Maria Lopes

Dr. Lopes has been in the managed care industry for over 23 years.  Her professional experience includes: Chief Medical Officer of MagellanRx, Chief Medical Officer of GHI/Emblem Health, Chief Medical Director of Horizon BCBS NJ and CMO with AMC Health/GHS. 

 In her role, she has been responsible for Quality, Innovation, Policy development, network oversight, clinical program development and implementation, patient outreach and clinical assessment, pathway development and strategic solutions spanning inpatient, outpatient management in both medical, pharmacy and behavioral health in chronic conditions and specialty management including Oncology, RA, MS, IVIG, HAE, HIV, HepC, Neurotoxins, Gaucher’s, Hemophilia and PAH.  She works closely with over 40 health plans to bring customized and innovative programs that add quantifiable clinical and economic value.
Dr 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 formulary management, Medical Policy Development and Implementation, Correct Coding initiatives, Fraud and Abuse, Physician Profiling and the development of a Medical Home Pilot project in NY.  She has overseen Medical and Pharmacy Utilization in a network and a staff model. She has worked closely with Geisinger Health Systems on innovative strategies in e-Health, digital solutions, data analytics and HIT to improve patient engagement, care coordination, and align incentives as part of Geisinger's Proven Health Navigator (Advanced Medical Home). 

Dr. Lopes is an Obstetrician and Gynecologist.  She has a BA in Biochemistry from Wesleyan University, received her Medical Degree from the University of Connecticut and has a Master’s degree in administrative medicine from the University of Wisconsin.

In her spare time, she enjoys traveling to Europe and spending time with her family at their home in Portugal.  She also enjoys spending time with her grandson in Boston.