by Rachad Davis
April 18, 2016
Senior Vice President, Medical Affairs,
Andrea Gelzer is currently the senior vice president of medical affairs at AmeriHealth Caritas, where she has served as the corporate chief medical officer for more than seven years. Directly managing a team of more than 550 associates, she has been responsible for the development of the company’s integrated care management model and scaling up of many corporate shared health care services functions, including medical management, quality, informatics, and provider contracting. She has 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. She previously served as chief medical officer for Boston Medical Center HealthNet Plan, the largest Medicaid and Commonwealth Care managed care organization in Massachusetts. She also 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, as well as serving as President of Baw Beese Medical Group, an early Independent Practice Association (IPA).
Dr. Gelzer is a pioneer in the development of provider organizations and is skilled in leading diverse stakeholder groups and proving value. She serves on numerous national health care related professional committees including the Health and Human Service (HHS) Health Care Payment and Learning Network (LAN) Guiding Committee, National Committee for Quality Assurance (NCQA) Committee on Performance Measurement, Technical Expert Panel for the 2021 National Impact Assessment of CMS Quality Measures, and the Core Quality Measures Collaborative Steering Committee. She also serves as the Chairman of the Board of Directors of HealthShare Exchange, Philadelphia’s regional health information exchange. Previously she 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.