Curriculutn Vitae

Charles James Carlini

B.S., M.S., J.D., M.D., F.A.C.O.G.

Charles J. Carlini, M.D., J.D.

Email: Charles.Carlini_.. @Optum.com

Fax: (702) 269 - 0552 Office: (612) 632 - 5058

Summary of Qualifications

• M.D. with twenty plus years of experience in the private practice of Obstetrics & Gynecology.

• Board certification with multiple re-certifications in Obstetrics & Gynecology. • Fellow of the American College of Obstetricians & Gynecologists. • Experience in the pharmaceutical industry as a national speaker and company

representative for various pharmaceutical houses. • Familiarity with clinical guidelines in the drug development process and relevant

FDA criteria. • Previous panel member of Highmark Blue Cross/Blue Shield (Western

Pennsylvania) and Aetna/U.S. Healthcare with responsibility for determining certification of hospital admissions, preauthorization of surgical procedures and outpatient adjuvant support therapies in addition to the development of guidelines for clinical testing and procedures.

• Extensive experience in hospital administration including Chairmanship of the Quality Assurance Committees and Department of Obstetrics & Gynecology.

• Previous assistant clinical professorship, University of Pittsburgh School of Medicine, Department of Obstetrics & Gynecology.

• Previous adjunct professor, St. Francis University, Loretta, Pa., Physician Assistant Department.

• Unique combination of expertise in physics and mathematics in addition to a background in statistics, computer software writing, applied physics research and applied mathematics. '

• Graduate of Carnegie Mellon University (June, 1968 and June, 1970) with a B.S. and M.S. in Physics.

• Graduate of the University of Pittsburgh School of Medicine (Pgh., Pa.) in May, 1976. • Graduate of the Duquesne University School of Law (Pgh., Pa.), July, 2005 with

admission to the Nevada BAR (2008). • Past and current expert witness appearances providing written opinion and

testimony for malpractice litigation. • Experienced in utilization management of Medicaid members with respect to

obstetrics. • Ability to meet deadlines unde~ pressure secondary to a personal commitment to

productivity, efficiency and integrity.

Medical Director, Cigna Health Care Corporation, 10/2004 to 9/2007

Medical Director. United Health Care Corporation, 12/2007 to 4/2009

National Medical Director, Optum, (United Health Group) 4/2009 to present

Education

College: Carnegie-Mellon University (CMU), 1964-1968 Bachelor of Science, Department of Physics

Graduate School: Carnegie-Mellon University (CMU), 1968-1970 Master of Science, Department of Physics

Medical School: University of Pittsburgh School of Medicine: 1972-1976; M.D.

Residency: Western Pennsylvania Hospital, Department of Obstetrics and Gynecology (Pgh., Pa.); 1976-1980.

Law School: Duquesne University School of Law (Pgh., Pa.); 2002-2005; J.D.

Experience

Currently, Medical Director, United Health Group Corporation, Optum Inc.

Activities include, but are not limited to,

Designing clinical guidelines with respect to High Risk Obstetrics and Bariatrics, High Risk Maternity and Bariatric case management review on a daily basis, Participation in formal lecture programs, germane to High Risk Obstetrics and Bariatrics, delivered to bariatric and maternity nurses, Participation in the determination of new coverage positions and design ofmonetization models for cost saving initiatives, Preparation of "white papers" detailing financial advantages of programs based upon a financial analysis of the elements involved in the initiatives (see below), Presentations for Maternity and Bariatric programs for educational institutions and clients, and Review of documents published by OPTUM for member circulation

Other activities include:

1. Authorship on an original paper on 17 alpha-hydroxyprogesterone caproate (17P) submitted to American Journal ofPharmacy Benefits (AJPB); published, 2013.

2. Creation of an original paper on the Cost Savings Associated with the Avoidance of Early Elective Delivery; published in The American Journal ofAccountable Care, 2016.

