Cascadia exists to transform and optimize healthcare delivery to improve patient outcomes. We believe that integrated care is better care and ultimately what each patient deserves. Cascadia Rx Insights is committed to elevating and accelerating sound, high margin strategies that help our clients care for more patients.

Elected in May 2023 to oversee public education in North Clackamas School District. Advancing Equity, Relationships, Integrity, Empowerment & Care for every student in Clackamas, Milwaukie and Happy Valley public schools.

Parrott Creek has served over 25,000 youth and families since our program began in 1968. Its services help participants learn to recognize and acknowledge how disruptive patterns hurt themselves and others. They leave PC programs with the concrete skills to control and change impulsive negative behaviors, ultimately helping them reach their full potential. PC works with both the youth and their family to address these issues and help them build the skills and trust they need to get back on the right path to success.Leading significant capital campaign and Redevelopment of 80-acre campus to create regional center for excellence Pacific Northwest to treat/rehabilitate high risk teen boys, foster children, & young mothers with children.

• Transformed Specialty and Retail pharmacy at Providence into a dynamic, scalable and profitable network of 22 pharmacies with a $700M top line--while garnering the nation’s best patient satisfaction scores & maintaining a high caregiver engagement score• Designed, built and opened a 20,000 square foot flagship automation pharmacy and patient access hub—a scalable asset that drives efficiency & scalability. • Led discernment, contract negotiation, and implementation of a 5-year, incremental profit strategy to increase specialty prescription capture in Providence's specialty clinics across 7 states. • Launched new channels for outpatient medication delivery, including meds to beds, telehealth, mail order, kiosk, courier and pharmacy clinics.

Identifying best practices in ambulatory/outpatient pharmacy lines of business (e.g. specialty, infusion, pharmacotherapy clinics, long-term care, mail order) across 7 state enterprise. Partnering with system, regional and local pharmacy and health care leadership and payers to drive revenue positive, patient centered pharmacy services.

A Coordinated Care Organization (Health Plan) providing integrated patient-centered care to approximately 140,000 Oregonians covered by Medicaid and Medicare.Senior Consultant Responsible for guiding the Medicare turnaround strategy, Credentialing, Provider Contracting and Network Development reporting to the Executive Vice President of Strategic Business Development.• Analyzed the health of FamilyCare’s Medicare Advantage product, then developed a strategy to maximize revenues and improve operational expertise through improved coding/documentation, raising STARS quality rating, engaging providers and growing enrollment. • Strengthened Provider Network (Medicare and Medicaid) by leveraging network adequacy assessment platform and then transforming network development/contracting team from reactively filling gaps to proactively building a more robust network. • Enhanced provider engagement through Provider Network and Performance Management strategy, from prospective provider review to credentialing and contracting to forge a strong partnership by equipping providers with actionable data and financial reports to drive network performance.

A Managed Care Organization (Health Plan), covering 100,000 Medicaid, Medicare, & Commercial lives. (Acquired by Molina in December 2015.)Chief Managed Care Officer (February 2015 – January 2016)Director of Health Management (September 2013 – February 2015) Led operations in six departments: Health Management, Information Systems, Claims, Enrollment and Member Services, Provider Network, and Decision Support.• Secured “direct” Medicaid contract worth $300M in revenue by recalibrating and then demonstrating health plan operations in compliance with Washington State Medicaid contract requirements. • Re-engineered retail and specialty pharmacy benefit by conducting PBM RFP, then taking control over prior authorization policies, process, and governance. Result: drove down pharmacy PMPM by $1.5 million cost savings/surplus in first year. • Led integrated (physical, behavioral, substance use) health care delivery redesign by overseeing organizational RFP that required intensive change management, provider network preparation and contract development. Developed first behavior-based chronic pain clinic for Medicaid clients in Clark County. • Guided health plan through two successful NCQA accreditation cycles by holding department leads accountable to align with standards.

+Strategic and operational leadership over utilization management, utilization review, complex care management, disease management and overall population health efforts;+Led strategic efforts to enhance management Managed Medicaid population through collaborative, data-driven and evidence-based strategies. +Led innovation of integrating physical and behavioral health and chemical dependency.

• Designed & Launched new outpatient service line—Chronic Disease Management/Rehab-- with operational budgets of $4M with 5 direct reports and 24 FTE. • Rapidly transformed financial performance in 3 hospital owned businesses: Women’s Imaging Center, Physician Billing, and Medical Concierge Service. • Led the hospital’s corporate strategic planning process, through all phases of design, information gathering, collaboration, validation and public launch (2012-2017; 2013-2018). • Launched wellness strategies to address the chronic health needs of the hospital’s employees (e.g. cafeteria decision architecture, smoke free campus, hypertension, ‘waist’ management, stress reduction, etc.)• Created a framework for system integration and community development of Long Term Care facilities, consisting of an actionable business strategy to achieve change, improve quality of care, and monitor/measure progress. • Led development of numerous business case analyses to add or wind down hospital services (e.g. Free Medical Clinic, Cardiac Rehab, Agape House, Air Ambulance, Forensic/ Toxicology Lab, etc.)

