Darren Wethers, MD

Physician executive. 13+ years as CMO and Clinical Ops at Health Plans.

Rates

Note: rates for large healthcare organizations or financial/consulting firms may vary.

Brief Bio

  • Strategic Advisor to Managed Care Resource Alliance (MCRA)
  • former Chief Medical Officer at Atrio Health Plans
  • former Vice President, Clinical Operations at Blue Cross Blue Shield of Arizona
  • former Chief Medical Officer for BCBS Arizona Medicare Advantage plan
  • former Medical Director at Aetna

Some Areas of Expertise

  • Medicare Advantage
  • Utilization management
  • Clinical operations
  • Cost of care containment
  • Fraud/waste/abuse
  • Commercial strategy
  • Product feedback
  • Industry perspective / intel / insights

Extended Bio

Darren Wethers, MD is a board-certified internal medicine physician and certified physician executive. Currently, Darren leads Wethers Consulting and is a Strategic Advisor to Managed Care Resource Alliance (MCRA), an assemblage of industry leaders providing services, products and/or subject matter expertise to Managed Care organizations.

Most recently, he was the Chief Medical Officer of Atrio Health Plans. He oversaw the plan’s utilization management, care management and pharmacy services and was the clinical liaison to the provider community.  Prior to joining Atrio, Dr. Wethers served as Vice President, Clinical Operations at Blue Cross Blue Shield of Arizona for 3 years and was the chief medical officer for BCBS Arizona Medicare Advantage plan for the preceding 4 years; he entered the payer space in 2011 as a Medical Director at Coventry Health Care and Aetna.

Dr. Wethers practiced internal medicine in the Midwest for more than 20 years, focused on HIV/AIDS and chemical dependency care; it was during this time that he became interested in administrative medicine as a career path. He earned his B.S in Biology at Morehouse College, Doctor of Medicine degree at Northwestern University in 1988, and completed internship and residency in Internal Medicine at Emory University. He is board certified in internal medicine. He and his wife, Cheryl, enjoy hiking, biking, and visiting historic native communities.

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