President & Chief Executive Officer
Cerritos, California, Us
Oversaw and managed $5 billion national care delivery organization serving Medicare and Medicaid members through clinics, virtual and at-home services, focused on chronic and complex conditions, and nation’s largest independent home-based palliative care business, with oversight of nationally recognized CareMore Health and Aspire Palliative Health subsidiaries. • Promoted pre-tax margin improvement of 45% in year one of turnaround efforts.• Implemented and scaled national best practices for medical cost trend management, operational efficiencies, and administrative cost control, driving significant improvements in profitability and sustainability across Duals, Medicare Advantage, and Medicaid populations.• Redesigned clinical models, achieved leadership upgrades, and drove performance improvements in Quality / Stars and coding documentation and accuracy. Improved compliance, operational, and payment integrity functions by building a combination of cost-effective in-house and vendor solutions and deploying national talent and structure reorganization to foster improved performance and scaled efficiencies.• Increased patient satisfaction and business performance, achieving consistent national best-in-class patient NPS score of 96, Stars of 4.0 or greater, and risk scores in top 1% of accuracy nationally.• Tapped for enterprise-wide leadership, acting as Medicare Advantage business consultant and National Network Contracting advisor and serving on PAC board of directors.• Served as a national advocate for chronic and complex, serious illnesses and the underserved. Spoke at industry events and client platforms to build and enhance brand in healthcare industry. Sought after as motivational speaker on topics of behavioral health and suicide, underserved communities, disparities in health care, serious illness and palliative care, and care in home.