by Stephani Simmons
August 23, 2017
Senior Medical Director, Medical Management and Quality,
Thomas James, III, MD, is corporate medical director for Medical Management and Quality for Highmark, Inc. In this capacity he provides the clinical oversight to Highmark’s Quality and Wellness Departments. He maintains his connections with national physician societies and provider organizations for greater alignment of goals for the coordination of care for Highmark’s membership in Pennsylvania, Delaware and West Virginia. He also continues his active involvement with organizations working to improve the quality of health care including the National Quality Forum and the AAAHC.
Prior to joining Highmark, Inc., Dr. James has served as senior medical director for such organizations as Baptist Health in Kentucky, AmeriHealth Caritas, Humana, Anthem, Traveler’s Health Network, Sentara and HealthAmerica. Dr. James has gained experience with Commercial, Medicare and Medicaid health plans through his career.
Dr. James is board certified in internal medicine and pediatrics. He received his medical degree from the University of Kentucky and served his residencies at Temple University Hospital, Pennsylvania Hospital, and Children’s Hospital of Philadelphia.