Sahar Chavez, MD, MHA, FACOG
Albuquerque,NM
Summary
Experienced OBGYN Physician with 15+ years of clinical experience and 4 years of Health Plan Medical Director experience. Committed to working in a collaborative environment which aims to provide access to evidence-based, quality health care to patients and health plan members.
Overview
20
20
years of professional experience
Work History
Medical Director
Western Sky Community Care, Centene Corporation
06.2022 - Current
- Perform medical necessity reviews, appeals, and peer-to-peers, approximately 40 cases per day
- Participate and provide clinical expertise for multidisciplinary clinical member rounds.
OBGYN Physician
Lovelace Health System
10.2013 - Current
- Initally worked as full time OBGYN Physician, sharing call with 9 physicians and 20 certified nurse midwives, covering 2 hospitals.
- Currently working 2-3 24 hour shifts per month covering Labor & Delivery as well as Gynecologic coverage for the Emergency Room.
Lead Medical Director
True Health New Mexico / Bright Health
06.2021 - 06.2022
- Completed medical necessity reviews for medical services, participated in peer-to-peer discussions and appeal process, maintaining compliance with regulatory requirements.
- Supervised ongoing development and monitoring of Utilization Management program.
- Supervise two Concurrent Review nurses.
- Chair for Integrated Clinical Management Committee.
- Served on Credentialing Committee, Pharmacy and Therapeutics Committee, Wellness Committee, and Quality Committee. Member of Diversity, Equity, and Inclusion Workgroup.
Medical Director, Centennial Care
Presbyterian Health Plan
08.2019 - 05.2021
- Medical Director for Centennial Care, caring for over 400,000 members with largest integrated delivery system in New Mexico.
- Complete medical necessity reviews for medical services, pharmacy, and long-term care services, and participate in peer-to-peer discussions, appeal process, and fair hearings.
- Ensure compliance with regulatory agencies.
- Chair of Critical Incident Committee, and participate in several other committees such as Centennial Home Visiting Program, Technology Assessment, Clinical Quality and Utilization Management, Pharmacy Lock-in, and Pharmacy and Therapeutics.
OBGYN Physician Locums
Antelope Valley Hospital
06.2018 - 07.2018
- Locum Tenens Physician, providing obstetrics and gynecology services
OBGYN Physician
Rehoboth McKinley Christian Health Care Services
03.2012 - 09.2013
- Full-time OBGYN physician with 2 physicians and 2 midwives.
OBGYN Physician
Tsehootsooi Medical Center
10.2008 - 03.2012
- Worked as OBGYN physician with 2 other physicians and several certified nurse midwives.
- Medical Eduction Coordinator of department. Responsible for teaching and supervising residents and medical students who rotated through department.
OBGYN Resident Physician
Cedars-Sinai Medical Center
06.2004 - 05.2008
- Resident physician in four-year residency program.
Education
Executive Master's In Health Administration - Health Administration
USC Sol Price School Of Public Policy
Los Angeles, CA2018
M.D. - Medicine
Tufts University School Of Medicine
Boston, MA2004
Bachelor of Arts - History
University of California, Los Angeles
Los Angeles, CA1999
Medical Licensure
New Mexico MD2012-0076, Active
California A95597, Active
Arizona 68858, Active
Hawaii MD-23570, Active
Washington MD61383646, Active
Affiliations
- Fellow, The American College of Obstetricians and Gynecologists, 2011 to Current
- Board Certified, The American Board of Obstetrics and Gynecology, 2011 to Current
Timeline
Medical Director
Western Sky Community Care, Centene Corporation
06.2022 - Current
Lead Medical Director
True Health New Mexico / Bright Health
06.2021 - 06.2022
Medical Director, Centennial Care
Presbyterian Health Plan
08.2019 - 05.2021
OBGYN Physician Locums
Antelope Valley Hospital
06.2018 - 07.2018
OBGYN Physician
Lovelace Health System
10.2013 - Current
OBGYN Physician
Rehoboth McKinley Christian Health Care Services
03.2012 - 09.2013
OBGYN Physician
Tsehootsooi Medical Center
10.2008 - 03.2012
OBGYN Resident Physician
Cedars-Sinai Medical Center
06.2004 - 05.2008
Executive Master's In Health Administration - Health Administration
USC Sol Price School Of Public Policy
M.D. - Medicine
Tufts University School Of Medicine
Bachelor of Arts - History
University of California, Los Angeles
Similar Profiles
MARTHA CARDENAS MORALESMARTHA CARDENAS MORALES
Member Connections Representative/CPSW at Centene Corporation For Western Sky Community CareMember Connections Representative/CPSW at Centene Corporation For Western Sky Community Care
Julie WohrlinJulie Wohrlin
Provider Relations Manager at Western Sky Community Care a Centene CompanyProvider Relations Manager at Western Sky Community Care a Centene Company
Jessica HendersonJessica Henderson
Concurrent Review Nur at Western Sky Community /CenteneConcurrent Review Nur at Western Sky Community /Centene