1. Gerald H. Priceman M. D.
9032 Great Heron Circle
Orlando, Florida 32836
407 876-3315
Gpriceman@gmail.com
CURRICULUM VITAE
Senior executive with lifelong experience to deliver evidenced based medicine aligned
to successful outcomes with medical cost savings.
Medical Director/ Owner
Unimex P.C.
Aug. 2005 - Present
Medical company responsible for physician reviews of IME cases.
Medical Director / CEO
Personal Pediatrics
Aug. 2006 - Present
Responsible for developing, financing and managing a 3FTE pediatric practice in south Orlando
Censeo Health Care
Home medical evaluations focusing on disease management
Advanced Medical Review
Evaluation of medical necessity
Medical Director
Dec. 2005 – May 2006
Physicians United Plan
Provided clinical over site and supervision for U/R, Q/A, and regulatory programs for a newly
organized Medicare replacement HMO.
Medical Director
Associated In - Patient Services Corp.
Feb. 2003 - Nov. 2005
Developed, implemented and executed a disease management program for:
Congestive Heart Failure, Coronary artery disease, C.O.P.D., and diabetes mellitus. Responsible
for program that helped decrease hospitalizations more than 30 percent
Developed, implemented referral review. Specifically: Guidelines for appropriate referral
and clinical work up.
Provided development and over site of specialty contracts.
Consultant
Tandem Health
2. Windermere Pediatrics
Key Associate for Physicians Research Network 2000 – 2003
Medical Director
North American Medical Management (NAMM)
1999-2000
Served as the medical director of the Tri-County area for NAMM, a management service organization
(MSO). Responsible for clinical oversight of two independent physician associations (IPA), which had,
direct contracts with insurers.
· Clinical oversight for over 10,000 managed medicare patients
· Provide daily review of inpatient census with case managers
· Provide oversight for the Quality Assurance Committee
· Provide oversight for the Utilization Review Committee
· Ex-officio member of the IPA’s Board of Directors
Medical Director - Clinician
Primary Physicians of Greater Orlando/Mariner Physician Services, Inc.
1996-1999
Served in the dual position of medical director-clinician. The company owned five physician offices in
three counties with nine internal medicine/family practice physicians and three physician assistants.
· Managed nine physicians and three physician assistants at multiple sites
· Experienced in physician recruitment
· Experienced in mixed setting of managed care and fee for service patients
· Supervised case managers and provided daily clinical overview of inpatients
· Responsible for Utilization Management for a full risk H.M.O. contract
Internal Medicine Physician
Vanguard Medical Group / Mariner Physician Services, Inc.
1994-1996
Staff physician for a primary care medical group. Provided health care in a managed care and fee for
service setting.
Medical Director
Family Care Group Practice
St. Luke’s Roosevelt Hospital
1992-1994
Provide direct patient care and management of a multi-specialty group.
· Developed and implemented a quality assurance plan
· Coordinated plan and budget for expansion of clinic
Medical Director - Manager
Health Care Now
1985-1992
· Provided direct patient care in an urgent care setting
3. · Managed attending physicians and clinical staff
· Developed marketing strategies for office
Private Practice
Williamsburg, Orlando
1982-1985
Private Practice
Darien Ct.
1979-1982
Emergency Room Physician
Griffin Hospital
Derby, Ct.
1978-1979
Related Clinical Positions and Appointments
Medical Director
Mariner Health Care at Conway Lakes Mariner Health Care of Metro West
5201 Curry Ford Road 5900 Westgate Drive
Orlando, Fl. 32812 Orlando, Fl. 32835
1996-1999 1996-1999
Five Custodial and Sub Acute Facilities
Developed and implemented clinical program that decreased skilled rehabilitation stays for patients.
Medical Consultant
New York State Substance Abuse Services
1989-1991
Provided medical evaluations of impaired health professionals
Continental Airlines
1988-1989
Provided physical examinations of impaired employees in employee assistance program
Committee Member
Oxford Health HMO Executive Advisory Committee 1987-1991
Oxford Health HMO Quality Assurance Committee 1986-1991
Associate Medical Director
Metro-Medical
New York, New York
1987-1989
Supervised physicians and drug screening
Associate Clinical Instructor
Orlando Regional Medical Center
Orlando, Fl.
1983-1986
4. Professional Licenses
1982 Florida Medical License #39869
1977 Connecticut Medical License #19374
Board Certifications
1978 Diplomate American Board of Internal Medicine #67339
1976 National Board of Medical Examiners #151529
Education
Internal Medicine Residency 1975- 1978
Hospital of St. Rafael
Yale University
New Haven, Connecticut
M. D. Medical Doctor 1975
The Chicago Medical School
Chicago, Illinois
B.A. Bachelor of Arts 1971
New York University
New York, New York