Dr. Karen Amstutz is the chief medical officer for Magellan Healthcare (MHC), where she establishes and leads the overall clinical vision for the healthcare division and, as part of Magellan’s growth strategy, continually looks for ways to reinvent how care is delivered. Amstutz is charged to ensure that Magellan delivers the best care and clinical outcomes to our customers and their patients. She serves as the clinical member of the MHC senior leadership team and provides the clinical expertise in helping to define the business strategy and direction of the organization, while serving as MHC's clinical expert to the external community. She works cross-functionally with all of the MHC's business segments and plays a key leadership role in refining and delivering clinical effectiveness and clinical quality improvement.
Prior to joining Magellan, Amstutz was vice president of medical affairs for Evolent Health, where she was responsible for ensuring population health clinical effectiveness and quality of clinical transformation operations nationwide. She also served as vice president and senior medical director for xG Health, helping healthcare provider organizations become high-performing population health management systems to succeed more quickly under value- and performance-based payment models. For eight years prior to Evolent and xG, she served as vice president, medical director at WellPoint, Inc. (Anthem) where she led enterprise clinical quality for 33 million members, and clinical strategy and clinical operations for Medicare and Medicaid nationwide. She was deeply involved in the acquisitions of both CareMore and Amerigroup.
Amstutz began her career caring for underserved patients in Indianapolis, as a faculty member of the Indiana University School of Medicine and served as medical director at MDwise prior to joining Anthem. She continues to serve as course director for the MD-MBA Forum, a course specifically for medical students pursuing an MBA at the Indiana University Kelly School of Business. Amstutz earned her bachelor’s degree with highest honors from Indiana University, her medical degree from Washington University, St. Louis and her master’s degree in business administration with honors from the University of Chicago. Her medical training is in internal medicine at Barnes Hospital, St. Louis, and in pediatrics at Massachusetts General Hospital, Boston. She is a board certified pediatrician. She and her husband, David, are the proud parents of three children.