Oversee the development of provider engagement activities across a four-state service area. Supervise 7 Regional Performance Managers in Southern California. Coordinate change management initiatives to align operations with corporate goals. Identify and recruit new provider groups/hospitals into the market. Standardize provider communications and internal network management processes. Onboard new team members and coordinated network adequacy and provider engagement initiatives. Develop and… Show more Oversee the development of provider engagement activities across a four-state service area. Supervise 7 Regional Performance Managers in Southern California. Coordinate change management initiatives to align operations with corporate goals. Identify and recruit new provider groups/hospitals into the market. Standardize provider communications and internal network management processes. Onboard new team members and coordinated network adequacy and provider engagement initiatives. Develop and apply expertise in HEDIS, Stars, and provider best practices. Key Achievements:• Expanded CareMore service area from a single, partial county into 4 full counties. • Increased growth potential for 2018 by recruiting and onboarding quality providers. • Improved performance on all quality and financial metrics through training and operations management. • On-boarded a major health system consisting of over 2000 providers, including 3 hospitals and 2 medical groups, across multiple CA sites; collaborated with 7 different work streams to coordinate operations. Show less

Managed daily operations in the Strategic Initiatives, Provider Services, and Network Management Administration divisions. Conducted regular meetings to analyze performance metrics; identified and targeted provider service gaps. Generated measurable outcomes to service performance through strategic planning and implementation. Efficiently allocated resources according to budget requirements. Fostered relationships and internal communication between SCAN and contracted provider groups. Educated… Show more Managed daily operations in the Strategic Initiatives, Provider Services, and Network Management Administration divisions. Conducted regular meetings to analyze performance metrics; identified and targeted provider service gaps. Generated measurable outcomes to service performance through strategic planning and implementation. Efficiently allocated resources according to budget requirements. Fostered relationships and internal communication between SCAN and contracted provider groups. Educated medical groups in the network in SCAN standards and best practices. Applied technical expertise to forecast future network specification needs. Key Achievements:• Helped the company achieve a 4.5 star ranking from CMS by managing the administration and launch of a robust 5-star program to maximize service across 45 medical groups; applied Six Sigma and lean management techniques. • Maintained consistent communications across enterprise by creating a standardized system for internal messaging. • Increased service levels by streamlining Network Business Operations. Show less

At consecutive companies, managed case management and direct patient contact operations to maximize patient satisfaction. Supervised up to 20+ staff members in both inpatient and outpatient settings. Collaborated directly with C-Suite and clinical leadership to research and identify opportunities for improvement. Managed projects designed to enhance patient experience and safety while reducing costs and maximizing transparency. Oversaw provider licenses and permits to ensure validity. Applied… Show more At consecutive companies, managed case management and direct patient contact operations to maximize patient satisfaction. Supervised up to 20+ staff members in both inpatient and outpatient settings. Collaborated directly with C-Suite and clinical leadership to research and identify opportunities for improvement. Managed projects designed to enhance patient experience and safety while reducing costs and maximizing transparency. Oversaw provider licenses and permits to ensure validity. Applied standardized practices to build strong relationships among contracted physicians. Coordinated patient orientation. Key Achievements:• Through lean management methodologies, increased patient volume, decreased patient wait times, and improved staff efficiency, processes, and workflow at both companies. • Supervised and centralized a department of six Centralized Case Managers at Planned Parenthood, serving over 75,000 patients per year; created a productivity dashboard adding additional service lines to the department’s follow-up. • Assigned groups to implement quality improvement initiatives in both inpatient and ambulatory practice groups. Show less

At consecutive companies, oversaw the administration of staffing operations across up to 12 nursing units. Maintained ongoing compliance with isolation procedures, medication administration, and sterile processing requirements, as established by internal teams and Joint Commission regulations. Updated contract labor documentation/billing systems. Managed licensing credentials to ensure compliance. Facilitated staff education on all new radiology equipment and tracking competencies. Liaised… Show more At consecutive companies, oversaw the administration of staffing operations across up to 12 nursing units. Maintained ongoing compliance with isolation procedures, medication administration, and sterile processing requirements, as established by internal teams and Joint Commission regulations. Updated contract labor documentation/billing systems. Managed licensing credentials to ensure compliance. Facilitated staff education on all new radiology equipment and tracking competencies. Liaised between staff and management to schedule system administration needs. Generated operational reports for senior leadership team. Key Achievements:• Coordinated the launch of the imaging department’s second tower at Mission Hospital.• Managed the acquisition of a new hospital for the Mission family in Laguna Beach. • Led Rapid Improvement Event teams at Mission to improve operations and efficiency using lean management strategies. • At Irvine, served as the designated CalNoc Site Coordinator, responsible for the creation of tools to gather quarterly data on all falls, restraints, pressure ulcers, and skills mix. Show less