Overseeing utilization management, hospice, population health, care management and social services for the award-winning NorthBay Health system.

Oversees care management services for Medi-Cal patients in Santa Cruz, Monterey, Merced, Mariposa and San Benito Counties.* Executive oversight of both adult and pediatric care management teams for a state-funded Medi-Cal managed care plan. * Oversight of 66 FTEs and the delivery of both care coordination and complex case management services for 450,000 members in five California counties. * Spearheaded hospital leadership collaborative efforts in order to proactively engage and effectively manage high risk acute members. * Led NCQA compliance efforts for health plan accreditation for complex case management. * Development of behavioral health, substance use treatment and Medicare D-SNP programs for Medi-Cal members. * Led executive transformational change management initiatives by engaging multiple key stakeholders across health systems including community organizations, physician executives, clinical providers, medical groups and operational leaders.

Primary contact for Yale University alumni relations in the San Francisco Bay Area as well as collaborative relationships with Harvard, Stanford and other alumni clubs in the Silicon Valley region. Organized key events such as:* VC Special Event: Future of AI discussion with Yale Alumni venture capitalists Ann Miura-Ko, Roger Lee and Laura Yao. * Innovation and Entrepreneurship at Yale - featuring Josh Geballe - Managing Partner at Yale Ventures.* Yale's "Naughty or Nice List" - How the Yale School of Management is Tracking Companies that Continue To Do Business in Russia and Its Impact on the Ukrainian Crisis* Masters of Scale: An Evening with Silicon Valley Legend and LinkedIn Co-Founder Reid Hoffman* An Evening with David Sze of Greylock Partners: Early investor in Facebook, LinkedIn, Roblox, Discord, Medium, Pandora, among others.* Anti-Asian Hate Crimes: Santa Clara County District Attorney Jeff Rosen Answers Your Questions* Venture Capital Trends in a Post-Covid World: Joint Harvard and Yale Club of Silicon Valley Event

Executive oversight of Stanford Medicine Partners quality improvement and care management programs including complex case management, transitions of care, chronic disease management, population health, quality and risk adjustment programs for Stanford Medicine Partners managed care populations. * Stanford ACO Quality Improvement and Assurance Officer for the Medicare Shared Savings Program (MSSP).* Developed Value-Based Care Management Initiatives for Commercial, MSSP and Medicare Advantage Populations.* Responsible for Quality Improvement and HEDIS Measure Performance for Stanford Managed Care Populations.* Earned Utilization Management Certification as a MCG Care Guidelines Specialist.Care Management Program Outcomes Include:* Twenty-eight percent reduction in costs for Medicare Shared Savings patients, generating $18 million in annual revenues.* Reduced the MSSP hospital discharge 30-day readmission rate by two percent.* Reduced total admits per thousand by 23 percent.* Reduced SNF admissions per thousand by 34 percent.* Reduced ED utilization by 18 percent. Other key achievements include:* Fifteen percent across the board improvement in Stanford quality performance metrics for managed care populations including Medicare star ratings from 2021 to 2023.* Doubled the number of controlled diabetic and hypertensive patients through pharmacy program interventions.* Tripled the number of annual wellness visits for Medicare patients in the risk adjustment program. * Constructed SMP's Health Equity Executive Dashboard to identify and address potential health disparities in managed care populations.* Improved results for the IHA AMP Audit for the Affinity Medical Group.

Administered multiple population health and care management services for 500,000 Sutter Health value-based patients throughout the San Francisco Bay Area. Generated $21 million in annual revenue through value-based population health care management initiatives and partnerships. Oversight of multi-disciplinary care teams including complex care nurses, licensed clinical social workers, advanced practice pharmacists and care coordinators to improve Sutter patient outcomes from Santa Rosa to Santa Cruz, CA.- Delegated care management for Sutter Health Plus, the Sutter Aetna Joint Venture and the Sutter Alignment Medicare Advantage partnership.- Achieved National Committee for Quality Assurance (NCQA) Population Health Management program accreditation as delegated care management for Sutter Health Plus. - Produced $21 million in annual revenues through HMO and ACO dual/shared risk partnerships with Anthem, Cigna and United Healthcare including Medicare Advantage.- Achieved a 22 percent reduction in PMPM costs for delegated care management risk populations. - Generated $19 million in additional annual revenue through repatriation care management strategies. - Spearheaded ambulatory care redesign targeting high risk value-based patient interventions in both primary and specialty care.- Significantly reduced unnecessary acute utilization and potentially avoidable ED visits by 14 percent.- Extensive data analytics, LEAN, and HEDIS quality performance improvement experience.

Executive lead nurse coordinator overseeing a systemwide population health initiative for the California Medi-Cal 2020 Waiver to improve patient outcomes and care quality for the Silicon Valley Medicaid patient population. Generated $17 million in county revenue including $2 million in bonus funds by achieving and exceeding multiple quality pay-for-performance HEDIS measures including reduced readmissions, blood pressure and diabetes control as well as infection prevention and medication protocol compliance for various county Medi-Cal and federal grant programs. * Designed and administered several clinical improvement programs including the complex care and specialty care quality improvement initiatives for 36 ambulatory clinics.* Extensive regulatory compliance experience including HRSA, DHCS, TJC and CDPH audits, reports and surveys.* Implemented several expedited hospital discharge patient placement processes with post-acute care providers.* Developed an Epic EHR complexity scoring system to identify high risk patients for care interventions including operational outreach and care management reports.* Successfully integrated substance use treatment into the ambulatory care setting including primary care and behavioral health resulting in an 80 percent reduction in high utilizer patient readmissions. * Led a countywide population health effort to reduce outside medical costs and increase revenues through reduced readmissions and effective primary care panel management.* Led VMC's crisis response team for the 2015 TB infant exposure, including patient outreach and media communication as well as organizing prophylactic treatment protocols in multiple primary care clinics. Due to this care coordination effort, all infants were declared disease free.

Assistant nurse manager for the Valley Medical Center Cardiology Division. Managed day-to-day operations with over 60 employees including nurse practitioners, registered nurses, licensed vocational nurses, medical assistants, echocardiogram and EKG technicians as well as health services representatives. Services include the cardiac catheterization lab, cardiology and vascular outpatient clinics, hospital discharge and palliative care clinics, inpatient/outpatient nuclear medicine/stress testing, echocardiograms and EKG services. Duties and accomplishments include:• Board of Supervisors Cardiology Division Award for Patient Satisfaction• Led Unit Based Team (UBT) To Improve Patient Satisfaction • Inpatient and Ambulatory Clinic Management • Heart Failure Program to Reduce Readmissions• Managed Hospital Discharge and Palliative Care Clinics• CMS and TJC Compliance Reviews • Electronic Health Record (Epic) Implementation• Extensive Union Labor Management Experience• Supply, Equipment and Staffing Budget Management• Quality Improvement Initiatives and Implementation• Revenue Enhancement/Billing Oversight