Summary
Overview
Work History
Education
Skills
Websites
Certification
Training
Current Medical Licenses
Affiliations
Timeline
Generic

Helga Daftarian, DO, MPH, MBA

Summary

Highly experienced board-certified occupational medicine physician with 25 years of combined clinical experience in various clinical and medical director roles, to include the federal government, industry and managed care. Strong knowledge of occupational health and safety, utilization review (both worker's comp and group health), disability case review, as well as health insurance underwriting.

Overview

32
32
years of professional experience
1
1
Certification

Work History

Medical Consultant

Opportunities with Ohioans with Disabilities
10.2024 - Current
  • Reviewing Social Security Disability claim files for claimants residing within the state of Ohio.
  • Providing expert consultations on challenging cases requiring specialized knowledge & experience.

Medical Consultant

University Disability Consortium
06.2024 - 07.2024
  • Reviewed disability claim files at the request of disability insurance carriers.
  • Provided expert consultations on challenging cases requiring specialized knowledge & experience.

Corporate Medical Director

Genex Services, LLC
10.2020 - 11.2023
  • Provided clinical guidance & oversight across the Genex enterprise, a subsidiary of Enlyte (with a focus on the Worker’s Comp Utilization Review book of business).
  • Conducted ongoing audits of peer reviews, ensuring adherence to evidence-based guidelines and best practices.
  • Enhanced operational performance by identifying areas of improvement and implementing change management strategies.
  • Led quality improvement initiatives resulting in enhanced UR delivery across departments.
  • Improved UR quality by implementing new internal clinical guidelines.
  • Ensured compliance with accreditation requirements through formulation & implementation of UR policies and procedures.
  • Voting member of Enlyte's provider credentialing committee.

National Medical Director

Coventry Worker’s Comp Services
06.2016 - 09.2020
  • Provided clinical guidance & oversight for all of Coventry WCS business units (including Utilization Review, Case management, Quality management, Pharmacy, Bill Review, Compliance, Provider Credentialing & Product Development).
  • Conducted ongoing audits of peer reviews, ensuring adherence to evidence-based guidelines and best practices.
  • Enhanced operational performance by identifying areas of improvement and implementing change management strategies.
  • Led quality improvement initiatives resulting in enhanced UR delivery across departments.
  • Improved UR quality by implementing new internal clinical guidelines.
  • Ensured compliance with accreditation requirements through formulation & implementation of UR policies and procedures.
  • Provided oversight for provider credentialing process.

Regional Medical Director

Humana Inc.
09.2008 - 06.2016
  • Conducted outpatient & inpatient utilization review (i.e., concurrent, prospective & retrospective case reviews) for multiple commercial markets.
  • Provided clinical guidance for HumanaOne Insurance Underwriting and KMG Disability & Critical Illness case review teams.
  • Improved patient care quality by developing & implementing evidence-based coverage policy guidelines.
  • Improved patient outcomes and delivery of care through improved clinical quality management processes.

Plant Medical Director

General Motors Corporation
08.2000 - 09.2008
  • Supervised & mentored clinical staff, providing continuous professional development opportunities and training to maintain and strengthen competencies.
  • Drove significant improvement in achievement of goals related to occupational health & safety, as well as disability management.
  • Optimized case and clinical management, and recommended plans to improve occupational safety & health programs.
  • Ensured compliance with GMHS requirements through regular audits of clinic operations and diligent OSHA record-keeping practices.
  • Focused on preventive care and proactive identification in care management of high-risk patients to lower costs.

Epidemic Intelligence Service Officer

National Institute for Occupational Safety and Health (NIOSH)
06.1998 - 07.2000
  • Provided occupational and environmental epidemiology research services.
  • Drafted health hazard evaluation (HHE) reports and other public health-related documents for publication/distribution by the CDC/NIOSH.
  • Maintained accurate records in full compliance with government regulations and agency guidelines.

Staff Physician

United States Navy
07.1993 - 07.1996
  • Provided clinical services (occupational/preventive medicine and general/family medicine) for active duty military members and their dependents.
  • Completed routine physical exams and diagnostic tests to provide accurate diagnoses.
  • Optimized patient outcomes through timely interventions, close monitoring, and effective follow-up care.
  • Treated acute and chronic conditions (both occupational and non-occupational) to reduce symptoms and improve health.

Education

Masters of Business Administration (M.B.A.) -

Indiana Wesleyan University
Marion, Indiana
08.2007

Masters of Public Health (M.P.H.) -

University of Utah
Salt Lake City, Utah
06.1997

Doctor of Osteopathic Medicine (D.O.) -

A.T. Still University/Kirksville College of Osteopathic Medicine
Kirksville, Missouri
06.1992

Bachelors of Science (B.S.) - Microbiology, Psychology

Arizona State University
Tempe, Arizona
05.1988

Skills

  • Occupational & environmental medicine
  • Utilization review/management
  • Disability review/management
  • Health insurance underwriting
  • Case management (worker's comp/group health)
  • Quality improvement/management
  • Clinical guideline development
  • Policy and procedure development
  • Regulatory compliance
  • Health promotion/Disease prevention

Certification

  • Certified Medical Review Officer, Medical Review Officer Certification Council, 05/2001
  • Diplomate of the American Board of Preventive Medicine, Recertified 08/2019
  • Diplomate of the American Osteopathic Board of Preventive Medicine, Recertified 01/2025
  • Diplomate of the National Board of Osteopathic Medical Examiners, 04/1993

Training

  • Residency in Occupational Medicine, University of Utah, Salt Lake City, UT, 07/1996-06/1998
  • Internship, Genesys Regional Medical Center-Flint Osteopathic Campus, Flint, MI, 07/1992-06/1993

Current Medical Licenses

  • State of Ohio
  • State of Nevada
  • State of Kentucky
  • State of Texas
  • State of Indiana
  • State of Arizona
  • State of California

Affiliations

  • American Academy of Insurance Medicine
  • Midwest Medical Directors Association
  • American College of Occupational and Environmental Medicine
  • American Osteopathic College of Occupational and Preventive Medicine
  • American Osteopathic Association

Timeline

Medical Consultant

Opportunities with Ohioans with Disabilities
10.2024 - Current

Medical Consultant

University Disability Consortium
06.2024 - 07.2024

Corporate Medical Director

Genex Services, LLC
10.2020 - 11.2023

National Medical Director

Coventry Worker’s Comp Services
06.2016 - 09.2020

Regional Medical Director

Humana Inc.
09.2008 - 06.2016

Plant Medical Director

General Motors Corporation
08.2000 - 09.2008

Epidemic Intelligence Service Officer

National Institute for Occupational Safety and Health (NIOSH)
06.1998 - 07.2000

Staff Physician

United States Navy
07.1993 - 07.1996

Masters of Public Health (M.P.H.) -

University of Utah

Doctor of Osteopathic Medicine (D.O.) -

A.T. Still University/Kirksville College of Osteopathic Medicine

Bachelors of Science (B.S.) - Microbiology, Psychology

Arizona State University

Masters of Business Administration (M.B.A.) -

Indiana Wesleyan University

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Helga Daftarian, DO, MPH, MBA