Edward Cabrera, Md, Mba, Faafp Email & Phone Number

Fort Lauderdale, Fl, Us

Fort Lauderdale, Florida, United States

• Developed and implemented clinical programs for single-specialty networks, including physiatry, ophthalmology, dermatology, gastroenterology, urology, podiatry, pain management, and therapy.• Held Senior Executive Leadership Team roles, overseeing business development, expansion, compliance, and the management of 20 Medical Directors and 150 clinical and administrative staff.• Managed 9 million fully capitated, at-risk lives.• Oversaw healthcare networks across 37 states, including Puerto Rico.• Enhanced alternative payment models with value-based care strategies to align with CMS initiatives.• Regularly engaged with C-suite executives at health plans to drive strategic initiatives.• Developed and launched new product lines, including networks for pain management and chiropractic care.• Successfully reduced the medical loss ratio in key markets, including Florida and Puerto Rico.• Directed quality initiatives, including achieving NCQA and HiTrust certification.

Coral Gables, Florida

• Developed a next-generation hospital medicine model focused on acute and post-acute care, prioritizing patient-centered clinical outcomes.• Established a foundation in value-based care and alternative payment models.• Integrated acute and post-acute care services, creating a hospital medicine model that extends beyond traditional facility boundaries and is tailored exclusively for Managed Care clients.• Strategically aligned hospitals with managed care organizations through a clinically-driven approach, overseeing over 200 clinicians across 47 hospitals, 88 post-acute facilities, and seven long-term acute care hospitals.• Maintained exceptional utilization and quality metrics while evolving the clinical care model.• Successfully expanded the hospitalist group to become the second largest in South Florida within 12 months.

• Played a key role on the senior leadership team as a resource to drive clinical growth and strategic direction from a client perspective; developed and implemented the post-acute strategy and aimed to enhance client relationships• Enhanced and executed on advanced clinical home programs such as chemotherapy, total parenteral nutrition, inotropes and full pharmacokinetic management in home settings• Created and launched a transitional care coordinator program in a hospital environment, thus improving the patient experience, avoiding care delays and enhancing care coordination in a post-acute setting• Integral in increasing overall levels of cohesion across all phases of strategic plan Sustained positive relations with Humana and Care Plus health plans’ CMO, CEO, Medical Management and Network Development • Suggested changes to improve upon clinical operations, increase efficiencies, optimally allocate resources and achieve compliance

South Florida

• Led the largest dedicated full-time hospitalist group in South Florida of 20 major health plans and 400 Clinicians at 46 hospitals, 109 Skilled Nursing Facilities and nine LTACHS in Palm Beach, Broward, and Dade counties • Generated a 23% increase in hospitalist participation and expanded the group into new market segments• Established a successful BPCI program that exceeded all financial and operational expectations.• Oversaw a fully capitated and at-risk model for the majority of managed care clients• Steadily surpass growth and financial goals while managing 400+ Clinicians and 26 Medical Directors operating fully independently without any subsidies, a significant feat

Orlando, Florida Area

• Founded and led a multinational firm that served hospitals, health plans, self-funded employers and the public sector using fully-integrated medical management programs• Expanded the organization to serve large populations in the areas of Medicaid, Medicare, Reform and Commercial across an array of disease management program offerings• Designed and developed proprietary software to support Utilization, Case and Disease Management programs that were fully accredited and integrated

Miami/Fort Lauderdale Area

• Led state and regional network management for the largest healthcare organization in Florida generating over $5B in annual revenue and providing coverage to approximately 2.6M members• Developed statewide physician profiling process to improve physician performance and health plan relationships• Launched newly designed Utilization Management Program in Central Florida representing a 38% savings in the Medicare product and 27% in the commercial line of business• Accountable for the “Orlando Turnaround Project” resulting in reduced losses in the Medicare product from $1.8M a month to $250K within six months and improving the commercial HMO product by $4.70 PMPM resulting in a financial turnaround for the entire South Geographic Business Unit.• Brokered a contract for a simultaneous market-wide termination with Florida Hospital and Orlando Regional Medical Center; included 20 facilities in total throughout Central Florida • Integrated care and network functions at BCBS, which bolstered staff efficiency by 15%

Orlando, Florida Area

• Founded and successfully operationalized a Florida Commercial HMO.• Provided leadership and strategic direction for the statewide managed care organization, overseeing all aspects of its operations.• Consistently achieved a medical loss ratio below the Florida HMO average.

Orlando, Florida Area

Master Of Business Administration (Mba), 4.0

Activities and Societies: Beta Gamma Sigma Business Honor Society Phi Kappa Phi, National Scholastic Society

Chief Resident, Family Practice

Resident, Family Medicine Residency Program

Doctor Of Medicine (Md)