Present
  • Middlesex Health, Shoreline Patient Care Committee, Chairman, 2009, 2023, Emergency Department Leadership Team, 2009, 2023, Community of Care Committee, 2013, 2015, Lost Transfer Task Force, 2016, 2017, Medical Staff Executive Council, 2018, 2019, Quality Improvement and Patient Safety Committee, 2018, 2023, Utilization Management Committee, 2018, 2023, Throughput/Length of Stay Steering Committee, 2018, 2023, ED Provider Wellness Committee, 2019, 2020, EPIC Superuser, 2020
  • University of Michigan, ED 5S Organization Committee, 2007, 2008, ED Faculty Committee, resident guest participant, 2007, 2008, Saint Joseph’s Mercy Hospital ED Faculty Committee, guest participant, 2007, 2008, ED Didactic Committee, 2007, 2008, ED Evaluation Committee, 2007, 2008, ED Residency CME Committee, 2007, 2008, ED Continuous Quality Improvement Committee, 2007, 2008, Emergency Department Operations Committee, guest participant, 2007, 2008

Administrativeappointments

  • Optum, Home and Community Care, Mentor Program, 2024, Career Compass, 2024
  • Middlesex Health Shoreline Medical Center, Westbrook, CT, Emergency Department Medical Director, 01/2009, 08/2023

Timeline

Medical Director, Utilization Management

Optum
08.2023 - Current

Consultant Medical Reviewer

MAXIMUS Federal Services
01.2020 - 01.2021

Emergency Department Medical Director

Middlesex Health Shoreline Medical Center
01.2009 - 08.2023

Medical Director for ED Advanced Practice Providers

01.2009 - 01.2018

Emergency Physician

Middlesex Health
07.2008 - 08.2023

Health Plan Consultant

Uniformed Services Family Health Plan
05.2001 - 09.2001

Quality Management Coordinator

St. Elizabeth’s Medical Center
01.1997 - 01.2000

Certificate - Health Care Administration

University of Michigan/ St. Joseph Mercy Hospital

Doctor of Medicine -

Tufts University

Master of Public Health - Social and Behavioral Sciences, Health Promotion and disease prevention

Boston University

Bachelor of Arts - Biology

Washington University
Benjamin Sigal