3. Performance ofPeer-to-Peer calls on Maternity and Bariatric cases to clarify member care with respect to Evidence Based Medicine.

4. Testing of clinical competency for Maternity & Bariatric nurses yearly.

5. Presentment of Maternity and Bariatric Clinical Guidelines to the MTAC and NMCMC for approval by these vetting committees under the auspices of United Health Group.

6. Participation in the Obstetrical and Bariatric Expert Panels involving OPTUM and United HealthCare.

7. Active participation in employer audits in addition to audit preparation.

8. Knowledge of the statistical methods used by OPTUM and the UHC Economic Counsel in addition to familiarization with the different data platforms employed by UHC and OPTUM.

9. Providing back/up for Reproductive Resource Services in addition to the Spine & Joint discipline at Optum when the principals are unavailable.

10. Attendance and participation in CME activities in High Risk Obstetrics usually orchestrated by Symposia Medicus.

11. Voluntary CME activities completed yearly for the American Board of Obstetricians & Gynecologists (ABOG).

12. Presentation of Optum Women's Line of Service Products and the Bariatric Resource Service on visits when and where necessary.

13. Participation in the determination of facility candidates for the Bariatric Centers of Excellence (COE) Network and subsequent revision of the surveys used to determine candidacy based on clinical competency and affordability components in addition to risk stratification.

14. Participation in the Maternity Support Program (MSP) audits and practice determinations.

15. Participation in the Healthy Pregnancy Program (HPP) audits and practice determinations.

16. Participation in the Healthy First Steps (HFS - Medicaid product) practice determinations orchestrated by medical necessity (Milliman Care Guidelines - utilization management)).

17. Power point review for the Maternity nurses with respect to the status of Influenza/HlNl/Measles vaccinations for nursing teams yearly in addition to updates on the Ebola and Zika virus infestations.

18. Construction and maintenance of relationships with organizations such as the American Society of Metabolic and Bariatric Surgery (ASMBS) and the American College of Obstetricians and Gynecologists (ACOG).

19. National Speaker for the March of Dimes

20. Production of presentations for the Course Catalogue for High Risk Obstetrics and also for the Bariatric Resource Service.

Previous Employment

• U.S. Bureau of Mines, Pgh., Pa. 1968-1970,

Research in applied physics: A position as a general physicist using computer analysis and model testing with respect to projects involving:

• Combustibility of airplane fuel upon crash impact,

• X-ray energy levels and associated spectra analysis of carbon based compounds,

• Accidental dispersion of chlorine gas in the harbor of Boston,

• Analysis of methane explosions in coal mining disasters.

Westinghouse Corporation, West Mifflin, Pa. 1971,

Research in applied physics:

• A full-time position as a general physicist developing computer models for projected estimations of contents of uranium fuel cells via spectroscopic analysis for use in nuclear powered naval vessels at the Westinghouse Bettis

Naval Research Plant in McKeesport, Pa. Additional research was done involving the computer simulation of nuclear reactors in naval vessels at sea.

Carnegie-Mellon University (CMU), Pgh., Pa. 1968-1971,

Professorship in Physics/Mathematics

Appointment as a full-time faculty member in the CMU Physics Department involving

• Teaching of physics and mathematics to fulltime freshman and sophomore CMU students,

• Participation in the construction and administration of testing materials for the evaluation of CMU students, and

• Organization of after-class private tutorials for students in need of, or desirous of, an additional didactic experience.

Robert Morris University, Pgh., Pa. 1972,

Instructor:

• Mathematics instructor teaching courses in applied mathematics, statistics and the fundamentals of calculus.

Western Pennsylvania Hospital, Pgh., Pa. 1976-1980,

Residency:

• Completion with honors of a full-time comprehensive ACOG-approved training program in Obstetrics, Gynecology and Infertility.

Private Medical Practice specializing in Obstetrics & Gynecology, Pgh., Pa. 1980-2001,

Obstetrics

• Provided comprehensive clinical care to expectant mothers including those subjected to high risk pregnancies secondary to medical complications of pregnancy.

