by Rachad Davis
April 18, 2016
Senior Vice President and Corporate Chief Medical Officer,
Andrea Gelzer is the senior vice president medical affairs at AmeriHealth Caritas, where she also has served as the corporate chief medical officer for more than seven years. She has been responsible for the development of the company’s integrated care management model, deployed new approaches to alternative/value-based payment, as well as innovative population health management strategies for vulnerable populations, and serves as the key clinical spokesperson and policy advocate for the company. Prior to AmeriHealth Caritas, Dr. Gelzer was the chief medical officer for Boston Medical Center HealthNet Plan, served in multiple roles including senior vice president of clinical public affairs at Cigna Corporation, and for 14 years worked in private practice in Internal Medicine.
Dr. Gelzer currently serves on several influential industry committees including the National Committee for Quality Assurance (NCQA) Committee on Performance Measurement, the Health and Human Service (HHS) Health Care Payment and Learning Network (LAN) Care Transformation Forum (CTF), and the Core Quality Measures Collaborative (CQMC) Steering Committee. She is the immediate past Chairman of the Board of Directors of HealthShare Exchange (HSX), Philadelphia’s health information exchange, and is a board member for the Association of Community Affiliated Plans (ACAP) and the American Telemedicine Association (ATA). She is the past-chair of the Chief Medical Officer Leadership Council at America’s Health Insurance Plans (AHIP) and also served on the Agency for Healthcare Research and Quality (AHRQ) National Advisory Council.
Dr. Gelzer earned her undergraduate degree from Tufts University and her doctor of medicine from St. George’s University. She also received a master’s degree in preventive medicine/administrative medicine at the University of Wisconsin Madison. She is a board certified by the American Board of Internal Medicine and by the American Board of Preventive Medicine in clinical informatics.