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FRANK L BROWN, JR, MD, MBA, FACP

Physician Executive

Bluffton, South Carolina44 years+ years experience
Health Insurance Industry Standard of Care and Physician Credentialing Expert Witness

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Professional Summary

Frank L Brown, Jr, MD, MBA, FACP is a health insurance and credentialing expert specializing in case management, fraud and abuse, and physician credentialing. With a career encompassing leadership roles in national insurance companies and extensive involvement in healthcare quality assurance, he brings a strategic perspective to litigation work. His work centers on investigating fraud and abuse, assessing credentialing processes, and evaluating whether industry standards in patient safety have been met.

Dr. Brown has been retained in numerous expert witness and consulting engagements across the United States, involving health insurance disputes, credentialing issues, and managed care litigation. His Medical Doctor degree from Yale University School of Medicine, along with certifications as a Certified Health Insurance Executive, reinforce his ability to deliver objective, defensible analyses. He is regularly engaged by both plaintiff and defense counsel to provide clear, independent determinations of responsibility in disputes involving healthcare fraud, credentialing, and patient safety.

Work Experience

Frank L. Brown, Jr., MD, MBA, FACP, has over 44 years of experience in the medical field. He currently serves as a Member of the Inclusion, Diversity, and Equity Committee at the American College of Clinical Pharmacology, Medical Advisor for the Pharmacy & Therapeutics Committee at Rightway Healthcare, and Executive Medical Correspondent at Station WVGB-FM, South Carolina. His past roles include Senior Medical Director at Cigna Healthcare and Medical Director at multiple Blue Cross & Blue Shield locations.

Expert Intelligence

AI-Generated AnalysisBased on public information

Best Descriptor

Dr. Frank L. Brown, Jr. is a physician executive specializing in healthcare quality management and physician credentialing.

Best Use Cases

  • 1healthcare quality assessments
  • 2physician credentialing reviews
  • 3case management evaluations

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Education

  • Certified Health Insurance Executive

    America’s Health Insurance Plans

  • Master of Business Administration

    Virginia Commonwealth University

  • Medical Doctor

    Yale University School of Medicine

  • Bachelor of Science in Pharmacy

    Howard University College of Pharmacy

Licenses

  • Medical License (Kentucky)
  • Medical License (North Carolina)
  • Medical License (Pennsylvania)
  • Medical License (Virginia)
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