Pediatrician resume examples

Choose and edit as your own

Get inspired by the best resume examples picked for your profession and create your!

Add pre-written phrases

Describe yourself as a professional just in 2 clicks! All the phrases you need are prepared by us

Save and Download your Resume

Save it in PDF format. Ready-to-sent to you employer!

This resume is created in 7 minutes.
Professional Summary

Respected and collaborative Medical Director known for excellent communication and interpersonal skills .  Expertise in Utilization, Quality and Case Management as well as medical and pharmacy Appeals and Grievance reviews for Commercial & Medicare managed care supporting plans with total enrollment exceeding 18,000 members.   Prior experience with Medicaid managed care plan comprised of 278,000 members.  Board certified in Pediatrics with extensive practice experience spanning more than 25 years.  Additional 4.5 years expertise in adjudicating Disability Determinations for both pediatric and adult populations.

SKILLS
  • Medicare & Commercial managed care
  • Medicaid managed care
  • Resource and utilization management
  • Acute hospital and Post-Acute reviews
  • Precertification reviews
  • Quality management
  • Case management
  • DRG reviews
  • Per diem reviews
  • Pharmaceutical reviews
  • MCG guideline criteria
  • Peer reviews
  • Appeals & Grievance reviews
  • Nurse talent training
Work History
Medical Director, 09/2017 to Current
Aetna Medicare & Commercial St. Louis, Missouri
  • Supports multi-state medical management staff ensuring timely and consistent daily Acute and Post Acute hospital DRG reviews using two different platforms.
  • Conduct hospital rounds with team of concurrent review nurses.
  • Active participant in SRL (SNF, acute inpatient rehab and LTACH) rounds with Post Acute UM nurses.
  • Provide clinical expertise in support of medical management programs through participation in Case, Disease and Quality Management team activities.
  • Physician lead for weekly Multi-Disciplinary Team (Case Management)  rounds.
  • Responsible for precertification reviews.
  • Review pharmaceutical requests.
  • Participate in Peer-to-Peer reviews.
  • Conduct Appeals & Grievances reviews.
  • Supports SMD by identifying trends that provide opportunity to interface with medical management including provider relations, sales, healthcare delivery and national accounts to improve the quality of care delivered to members and shared business relationships are maintained.
Medical Director, 08/2016 to 09/2017
Aetna Better Health of Missouri & Pennsylvania St. Louis, Missouri & Philadelphia, Pennsylvania
  • Perform daily transactional work of individual cases from concurrent review and prior authorization processes.
  • Conduct hospital rounds with team of CR nurses  to meet strategic direction for quality and cost outcomes.
  • Conduct Peer-to-Peer reviews with providers, facilities and DME suppliers.
  • Provide medical review and support for case management and care coordination staff to ensure optimal care for members.
  • Chair medical and pharmacologic Appeals and Grievances committee hearings.
  • Participate in Quality Assurance and Improvement activities such as identifying quality of care and adverse events as well as HEDIS rate project planning.
  • Medical lead for national NICU corporate savings initiative project at our local level.
  • Staff education and training via presentations, written guidelines and coaching.
  • Proposed new corporate savings action initiative for converting members from TANF (temporary assistance for needy families) to ABD (aged, blind and/or disabled) benefits.
Medical Consultant, 09/2014 to 08/2016
State of Missouri Disability Determinations Service Jefferson City, Missouri
  • Reviewed and adjudicated both pediatric and adult applications for initial and continuing SSI benefits.
  • Reviewed medical records of pediatric and adult applicants. and when needed ordered diagnostic studies necessary to adjudicate claims.
  • Supported disability counselors and administrators in local office as well as across the state by providing medical consultations on individual claimant cases and educational seminars for topics in areas of need.
Staff Pediatrician, 02/2013 to 08/2014
Jackson County Memorial Hospital Altus, Oklahoma
  • Diagnosed and treated a variety of diseases and injuries in a general pediatric practice setting. and small community hospital.
  • Managed in-patient pediatric patients including newborns with a variety of medical conditions stabilizing and arranging transport for those who required specialty or a higher level of care.
  • Attended cesarean sections and other complicated deliveries with stabilization of neonates.
  • Provided consultations for medical staff in the emergency department, in-patient and out-patient settings as well as the local health department and Oklahoma Child Protective Services.
Medical Consultant, 08/2010 to 02/2013
State of Missouri Disability Determinations Service Jefferson City/Springfield, Missouri
  • Reviewed and adjudicated pediatric applications for initial and continuing SSI benefits.
  • Reviewed medical records of pediatric applicants and whenneeded ordered diagnostic studies necessary to adjudicate the claim.
  • Supported disability counselors and administrators in local office as well as across the state by providing medical consultations on individual cases and with educational seminars for topics in areas of need.
Staff Pediatrician, 03/2010 to 04/2012
Jordan Valley Community Health Center Springfield, Missouri
  • Developed pediatric department for federally qualified health center (FQHC).
  • Diagnosed and treated a variety of diseases and injuries of high risk population of pediatric patients.
  • Provided pediatric consultations to on-site family practice providers and health department staff.
  • Participated in an integrated physical health/dental program.
  • Developed, formatted  and updated pediatric well child and common pediatric illness electronic medical records templates with ICD and CPT codes for clinic-wide use.
  • Identified opportunities to implement best practice  approaches and target affected patient populations to better improve outcomes for members with various diseases.
  • Organized and led a back-to-school health fair, picnic and carnival promoting vaccinations and health screenings for over 600 children.
  • Served as liaison between FQHC.area hospital, local health departments as well as community pediatricians/sub-specialists.
Pediatrician, 07/1987 to 02/2010
Various academic, hospital and private practice Tennessee and Missouri
  • Diagnosed and managed pediatric patients in a variety of settings including out-patient practice, urgent care, emergency department and in-patient while employed in academic, hospital-employed and private practices.
  • Assisted in the development and  implementation of a pediatric urgent care noted for its one hour "treat to street" care within a children's hospital.
  • Provided general medical care at a large university student health clinic with a student population >25,000 .
  • Attending physician for medical students and residents rotating through general pediatric wards, out-patient clinics, pediatric private practices and emergency departments.
  • Served as the pediatric clerkship director for a large medical school with four campuses providing core pediatric clerkships.
  • Member of the Core Clerkships ,Progress & Promotions and Admissions Committee at two medical schools.
Education
M.D.: Medicine, 1984
University of Missouri-Kansas City School of Medicine - Kansas City, Missouri

