Executive Director, Medicaid Care Delivery & Operations Scal & Hawaii
CurrentSkills: Strategic Initiative Development, Stakeholder Collaboration, Regulatory Compliance, Program Implementation & Oversight, Continuous Improvement● Spearheaded the SCAL/Hawaii Medicaid Care Delivery and Operations team, focusing on enhancing member care experience and addressing non-medical social health needs.● Orchestrated the successful implementation of Medicaid programs, meeting California's DHCS requirements through strategic collaborations with Kaiser Health Plan and Permanente Medical Group.● Achieved over 90% Network Adequacy for Medicaid-specific providers, ensuring operational readiness for DHCS direct contract go-live.● Launched SCAL Transitional Care Services program within 120 days, modernizing care coordination through technological advancement and talent management.● Fostered partnerships with external entities like community-based organizations and county agencies for coordinated, person-centered services.