Avani Virani
About Avani Virani
Avani Virani is a Medical Director currently employed at Highmark Inc. in Wilmington, Delaware, where she has worked since 2015, following her tenure at LIFE St. Francis and AVENUE MEDICAL ASSOCIATES PA.
Work at Highmark
Avani Virani has served as Medical Director at Highmark Inc. since 2015. In this role, she focuses on integrating case management with vendor activities through the development of clinical care pathways. She is involved in creating prior authorization criteria that prioritize member safety, clinical appropriateness, cost, and regulatory compliance. Her contributions include developing evidence-based clinical criteria for vendor management and evaluating vendor performance through analytics.
Previous Experience at AVENUE MEDICAL ASSOCIATES PA
Avani Virani worked as Medical Director at AVENUE MEDICAL ASSOCIATES PA from 2008 to 2013. During her five-year tenure in Wilmington, Delaware, she managed clinical operations and contributed to patient care strategies. Her leadership in this role helped shape the medical practice's approach to patient management and healthcare delivery.
Previous Experience at LIFE St. Francis
From 2013 to 2015, Avani Virani held the position of Medical Director at LIFE St. Francis in Wilmington, Delaware. Over the course of two years, she oversaw medical services and contributed to the organization's healthcare initiatives, enhancing patient care and operational efficiency.
Education and Expertise
Avani Virani earned her Doctor of Medicine (MD) degree from Mount Sinai School of Medicine, where she studied Internal Medicine from 2000 to 2003. Prior to that, she obtained her Bachelor of Medicine, Bachelor of Surgery (MBBS) from Seth G S Medical College, completing her studies from 1993 to 1999. Her educational background provides a strong foundation for her medical practice and leadership roles.
Professional Contributions
Avani Virani is a core constituent in a high-level task force aimed at reducing opioid misuse through advanced analytics and provider education. She develops care pathways and expands pharmacy utilization management programs to enhance non-opioid pain management modalities. Additionally, she was appointed by the Governor to serve on the Behavioral Health Consortium and Addiction Action Committee, reflecting her commitment to addressing critical health issues.