Gynecology • Provided comprehensive clinical care to patients ranging from routine

office visits to complex surgery including the treatment of advanced gynecological malignancies.

Infertility • Provided comprehensive clinical care for patients desiring

conception but unable to become pregnant. Modalities included infertility diagnosis, operative laparoscopy for pelvic adhesions and endometriosis and tubal reanastomosis.

National Lecturer, Obstetrics and Gynecology 2000- 2002,

Watson and Eli-Lilly Pharmaceutical Companies:

• Participation in training new pharmaceutical representatives, and

• Participation in market development of new gynecologic products in addition to dispensation of clinical information.

• Adjunct Clinical Professor, St. Francis University, Loretto, Pa. 1981- 2008,

• Professor of obstetrics and gynecology, Department of Physician Assistants,

• Clinical instruction on a day-to-day basis for students rotating through the discipline of obstetrics and gynecology, and

• On campus clinical demonstrations and lectures in the discipline of obstetrics and gynecology.

• Panel Member, Aetna/U.S. Healthcare 1984 -1994,

• Provided input to the above Health Organizations with respect to the management of obstetrical & gynecological patient care decisions.

• Obstetrical and Gynecological Case Reviewer, Highmark Blue Cross/ Blue Shield 1996 -1998

• Provided a case-by-case review with respect to the OB/GYN proposals submitted by caretakers of Highmark covered lives; certified proposed care plans involving medications, surgeries, hospital admissions or outpatient care and associated adjunct modalities

• Discussed individual cases with care providers and adjudicated disputes between care providers and other physician panel members in determining the legitimacy of previous healthcare decisions.

• Law Student, Pgh., Pa., Duquesne University School of Law 2002- 2005,

• Fulltime law student, Duquesne University School of Law, Pgh., Pa.

• Graduation in June/2005; J.D. awarded

• Course specialization in Healthcare Law, contracts and corporations with special interest in Health Maintenance Organizations and the pharmaceutical industry. Member of the NV BAR (2008).

Professional Membership

• American College of Obstetricians and Gynecologists, Diplomat, 1980

• Allegheny County Medical Society, member, 1980- 2001 • American Medical Association, member, 1990-1999 • American Physical Society, member, 1980 - present • Pittsburgh OB/GYN Society, member, 1980- 2001 • Member of the State Bar of Nevada, 2008 to present

Honors and Awards

• Excellence in medical student teaching, Residency, Western Pennsylvania Hospital, Pgh., Pa. 1980.

• National Board Certification in Obstetrics & Gynecology, 1982 (with numerous re-certifications); passed ABOG exam on first attempt.

• Appointment to Chairmanship of Department of Obstetrics & Gynecology, St. Clair Memorial Hospital, Pgh., Pa., 1992-96.

• Appointment to chairmanship of Department of Quality Assurance, St. Clair Memorial Hospital, Pgh., Pa., 1996-2000.

• Appointment to Executive Committee, St. Clair Memorial Hospital, Pgh., Pa., 1992-96.

• Appointment to Chairmanship of Department of Gynecology, Jefferson Hospital, Jefferson, Pa., 1990-94.

• Appointment to assistant clinical professorship, Magee Womens Hospital, University of Pittsburgh School of Medicine, Pgh., Pa., 1980-2001.

• Appointment as chief resident, Western Pennsylvania Hospital, Pgh., Pa., 1979-1980.

• Primary national speaker, Eli-Lilly Co., Indianapolis, IN., 1998-2000 .

• National speaker for Parke-Davis and Watson Pharmaceutical companies, 2000-02.

• Excellence in Teaching Award, Department of Physician Assistance, St. Francis University, Loretto, Pa., 2003.

• Duquesne University School of Law, High individual academic performance:

- Law and Medicine - Food and Drug Law - Remedies and Damages - Post-conviction Remedies