Kermit Jones
Woodland,CA
Summary
Medical Director focusing on Medicare line of business, regulatory attorney and Internal Medicine Physician with twenty years of practice experience and expertise in healthcare regulation and policy development
Overview
19
19
years of professional experience
Work History
Medical Director of Medicare Services
Partnership In Health
04.2024 - Current
- Manage multidisciplinary teams to optimize patient care
- Oversee Utilization Management policy development
- Work across departments to implement new Medicare-based lines of business
- Engage healthcare systems and providers on product lines, quality improvement programs and incentive programs
- Participate in Grievance and Appeals hearings, Quality and Utilization, Policy Review and Peer Review Committees
- Participate in contract design for network providers
Internal Medicine Physician
The Permanente Medical Group, TPMG
09.2017 - Current
- Implemented chronic disease management programs for high-risk communities
- Completed over 20,000 distinct clinical encounters
- Healthcare advisor for 2019 U.S. Presidential Campaign
Medical Director
United Health Group, Optum
11.2023 - 03.2024
- Medical Claims Review, Utilization Management and Quality Review
U.S. Congressional Candidate
U.S. House Of Representatives
09.2021 - 11.2022
- Designing most comprehensive healthcare plan of any U.S. Congressional Candidate, available upon request
- Directing largest field operation in California with 20 staff members and 1,000 volunteers reaching 160,000 district residents
Residency Training, IM Resident
Rush University Medical Center
01.2015 - 01.2017
- Principal Investigator for military veteran's mental health research program for PTSD and other mental health interventions
2nd Year Associate
Hyman, Phelps & McNamara
09.2013 - 07.2014
- Drafted legal memos on HIPAA, ERISA, FDA regulations and DOJ-enforcement issues
- Advised large healthcare practices and systems on legal matters, compliance, and risk management
Fellow
White House
08.2012 - 08.2013
- Senate appointment position for nation's premier mid-career leadership program with dual appointment in White House and Dept of Health and Human Services
- Led White House-level principal meeting on programs to secure veteran's benefits and military to civilian life transition program
- Led study group evaluating performance measures for new NIH institution – NCATS
Medical Dept. Head
US Navy
04.2007 - 06.2009
- Medical Director of CASEVAC team for USMC 364 Squadron
- Medical Dept Head for joint U.S Marine Battalion of over 3,000 Marines at Camp Pendleton, Ca
- Collaborated with department personnel to coordinate multifaceted solutions to emerging military medicine problems.
Internal Medicine Intern
National Naval Medical Center
01.2005 - 01.2006
- Selected for prestiguous USN Flight Surgeon training program at NAS Pensacola, Florida
Education
Machine Learning And Data Science PE Program
Massachusetts Institute of Technology
Cambridge, MA04.2023
M.P.A -
Columbia University School of International & Public Affairs
New York05.2012
M.D., J.D -
Duke University
Durham, NC05.2005
B.S -
Georgia Institute of Technology
Atlanta, GA1997
Skills
- Conversational language skills in Arabic and Hindi
- Experience in statistical modeling in R and using Python for Machine Learning and CNN
- Knowledge and expertise in healthcare regulation, Medicare quality programs and incentives
- Completed Master's Degree level course work in business associations, capital structure and finance
Affiliations
- Member, State Bar of California 2020
- American Board of Internal Medicine 2017
- Member of American Legion
- Member of the Council on Foreign Relations
- "Health Is Freedom," Diplomatic Courier, 12/2021
- “Stethoscope Diplomacy in the Middle East,” Foreign Policy, 2/2021
- “Obesity is a major risk factor for dying of COVID-19. We need to take it more seriously,” The Guardian, 6/2020
Timeline
Medical Director of Medicare Services
Partnership In Health
04.2024 - Current
Medical Director
United Health Group, Optum
11.2023 - 03.2024
U.S. Congressional Candidate
U.S. House Of Representatives
09.2021 - 11.2022
Internal Medicine Physician
The Permanente Medical Group, TPMG
09.2017 - Current
Residency Training, IM Resident
Rush University Medical Center
01.2015 - 01.2017
2nd Year Associate
Hyman, Phelps & McNamara
09.2013 - 07.2014
Fellow
White House
08.2012 - 08.2013
Medical Dept. Head
US Navy
04.2007 - 06.2009
Internal Medicine Intern
National Naval Medical Center
01.2005 - 01.2006
Machine Learning And Data Science PE Program
Massachusetts Institute of Technology
M.P.A -
Columbia University School of International & Public Affairs
M.D., J.D -
Duke University
B.S -
Georgia Institute of Technology
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