Actively leading change management initiative to promote improved services to elders throughout Bermuda through identification of organizational vision, strategies and actionable plan to achieve desired change in long-term care system. Major responsibilities have included: 1) Collaborating with Bermuda’s Government’s healthcare leadership, BHB Executives, Senior Managers, and other key health system stakeholders; 2) Conducting organizational impact analysis of integration on BHB, detailing alignment with organizational vision and goals; 3)Analyzing current LTC system services, statistical population growth trends, system financing methodology, and forecasted implications of future demand and financial impact for LTC services; 4) Conducting detailed policy analysis of international best practices, and recommended key initiatives to achieve change management for whole system LTC integration and improvement; 5) Mapping out strategy to achieve change in Bermuda’s LTC system, analyzing current state of acute, long-term, community, and home based, and through collaborative efforts, presented future vision; 6) Providing detailed analysis on integration frameworks; 7) Conducting in-depth human resources analysis on the impact on individual employees, including variances in pay, benefits, and collective bargaining units that would result from full organizational integration; 8) Analyzing the operational processes, policies and programs for several LTC facilities in Bermuda, leading to key recommendations for process changes and service improvements; 9) Developing formal business case for integration; and 10) Creating a framework for system integration, consisting of a specific actionable plan for achieving change, and monitoring/measuring progress.

✓ Led business development strategies for Bermuda Hospitals Board.✓ Responsible for financial oversight and operational success for three hospital joint ventures: ✓ Medical Concierge Services, Physician Billing Solutions, and Ultimate Imaging (womens). http://ultimateimaging.bm/✓ Developed strategic plan for growth and operational efficiency of each business operated by Health Partners. ✓ Made numerous critical operational improvements to achieve business objectives.✓ Met with numerous community stakeholders and senior hospital leadership to develop several business plans for new joint ventures for Hospital Board consideration.

Conducted detailed investigation of complaints in troubled long-term care facility. Lead detailed review and analysis of the care and administrative operations of the facility including: the policies, procedures and day-to-day operations of the facility; governance – including board structure and relationship to the administration; finance, including fiduciary policies and fiscal responsibility of Board and Administration; client management, including clinical and social structure; and staffing, including relationships between staff, administration and Board. Drafted a detailed investigative report, and immediate and long-range recommendations for making facility operational improvements.

Recruitment of professional staff for legal, telecommunications and insurance industries.

Recruited departmental leaders for hospitals and health systems.

Created and managed national strategy to create as many placements with hospital clients as possible. Hired, trained, mentored, and supervised 5 member recruiter team to identify, source and recruit candidates for placement with client hospitals and health systems across the United States. Planned and directed their day to day recruitment activities. Responsible for market and business development. Consulted closely with hospital and health system clients on the “best fit” for their departmental vacancies. Completed more than 70 successful placements within 2 years, largely dominated by the placement of hospital and department leadership.  Earned numerous national (and international) awards out of network of over 1,500 franchise offices, and tens of thousands of other recruiters, including:o Awarded: International Rookie Project Coordinator of 2006, MRI Network.o Awarded: National Project Coordinator 7 times in 2006, MRI Network.o Awarded: “Pacesetter” for 2006 and 2007, MRI Network.o Created sales revenue of $725,000 in 2006, $850,000 in 2007.

This management role required advanced skills in professional communication, collaboration, analysis of complex issues, leadership of numerous personnel, and creative problem solving. As the deputy state ombudsman, I was tasked with the promotion of a health advocacy program for seniors across one-quarter of Oregon. This assignment required recruiting, training, managing upwards of 65 staff ombudsmen, and meeting with them locally to evaluate their work, and mentor them to greater effectiveness.  Manage: Provided supervision, technical assistance and regular support over a network of approximately 65+ statutorily authorized ombudsmen. Perform regular review of subordinates’ activities, awarded exceptional efforts, and terminated those who could not follow program guidelines. Consult: On a daily basis provided in-depth consultation to industry facility managers/owners, multidisciplinary health care provider staff, medical professionals, attorneys, state regulators, and law enforcement representatives. Train: Conducted frequent training sessions around the state leading to formal certification of program staff, and then continued to provide monthly support and continuing education sessions.  Evaluation/Assessment: Made unscheduled visits to hundreds of long-term care facilities across Oregon, assessing clinical quality and adherence to civil and resident rights. Investigated complaints from and on behalf of long-term care residents, resolving complaints through mediation, conciliation and persuasion, with the ultimate goal of improving their quality of care.  Oversight: Monitored the implementation of federal, state and local laws, regulations, policies and administrative actions that affect long-term care residents. Constantly reviewed interpretation, and application of administrative rules and statues affecting long-term care residents and other state agencies.

 Conducted outreach/education by responding to media inquiries; lecturing at Portland State University; holding town hall meetings; presenting to federal and state agencies.  Conducted legislative research on several topics, including practitioner licensure and state legislative analysis. Created content for legislative and policy section of federally funded web site (http://tie.telemed.org/legal).  Developed new content for Web site, dealing with the disparity of rural health care access and telecommunications.  Coordinated the formation of state and international partnerships, leading consultancy and research activities.

 Developed legislative and regulatory agenda, implemented at state and national level; Assembled stake-holders group, facilitated legislation development and lobbied its passage in Oregon legislature, making necessary legislative and industry partnerships along the way;  Planned three national conferences, defining content, inviting speakers and on-site management; Planned and executed increasingly complex and successful fundraising efforts to support the national conferences; Planned and wrote content for association Web site and newsletter; Designed and maintained content of online advocacy resources for membership and general public. Presented educational events at town hall meetings, government agencies and national conferences, as well as responded to media inquiries;  Lead grant writing activities that involved make proposals to federal agencies. One grant entailed creating a model by which health care and technology data could be analyzed through GIS software to identify pockets of medically underserved citizens.