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James J. McCormick III, M.D., M.B.A.

Expert Witness

Yanceyville, NC18 years+ years experience
Healthcare Management and Clinical Care Review Expert Witness

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Professional Summary

James J. McCormick III, M.D., M.B.A. is a healthcare management expert specializing in clinical care review and managed care litigation. With a career encompassing medical leadership, insurance oversight, and clinical operations, he brings a strategic perspective to his litigation work. His work centers on investigating clinical care standards, assessing healthcare management practices, and evaluating whether insurance protocols were adhered to.

Mr. McCormick has been retained in numerous expert witness and consulting engagements across the United States, involving HMO and insurance cases, clinical care reviews, and healthcare management disputes. His Doctor of Medicine from SUNY Health Science Center at Brooklyn, along with his Executive MBA from Pepperdine University Graziadio School of Business and certifications such as American Board of Emergency Medicine Certified, reinforce his ability to deliver objective, defensible analyses. He is regularly engaged by both plaintiff and defense counsel to provide clear, independent determinations of standard of care in disputes involving managed care and healthcare management.

Work Experience

James J. McCormick III, M.D., M.B.A., has over 26 years of experience in the medical and healthcare consulting fields. He is currently a Consulting Expert at Tradewinds Healthcare Consulting, LLC, and has held various leadership roles at Humana, Inc., including Co-Chair Humana Utilization Management Committee and Associate Chief Medical Officer - Vice President Integrated Care.

Expert Intelligence

AI-Generated AnalysisBased on public information

Best Descriptor

James J. McCormick III is a consulting expert specializing in clinical care review and healthcare management.

Best Use Cases

  • 1testifying in healthcare litigation
  • 2consulting on clinical care protocols
  • 3advising on healthcare management strategies

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Education

  • Doctor of Medicine

    SUNY Health Science Center at Brooklyn · 1988

  • Bachelor of Science in Biology with Chemistry Minor

    Long Island University at C.W. Post · 1984

  • Executive MBA

    Pepperdine University Graziadio School of Business · 2006

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