Pediatric Residency

University of Tennessee, Memphis Center for Health Sciences

1

This resume is created in 7 minutes.
Professional Summary
A highly-motivated, team-oriented and compassionate Board-Certified Pediatrician who retired to raise my children, I returned to the work force after fifteen years initially as the operations manager of a high-end boutique and then as an office manager trainee with Aspen Dental which I have really enjoyed due to its relevance to medicine. I am wanting to move back to Dallas after moving to Oklahoma to help care for a family member for which I'm no longer needed.
Skills

Extraordinary social skills

Calming demeanor

Comfortable with conflict resolution

Compassionate professional

Strong work ethic

Excellent leadership abilities

Extremely detail-oriented

Mathematical aptitude

Work History
Operations Manager/Stock Manager/ Shipping and Receiving, 10/2015 to 01/2017
St. John Boutique 43 Highland Park Village Dallas, Texas, United States

Performed all shipping and receiving duties

Maintained all stock in show room and back room

Supervised and conducted bi-yearly inventory of all stock

Assumed duties of acting store manager when former manager abruptly left including  scheduling and calming difficult personnel relationships between co-workers

Assisted wardrobe specialists with retail sales as needed

Reported to the District Manager regarding all store and staff issues

Pediatrician, 01/1997 to 07/2000
Preston Centre Pediatrics Dallas, Texas, United States

Examine patients and order, perform, and interpret diagnostic tests to obtain information on medical conditions and determine diagnoses

Prescribe and administer treatment, therapy,medication, vaccinations, and other specialized medical care to treat or prevent illness, or injury in infants and children

Collect, record, and maintain patient information, such as medical history, reports, and examination results

