• Manager/participant in multiple Medicaid Management Information System (MMIS) DDI. (P1) system implementation (contractor CNSI). Managed Reports UAT and implementation, July 2009.• Initiated Insurance Savings Programs in 1980 and managed thru 1996. Staff grew from 3 FTE’s-72FTE’s w $88M/Yr. savings.• Author DSHS report- “Decade of Success” (1980 through 1990).• Aging and Disability Services (ADSA) 1999-2004. Program Manager for 5 Area Agencies on Aging-including 2 tribal AAA’s.• Key participant in DDI of CARE (Comprehensive Assessment Reporting and Evaluation) tool to evaluate elderly and persons with disabilities for assistance levels and produce care plan/ payments.• Served as Tribal Representative for Aging programs.• Developed Quality Management Team standards (fee for service provider focus) and conduct research/reports, 2004.• Narcotic Review Program, “Tool-Kit” for providers on web site, Implemented Children’s Healthcare Program (2SSB5093)-“Pay for Performance (P4P)”, “Medical Home”, and managed expansion of Children’s Outpatient Mental Health Services o Background Check Advisory Group,Medical/Dental Advisory Committee Chairo Emergency Room Workgroup/GMAP initiatives (during Governor Gregoire administration).o Assistant Chief -Office of Medical Benefits and Clinical ReviewRetired LLC activity Dec. 2018 in Alliance Consulting (Long Term Care and Aging Services). Founder of LLC.