Skip to Main content

Senior Staff

Lily Higgins, M.D., M.B.A., M.S.
Network Medical Director

As network medical director, Dr. Lily Higgins is responsible for Keystone First’s quality assurance efforts and the management of its relationships with the local medical community, including primary care providers, specialists and hospitals.

Previously, Higgins served as utilization management medical director for Keystone First where she was responsible for the medical care of the health plan’s membership. She significantly improved health outcomes and quality of care by providing direct oversight of programs, medical policy and provider relations.

Higgins is a fellow of the American Academy of Pediatrics and a member of the Asian American Women’s Coalition (AAWC). She serves on the board of Pennsylvania’s chapter of March of Dimes and Pennsylvania’s Premie Society.

Higgins received a Bachelor of Arts degree from Cornell University, a Master of Nutrition degree from Columbia University of Physician and Surgeons and a medical degree from Drexel University School of Medicine. She also holds a Master of Business Administration in Medical Services Management from John Hopkins University.