Charles Stemple, DO, is the former Sr. Medical Director & Vice President of the Health Guidance Organization at Humana. Charles’ impressive career spans over 40 years, beginning with his foundational role as an emergency department physician. This experience offered him broad clinical insights which he integrated into subsequent leadership roles in managed care, accumulating over 25 years in this specialized domain.
Charles has been widely acknowledged for his ability to lead diverse medical initiatives, skillfully engaging providers and administrators alike. His professional endeavors have included small molecule, biologics, and diagnostic test evaluations, the development of comprehensive case management systems, and strategic utilization management (UM) oversight. He played a pivotal role in leading an expert team focused on refining and implementing cutting-edge automation for prior authorization review. This initiative not only streamlined processes but also generated significant insights into the effectiveness of physician programs, leading to enhanced physician engagement and improved patient outcomes.