Fay H. Email & Phone Number

Regulatory analyst with focus on strengthening the policies and procedures of CalOptima's Medicare Advantage & Prescription Drug (HMO SNP) program for Medicare and Medicaid-eligible beneficiaries; serve as support function to all departments to assess whether policies reflect compliance with federal, state, and contractual obligations; ensure all regulatory deadlines are met using the health plan management system.

Greater Los Angeles Area

As part of the Business Program Development department, my objective was to implement the Duals Demonstration pilot program, known as Cal MediConnect, aimed at integrating coordinated medical, behavioral health, and long term care services through a single delivery system to dually-eligible individuals with Medicare and Medicaid. Projects implemented to align to the Cal MediConnect initiatives included: - A major Mental Health and Substance Abuse Managed Care Organization; - Home-delivered meals benefit to members in various service areas upon hospital discharge.

Greater Los Angeles Area

Garfield Health Center is a "safety net" medical home providing primary care for thousands of uninsured and/or low-income individuals in the community through public-private partnerships. Duties included: - Assist in the transition into a Federally Qualified Health Center (FQHC); - Clinic administration, operations, and expansion; - Implementation of the county-sponsored Healthy Way LA program; - Preventive, specialty, and behavioral health services coordination; - Community relations liaison.

Bachelor Of Arts (Ba), Art History

Post-Baccalaureate, Health Information Management

Master Of Science (Ms), Health Care Management