Karl Brown MD,MPH, MBA, CRC

Dr. Karl Brown is a healthcare leader with 20 years of extensive experience working in both outpatient and inpatient settings, as well as in operational management of hospitals, outpatient facilities, and health plans.
Dr. Brown served as Molina Healthcare’s Chief Medical Officer of Utah and Idaho. During his tenure, he was the Corporate Medical Director of Risk Adjustment, Coding, and Auditing, overseeing these enterprise-wide teams. Dr. Brown began his health plan experience as the medical director of risk adjustment in the Utah market. Highly regarded for data-driven initiatives resulting in improved patient outcomes, enhanced safety measures, strategic cost reductions, and increased revenue capture, Dr. Brown is a process-focused motivator dedicated to continuous improvement.
His extensive experience includes risk adjustment for Medicare, Medicaid, and Marketplace; safety, protocol standardization, and promoting and instituting Electronic Health Records (EHR) usage; utilization and case management; revenue capture; CMS audits and improved core measures; prior authorizations; grievances and appeals; compliance; Stars, HEDIS; and improving Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores.
Dr. Brown earned his MD from Wayne State University, his MPH in Epidemiology and his MBA from the University of Michigan.