top of page
         LinkedIn Profile
  • Dr. Flores' LinkedIn Profile

Hello, I'm Dr. Arthur Flores

I am seeking an opportunity that will best utilize almost 30 years of clinical experience in the practice of medicine and healthcare administration.  My career experience provides a diverse array of physician  leadership roles I have assumed for Managed Care Organizations, Healthcare Delivery Networks, Clinical Academic Programs, and Health and Wellness Companies.  I hope to contribute to the success of a healthcare organization by lending my experience, skill-set, and knowledge of healthcare administration toward advancing the delivery of quality and cost-effective health care that improves health outcomes and ultimately the quality of life of the patients and families we serve.   

Untitled - October 20, 2026 at 10.34.27.png
enhanced_Flores.png

Arthur Flores, M.D. 

Physician Executive

Phone:

219-688-8641

Email:

Address:

11345 Abercairn Court

Zionsville, IN 46077

Medical Education

b2df9146ae1cee33ebe6605baeb4e9ee.png

The Ohio State University College Of Medicine

Specialty - Certification

Family Medicine 

491-4915051_american-board-of-family-medicine-hd-png-download.png

SUMMARY OF CAREER EXPERIENCE

     Dr. Flores' career demonstrates an unusually broad combination of executive medical leadership, managed care, population health, disease management, quality, and clinical operations. His current position as Deputy Chief Medical Officer at Trillium Health Resources, combined with his previous Chief Medical Officer role at Aetna and National Medical Director position with Anthem, demonstrates experience operating at the highest levels of healthcare strategy and medical leadership. His background with organizations such as WebMD Health Services, American Family Health, Anthem Blue Cross - Blue Shield, and Aetna, further demonstrates extensive exposure to health-plan operations, medical management, Medicaid and Medicare, regulatory guidelines, NCQA, URAC, HEDIS, and population-health strategy. This combination makes Dr. Flores particularly well suited for an executive position requiring someone who can connect medical strategy, clinical operations, quality performance, regulatory requirements, and patient-centered healthcare delivery.  He is seeking to leverage his extensive executive experience while contributing to broader organizational strategy. His managed-care and population-health background is particularly valuable in developing scalable clinical programs, strengthening quality outcomes, improving healthcare value, and aligning medical operations with organizational objectives.  

​

    Additionally, Dr. Flores has had multiple clinical leadership roles for Health Clinics and Healthcare Delivery Networks including Chief Medical Officer roles with NorthShore Health Centers, Adult & Child, and Third Street Family Health Services, all Federally Qualified Health Centers (FQHC).  In these clinical leadership roles he has demonstrated knowledge of Medicare and Medicaid regulations, Value Based Care, Clinical Care Guidelines, HEDIS and clinical quality, health outcomes reporting, development of clinical programs, coding and clinical documentation, population and public health, and day to day operational oversight of physicians and clinical staff providing direct patient care.  His healthcare knowledge and experience has allowed him to advance health clinics by achieving FQHC and JCAHO accreditations, expand provider staff, grow clinical facilities through the opening of new clinics, and ensuring the medical needs of the population served were met.  These roles required extensive collaboration and coordination with community partners such as hospitals, health systems, pharmacies, academic medical centers, and civic resources including State and Federal Government.  His clinical practice has included Family Medicine, Urgent Care Medicine, Occupational Medicine, Aesthetic Medicine, and Health and Wellness.  He has provided patient care in hospital and ambulatory care settings, as well as free standing Emergency and Urgent Care facilities.   

EDUCATION

EDUCATION

1998-2001

Family Medicine Residency

Chief Resident

1994-1998

Doctor of Medicine, M.D.

The-ohio-state-university-wexner-medical-center.png

Columbus, Ohio

OSUCOM Logo.png

Columbus, Ohio

1988-1992

Bachelor of Science Biology, B.S. 

IU logo.png

Bloomington, Indiana

EXPERTISE

Medical Management

Care Management, Disease Management, Utilization Management

Value Based Care 

Payor and Provider Perspectives, Risk Adjusted Contracts based on Population Data, Risk Sharing Models

Population Health

Whole Populations and targeted Sub-Populations

Digital Health Tools

EMR / PHR,  Medical Management Platforms, Provider and Patient Portals, Digital Health Apps

Government Programs

Managed Medicaid & Medicare, 

Predictive Modeling

Risk Stratification, Algorithm Creation, Predictive Analytics, Risk Distribution

Provider Relations & Engagement

Network Management and Network Adequacy, Clinical / Physician Advisory Committees

Clinical Care Guidleines

Evidence Based Medicine and Application of Clinical Guidelines, Medical Necessity

Clinical Quality

Change the text and make it your own. Click here to begin editing.

Change Management

Navigating shifting State and Federal regulations / laws

Regulation, Accreditation, and Complaince

HEDIS, KPI's, NCQA, URAC, JCAHO, STAR

Pharmacy, Pharmacy Benefits Manager,
340-B Drug Program

Collaboration and Monitoring of Health Plan Pharmacy Benefit Manager, knowledge of 340-B Program

CLIENTS

SKILLS

SKILLS

Public Speaking & Presentations - Advanced

Microsoft Office - Proficient

Project Management - Advanced

Leadership, Coaching, and Team Building - Advanced

Predictive Modeling and Analytics - Advanced

Data Analysis - Advanced

Oral and Written Communication Skills - Advanced

Program Development, Practice Start-up, Health Integrations - Advanced

CONTACT ME

Physician Executive

  • Linkedin

Phone:

219-688-8641

Email:

© 2026 By Arthur Flores, MD. Powered and secured by Wix

bottom of page