Tim Gutshall, MD Vice President Medical Management and Chief Medical Officer
Dr. Tim Gutshall is a native of Massillon, Ohio, and came to Iowa in 1975 to play football for the Iowa Hawkeyes. He went on to medical school at the University of Iowa, receiving his medical degree in 1983. Gutshall chose to attend Wake Forest University in Winston-Salem, North Carolina, for his family medicine residency, which he completed in 1986.
As vice president of Medical Management & Chief Medical Officer, Dr. Gutshall is responsible for providing clinical strategy and leadership in support of divisional and enterprise goals. He provides clinical and operational oversight of the Appeals, Care Management, Medical Policy and Medical Director Teams. Through the Health Networks and Network Engagement Teams, he interacts with network clinicians to support innovation and management of medical trend. He also works with the vice president and chief pharmacy officer to ensure we appropriately balance medical and pharmacy initiatives to deliver exceptional value.
Prior to joining Wellmark, Dr. Gutshall was the chief medical officer at Telligen, formerly the Iowa Foundation for Medical Care. He worked to develop quality improvement methodologies and communication skills, which he has used on the local, state and national scenes to engage CEOs, CFOs, physicians and nurses to understand the importance of process improvement and communication in impacting the quality of care in the clinical micro system. Dr. Gutshall has also served as a staff physician at Iowa Methodist where he was charged with coordinating the ER experience of the internal medicine residents. Prior to that he opened a primary clinic practice in Des Moines.
Dr. Gutshall is affiliated with the Iowa Medical Society, American College of Emergency Physicians and the American Medical Association.