Pediatrician, 09/1993 to 12/1996
North Dallas Pediatrics Medical City Dallas, Dallas, Texas
Same as Preston Centre Pediatrics
Education
Pediatric Residency: General Pediatrics , 1993
Children\'s Mercy Hospital - Kansas City, Missouri

M.D.: Medicine, 1990
University of Oklahoma College of Medicine - Oklahoma City, Oklahoma

Bachelor of Arts: Biology, 1986
Baylor University - Waco, Texas

Bachelor of Arts: Microbiology, University of Oklahoma - Norman, Oklahoma
Additional Information
During my retirement from Pediatrics to raise my young children, I volunteered extensively at my church with the Deacons and youth programs as well as serving on numerous committees at several Dallas private schools organizing and promoting fundraising activities and large social events.
This resume is created in 7 minutes.
Professional Summary
Well-respected Pediatrician with 15 years experience treating patients for a variety of conditions
Results-driven Pediatrician Registered Expert in all aspects of general practice with success in developing strong  medical assistance ,focused on improving patient care and health issues.
Skills
  • Community medicine competence
  • Committed to rehabilitative care
  • Culturally sensitive
  • Humane and respectful
  • Dedicated to integrity
  • Chronic and acute pain management
  • Medical research comprehension
Work History
January 2003-March 2017 Pediatrician | Self Employed | Homs, Syria
  • Administered and prescribed appropriate courses of treatment, including pharmaceutical medications.
  • Advised and educated patients regarding diet, hygiene and effective disease prevention methods.
  • Inspected medical instruments, equipment and operating rooms to maintain proper hygiene and sterility.
February 2004-February 2008 General Practitioner | Military Hospital | Homs‎, Syria
  • Appropriately diagnosed and treated a variety of diseases and injuries in a general practice setting.
  • Treated pediatric patients with minor illnesses, acute and chronic health problems and growth and development concerns.
Education
2003 Qualified Pediatrician : Medical Al Baath University, Homs‎, Syria
2003 Qualified Pediatrician : Medical Al Baath University, Homs‎, Syria
This resume is created in 7 minutes.
Professional Summary
Bilingual Pediatrician in a busy medical office serving primarily uninsured and low income patients. Skilled in the diagnosis and treatment of patients suffering from diseases such as asthma, malnutrition, obesity, developmental delay and behavioral issues. Excellent reputation for patient service and superior clinical skills.
Skills
  • Community medicine competence
  • Fluent in Spanish
  • Conscientious provider
  • Humane and respectful
  • Culturally sensitive
  • Conflict resolution ability
  • Strong interpersonal skills
  • Compassionate professional
  • Good clinical judgment
  • Total quality improvement
  • Accomplished in primary care
  • Dedicated to integrity
  • Medical staff management
  • Observant
  • Conflict resolution ability
  • Open-minded communicative physician
  • Calm under pressure
  • Systems-based practice
  • Pediatric dermatology understanding
  • Pediatric infectious disease proficiency
  • Pediatric pulmonology comprehension
Work History
Pediatrician, 07/2007 to Current
North East Community Clinic Los Angeles, CA
  • Appropriately diagnosed and treated a variety of diseases and injuries in a general practice setting.
  • Administered and prescribed appropriate courses of treatment, including pharmaceutical medications.
  • Advised and educated patients regarding diet, hygiene and effective disease prevention methods.
  • Conducted physical examinations to provide information needed for admission to school.
  • Performed newborn nursery exams and managed newborn nursery care.
  • Treated pediatric patients with minor illnesses, acute and chronic health problems and growth and development concerns.
  • Monitored patients' condition and progress and re-evaluated treatments as necessary.
  • Delivered medical services to an average of 28 patients daily in office and hospital environments.
  • Developed open rapport with patients, encouraging them to share questions and concerns.
  • Lead the pediatric department peer group
  • Performed peer review as the lead pediatrican in the Quality Assurance Committee
Education
Bachelor of Science: Neuroscience, 1997
University of California, Los Angeles - Los Angeles, CA
M.D.: Medicine, 2004
University of California, Los Angeles Medical School (David Geffen School of Medicine) - Los Angeles, CA
Training
Pediatric Residency Program, 2007 University of California, Los Angeles-Los Angeles, CA
Certifications
  • Certified, American Board of Pediatrics