Dr. Maria Lopes
Chief Medical Officer, Magellan Rx Management
Dr. Maria Lopes currently serves as chief medical officer for Magellan Rx Management, and has 19 years experience in the managed care industry. She previously served as chief medical officer of GHI/EmblemHealth and AMCHealth, as well as chief medical director of Horizon Blue Cross/Blue Shield of New Jersey. In her role at Magellan Rx Management, she oversees clinical program development and implementation, patient outreach and clinical assessment, pathway development, and strategic solutions. Lopes works closely with over 40 health plans to create customized and innovative programs that add quantifiable clinical and economic value.
Lopes has extensive experience in disease and case management, employee health and wellness, and quality initiatives to improve HEDIS/Medicare STAR performance. She has been responsible for medical policy development and implementation, correct coding initiatives, fraud and abuse prevention, physician profiling, and the development of a medical home pilot project in New York. She has worked closely with Geisinger Health Systems on innovative strategies in e-Health, data analytics and HIT to improve patient engagement, care coordination, and align incentives as part of Geisinger's Proven Health Navigator (Advanced Medical Home).
Lopes is a licensed obstetrician and gynecologist. She received her bachelor’s degree in biochemistry from Wesleyan University, her medical degree from the University of Connecticut, and her master’s degree in administrative medicine from the University of Wisconsin.