Marci Chodroff, MD, FACP
Specialty Pharmacy Certification Board, Physician Board Director
Marci J. Chodroff, MD, FACP, SPCB Physician Board Director is Vice President of Medical Affairs at Magellan Rx Management, the pharmacy benefit manager (PBM) division of Magellan Health.
As Vice President of Medical Affairs, Magellan Rx Management, Dr. Chodroff is responsible for utilization management oversight, quality improvement, business development, and strategy in program development for specialty pharmacy/oncology programs and the PBM. In addition, Dr. Chodroff is the Medical Director of Magellan Rx Management’s Medicare Part D contract for the Employer Group Waiver Plan (EGWP) and also provides clinical and quality oversight of Magellan Rx’s integrated care management programs, including medical utilization management. Dr. Chodroff also serves as the Chair of the Magellan Rx Management Pharmacy & Therapeutics Committee.
Dr. Chodroff currently serves as an industry representative to the Centers of Medicare & Medicaid Services (CMS) Medicare Evidence Development & Coverage Advisory Committee (MEDCAC). She is a Medicare subject matter expert with extensive knowledge of statute, regulations and guidance with particular expertise in the interpretation of CMS national and local coverage determinations (NCDs/LCDs). Dr. Chodroff also serves as Board General Manager, Healthcare Businesswomen’s Association (HBA) Rochester, a new HBA affiliate and has been a key leader contributing to the launch of HBA Rochester.
Dr. Chodroff previously served as Medical Director, Medicare Part D Qualified Independent Contractor (QIC) at MAXIMUS, where she led clinical and quality oversight for national reconsideration appeals. Dr. Chodroff is an internist with 15 years of clinical practice experience as a hospitalist and primary care physician.
Dr. Chodroff received her BS, cum laude, in biology from Tufts University and received her medical degree from the University of Rochester School of Medicine & Dentistry. She completed her internship and residency in Internal Medicine at Strong Memorial Hospital. She is board certified in Internal Medicine by the American Board of Internal Medicine and is a fellow of the American College of Physicians.