Albena D. Baharieva, MD, MBA

Care1st Health Plan, AZ

Phone: 602 292 5771
Cell: 773 350 0460
Email: albenabah@gmail.com

Profession: Physician (MD or DO)

Current ABMS or AOA Board Specialty and Subspecialty Certification(s): Internal Medicine

Additional Information: - MD degree in 1991 - MBA Degree in 2006. - Board Certification in IM. - Medical Director in a health plan in Arizona 2006-2008 - performed concurrent and retro review of inpatient stays, prior authorization and review of quality of care concerns for five lines of business(Medicare Advantage, Medicaid, Longterm Care, Developmental Disabilities and commercial) - Currently I am Chief Medical Officer at a health plan in Arizona, responcible for all UM (prior auth, concurrent review, retro review) and QM activities of the plan

Education: MD-Medical Academy, Plovdiv, Bulgaria and MBA-Loyola University, Chicago, IL

License(s): Arizona and Illinois

Years in Practice: 6 to 15 years

Number of file reviews previously performed: 100+ file reviews
Average monthly hours in direct patient care: 11 to 40 hours