Tonya Y. Perkins, MD, MS, FACOG
Dallas,US
Summary
Dynamic and results-driven physician leader with over 20 years of clinical experience and more than a decade in utilization review. As a Board-Certified Obstetrician-Gynecologist and former Navy General Medical Officer, I bring a strong foundation in patient care, medical decision-making, and operational efficiency. Currently serving as a Medical Director at Anthem Blue Cross and Blue Shield, I leverage my clinical expertise and strategic acumen to optimize healthcare delivery and ensure compliance with utilization management protocols. I now seek to advance into a Director of Medical Operations role to drive process improvements, align utilization management strategies with organizational goals, and enhance healthcare outcomes.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Medical Director, Commercial Health Benefits, East Region
Anthem Blue Cross and Blue Shield
Indianapolis, US
02.2021 - Current
- Conduct utilization reviews for commercial insurance across the East Region.
- Serve on the RN/MD Operations Committee, contributing to operational efficiency and strategic decision-making.
- Serve on the physician scheduling team to ensure equitable distribution of holiday and time-off coverage, to promote operational continuity.
- Successful recruitment of nine Medical Directors within 18 months, achieving seven accepted offers, and with five currently employed.
- Managed inpatient queue for timely case reviews, supporting utilization management goals.
- Delivered presentations that resulted in standardized processes for OB/GYN utilization review cases in region.
Sole Proprietor and Physician
The Wellness Center of Dallas, PLLC
Dallas, TX
04.2010 - 09.2020
- Provided comprehensive BioTE hormone therapy, enhancing patient wellness through individualized treatment plans.
- Managed an e-commerce platform for nutraceuticals and an exclusive botanically based skincare line, integrating clinical expertise with business operations.
Physician Advisor of Utilization/Compliance Review
Optum Physician Advisory Solutions
Newtown Square, PA
08.2012 - 06.2020
- Conducted utilization reviews across all payer types, with Medicare cases representing approximately 80% of total volume.
- Delivered clinical reviews and level-of-care determinations during implementation of Medicare's two-midnight rule.
- Facilitated cross-coverage assistance for denials and peer-to-peer reviews to ensure compliance and appropriate decision-making.
- Supported accurate utilization management through processing of cardiac and vascular procedure reviews.
Sole Proprietor and Physician of Obstetrics and Gynecology
Women Caring for Women OB/GYN, P.A.
Dallas, TX
10.2005 - 09.2017
- Successfully managed a solo OB/GYN practice, providing high-quality care to a diverse patient population.
- Oversaw clinical operations and patient care, ensuring seamless healthcare experiences.
- Handled all aspects of practice management, focusing on efficiency and patient satisfaction.
Locums OB/GYN Physician
Pine Ridge US Indian Reservation
Pine Ridge, SD
07.2005 - 08.2005
- Collaborated with midwives to provide comprehensive obstetric and gynecologic care to the local Indian population.
- Served as the sole emergency physician on-site, stabilizing patients, and coordinating higher-level care when necessary.
OB/GYN physician
Glen Lakes OB/GYN, P.A.
Dallas, TX
09.2004 - 06.2005
- Provided full-spectrum OB/GYN care, including prenatal, delivery, and gynecologic services, in a private practice setting.
- Ensured compliance with medical guidelines and best practices while delivering patient-centered care.
General Medical Officer
U.S. Navy
Charleston, SC
08.1999 - 06.2000
- Delivered comprehensive primary care to active-duty personnel and their dependents in the Family Practice Clinic.
General Medical Officer
U.S. Navy
Sicily, Italy
07.1997 - 07.1999
- Oversaw acute and urgent care as the Charge Physician in the Emergency Room for active-duty personnel and their families.
- Provided medical care to Naval Airmen as the Charge Physician at the Flight Line Clinic.
- Ensured quality healthcare services in Family Practice and Gynecology Clinics for military personnel.
Education
Certified Physician Executive - Healthcare Administration
The Certifying Commission in Medical Management
Tampa, FL08-2025
Master of Science - Healthcare Leadership and Management
The University of Texas Dallas, Naveen Jindal School of Management
Richardson, TX05.2024
Certificate in Healthcare Informatics Leadership - Healthcare Informatics
The University of Texas Dallas, Naveen Jindal School of Management
Richardson, TX05.2024
OB/GYN Residency -
St. John Hospital And Medical Center
Detroit, MIDoctor of Medicine -
Morehouse School of Medicine
Atlanta, GABachelor of Science - Chemistry
Xavier University of Louisiana
otherSkills
- Cross-functional collaboration
- Healthcare leadership and operations
- Operational efficiency
- Physician talent acquisition
- Process improvement
- Strategic management in healthcare
- Written communication skills
- Workflow optimization
Certification
- Fellow of The American College of Obstetrics and Gynecology (2016)
- Diplomate of The American Board of Obstetrics and Gynecology (2006)
Volunteer Experience
- Alpha Kappa Alpha Sorority, Inc., Youth Mentor, 1991 to present
- Junior League of Dallas, Community Volunteer, 2007 to present (sustainer status)
- BeauMed Consultants, LLC, Board Member, 2015-2017
- Healthcare Advocacy Organization, Board Member, 2011-2013
- Nonprofit Public Health Center, Medical Director, 2005-2010
References
References available upon request.
Timeline
Medical Director, Commercial Health Benefits, East Region
Anthem Blue Cross and Blue Shield
02.2021 - Current
Physician Advisor of Utilization/Compliance Review
Optum Physician Advisory Solutions
08.2012 - 06.2020
Sole Proprietor and Physician
The Wellness Center of Dallas, PLLC
04.2010 - 09.2020
Sole Proprietor and Physician of Obstetrics and Gynecology
Women Caring for Women OB/GYN, P.A.
10.2005 - 09.2017
Locums OB/GYN Physician
Pine Ridge US Indian Reservation
07.2005 - 08.2005
OB/GYN physician
Glen Lakes OB/GYN, P.A.
09.2004 - 06.2005
General Medical Officer
U.S. Navy
08.1999 - 06.2000
General Medical Officer
U.S. Navy
07.1997 - 07.1999
Certified Physician Executive - Healthcare Administration
The Certifying Commission in Medical Management
Master of Science - Healthcare Leadership and Management
The University of Texas Dallas, Naveen Jindal School of Management
Certificate in Healthcare Informatics Leadership - Healthcare Informatics
The University of Texas Dallas, Naveen Jindal School of Management
OB/GYN Residency -
St. John Hospital And Medical Center
Doctor of Medicine -
Morehouse School of Medicine
Bachelor of Science - Chemistry
Xavier University of Louisiana
Similar Profiles
Nicole RowlesNicole Rowles
Customer Care Rep III/Subject Matter Expert at Elevance Health, Anthem Blue Cross and Blue ShieldCustomer Care Rep III/Subject Matter Expert at Elevance Health, Anthem Blue Cross and Blue Shield
Evelyn NtumyEvelyn Ntumy
Nurse Case Manager SNR at Anthem Blue Cross and Blue ShieldNurse Case Manager SNR at Anthem Blue Cross and Blue Shield
Dianne MooreDianne Moore
Member Services at Anthem Blue Cross And Blue ShieldMember Services at Anthem Blue Cross And Blue Shield
Arthur "Buddy" HollowayArthur "Buddy" Holloway
Communications Strategist at Pioneer Bible TranslatorsCommunications Strategist at Pioneer Bible Translators
MAME M. DIAMAME M. DIA
AWS Cloud Administrator at EKTech Solution ArchitectureAWS Cloud Administrator at EKTech Solution Architecture