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Paul A. Kaplan

Vice President Network and Medical Management and Chief Medical Officer
Blue Cross Blue Shield of Delaware
745 Northbrook Road
Kennett Square, PA 19348
(302) 421-8700
paul.kaplan@bcbsde.com

Education/Certification

  • Board Certification:
    Family Practice 1989
    Recertified 1995, 2001, 2007
    Certified Physician Executive 2002
  • Certification as a Physician Executive (CPE), American College of Physician executives (ACPE), 2004
  • MBA from Regis University, 2001 – 2003
  • Residency in Family Medicine, Medical Center of Delaware, 1987 – 1989
  • Internship, Medical Center of Delaware, 1986
  • Internship, Groote Schuur Hospital, Cape Town South Africa, 1985
  • Medical School University of Cape Town, Cape Town South Africa, 1979-1984

Professional Experience

  • Vice President Network and Medical Management and Chief, Medical Officer, 8/2007 – present
  • Associate Vice President and Chief Medical Officer, Blue Cross Blue Shield of Delaware, 10/2005 – 8/2007
  • Chief Medical Officer, Blue Cross Blue Shield of Delaware, 1/1999 – 10/2005
  • Associate Medical Director, Blue Cross Blue Shield of Delaware, 1996 – 12/1998
  • Family Physician in private practice, Wilmington, Delaware, 1989 – 1996
  • Resident in Family Medicine, Medical Center of Delaware, 1987 –1989
  • Private Practice Cape Town South Africa, 1986

Honors & Awards

  • Nominated for the award of “Best Individual Leadership in the Field of Disease Management”, November 2000

Professional Membership

  • 1991 Member Credentials Committee, Department of Family Medicine, Medical Center of Delaware
  • 1992 – 1996 Board member of Community Medical Care
  • 1993 – 1998 Vice President, Community Health Care
  • 1994 – 1996 Member of Gastroenterology Quality Assurance committee, Saint Francis Hospital
  • 1996-1998 Member education committee, Delaware Academy of Family Physicians
  • 1996 – 1997 Vice President Delaware Academy of Family Physicians
  • 1997 – 1998 President elect Delaware Academy of Family Physicians
  • 1996 - 2000 Member of Board, Delaware Academy of Family Physicians
  • 1997-1999 Delaware Curative workshop physician advisory board member
  • 1998-1999 President, Delaware Academy of Family Physicians
  • 2000-2001 Chairman, Nominating Committee, Delaware Academy of Family Physicians
  • 2000- 2002 Elected as an alternate delegate representing New Castle County to the House of Delegates of the Medical Society of Delaware.
  • 1999 Elected to represent the Medical Society of Delaware at the Medicare Carrier Advisory Committee (CAC)
  • 2000- 2003 Board of Directors, Disease Management Association of America
  • 2000 – 2003 Steering committee for the Insurance Advisory Board of Delaware
  • 2000 - 2006 Board of Directors, Blood Bank of Delmarva
  • 2006 - 2010 Member of the executive committee of the Board of Directors, Blood Bank of Delmarva
  • 2011-present Secretary Blood Bank of Delmarva
  • 2005-present Member of nominating committee of Blood Bank of Delmarva
  • 2011 Vice Chair, National Medical Management Forum for Blue Cross Blue Shield Association

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