Tammy Lockett-Benjamin, MD

2423 Freetown Drive, Reston, VA 20191

703-505-3588

Qualifications

Physician with extensive experience in utilization review and quality management in addition to 16 years of clinical practice experience. Strong team player with excellent negotiation and problem solving skills. Sound knowledge of ethical standards and laws for delivering medical care. Excellent telephonic and interpersonal skills.

Experience

United HealthCare Clinical Services, Inc.

Medical Director, Clinical Coverage Review, January, 2017-present

  • Conducts coverage review based on individual member plans and national coverage review guidelines
  • Provides support for Clinical Coverage Review nurses and nonclinical staff
  • Conducts peer to peer discussions with the requesting provider

Executive Health Resources, Inc.

Physician Advisor, Commercial Retrospective Appeals, September, 2013-2017

  • Serves as an advocate and an appeal expert for hospitals
  • Conducts thorough reviews of hospital medical records submitted by clients for the appeal of adverse medical necessity determinations
  • Provides appeal arguments for denied or downgraded medical necessity determinations made by health care organizations using evidence based medicine.
  • Conductspeer to peer discussions with the Medical Director of health care organizations to appeal denied or downgraded medical necessity determinations

CompHealth, Inc.

Obstetrics and Gynecology Hospitalist, December, 2016-present

  • Responsible for the assessment and treatment of the pregnant patient in the clinic setting
  • Responsible for the assessment and treatment of the pregnant in the hospital setting
  • Serves as a consultant for Labor and Delivery Unit nursing education

Delphi/TeamHealth, Inc.

Obstetrics and Gynecology Hospitalist, November, 2007-2017

  • Serves as a clinical resource and consultant to community clinic healthcare providers as well as hospital physicians
  • Responsible for the assessment and treatment of the pregnant patient in the clinic setting
  • Responsible for the assessment and treatment of the pregnant and non-pregnant patient in the hospital setting
  • Leads Labor and Delivery Unit safety drills
  • Serves as a consultant for Labor and Delivery Unit nursing education

Jan Paul Fruiterman and Associates, PC

Attending Physician, February, 2005-October, 2007

  • Responsible for the assessment and treatment of patients in the private practice setting
  • Managed the Obstetrics and Gynecology surgery schedule
  • Participated in health promotion programs within the community

Ahmadi and Ahmadi, PC

Attending Physician, August, 2001- January, 2005

  • Responsible for the assessment and treatment of patients in the private practice setting
  • Managed the Obstetrics and Gynecology surgery schedule
  • Participated in the Quality Assurance committee at Long Island College Hospital
  • Implemented a formal physician referral service
  • Developed community programs for health promotion
  • Mentored and supervised Obstetrics and Gynecology residents

Long Island College Hospital, Brooklyn, NY

Internship: Family Practice, 7/96-7/97 Residency: Obstetrics and Gynecology, 8/97-6/01

Louisiana State University Medical Center, New Orleans, LA

Doctor of Medicine, 5/96

Licenses

Virginia License- 0101237687

Certifications

American Board of Obstetrics and Gynecology

Healthcare Quality and Management

Membership

American College of Obstetrics and Gynecology

American Board of Quality Assurance and Utilization Review Physicians

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