Todd M. Gower

Todd M. Gower Email and Phone Number

Chief Compliance Officer | Healthcare | C-Suite | Board Director | Start-up and M&A | Strategy | Finance | Corporate Governance | Risk Management @ L.A. Care Health Plan
About Todd M. Gower

L.A. Care Health Plan is the nation's largest publicly operated health plan serving more than 2.9 million members. L.A. Care offers four product lines including Medi-Cal and L.A. Care Covered. The mission-driven health prioritizes health care quality, access and inclusion, and is committed to advancing health equity.https://www.lacare.org/about

Todd M. Gower's Current Company Details
L.A. Care Health Plan

L.A. Care Health Plan

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Chief Compliance Officer | Healthcare | C-Suite | Board Director | Start-up and M&A | Strategy | Finance | Corporate Governance | Risk Management
Todd M. Gower Work Experience Details
  • L.A. Care Health Plan
    Chief Compliance Officer
    L.A. Care Health Plan Dec 2023 - Present
    Los Angeles, Ca, Us
    Chief Compliance Officer, for the nation's largest publicly operated health plan serving more than 2.9 million members and $10B in revenue. Governance activities include: corporate and regulatory compliance, organizational ethics, coordinating external audits, enterprise risk management and mitigation oversight, special investigations, privacy, compliance analytics, and GRC technology. In addition, provide support to Audit Services to help prioritize internal audits and delegation oversight audit activities. The role is to strengthen L.A. Care’s reputation for caring about and delivering quality service to our members, providers, and stakeholders.
  • Newco (Private)
    Member Of The Board Of Directors
    Newco (Private) Jun 2022 - Present
  • Doctor2Me, Inc
    Member Of The Board Of Directors
    Doctor2Me, Inc Oct 2021 - Present
    An open gig-tech marketplace for healthcare services connecting patients to doctors who can connect with your device or at your location. D2m serves both direct-to-consumer and business-to-business connections with providers and patients.
  • Bright Point, Llc
    Principal
    Bright Point, Llc Feb 2013 - Present
    Advise and support on strategic and tactical engagements to build solutions for improved capabilities as well as support large technology migrations. Support capital raising for startup capital to large institutional funding with VC and VP funds. Provide fractional CFO, COO and other CXO needs as well as well as forensic accounting and auditing.
  • Rgp
    Vice President - Health And Life Sciences Industry
    Rgp Dec 2019 - Dec 2023
    Irvine, Ca, Us
    As RGP's National Healthcare Risk Transformation leader, Todd spearheads RGP's Healthcare Risk Transformation capabilities. This covers all provider settings, payers and life sciences. He helps meet current and future needs of the marketplace and assists our clients to interpret, reimagine and thrive in the complex and dynamic health ecosystem. Todd is also a trusted advisor serving in Interim and fractional C-Suite roles for clients.How Todd supports RGP's drive to dare to work differently:As a member of RGP’s DEI Council, driving the efforts for our consultants to listen and lead teams with integrity, diversity, focus and with a collaborative mindset. Todd shares with healthcare leaders both values and business knowledge. Serving with values, Todd is committed to positively impacting tomorrow’s leaders in the health sector and beyond.
  • Ey
    Advisory Practice- Health Sector- Risk Transformation
    Ey Apr 2015 - Nov 2019
    London, Gb
    Senior Manager up for Partner, leading risk and compliance engagements with extensive experience in Hospitals and Health Plans as well as academic medicine. Solutions provided to clients have been the following:1. Governance, risk and compliance (GRC- system and operationalizing/adoption)2. Healthcare financial due diligence - financial modeling for new plans and business offerings3. Enterprise Risk Management (ERM) 4. Co-developing data quality tools, including presentation layer and drill-thru capability helping Health companies submit their regulatory data such as the CMS Universe and other required data.5. Pharmacy compliance- 340B, Medicare Part D, PBM rebates6. Cost containment and Medicare/Medicaid Recoveries guidance7. Physician contracting and compliance (AKS and Stark) auditing8. Academic research compliance 9. Financial modeling 10. Forensic AuditingClients: Hospital Health Systems, Academic Health, Health Plans, Research, Dental Health Plans, Pharmacies (Inpatient, Outpatient), Health Technology BPO's, State Retirement, Home Health
  • Cognosante
    Vice President | Gm And Practice Leader For Healthcare Analytics And Fwa
    Cognosante Jul 2013 - Oct 2014
    Falls Church, Va, Us
    Federal and State Contractor. Led and drove the P&L for Cognosante's Healthcare Analytics and FWA Practice. The practice helped lead the way in developing new configurable business intelligence, forensic auditing, and FWA solutions for state, federal and commercial healthcare clients. This included working closely with State Medicaid Directors and Program Integrity Teams for process improvements. Additional projects include leading a team creating the business rules for the new federal consolidation of Medicaid systems- TMSIS, recoveries and leveraging other standards such as MITA to help assess Medicaid systems.
  • Resources Global Professionals, Inc.; Bright Point, Llc
    Principal & Lead Consultant
    Resources Global Professionals, Inc.; Bright Point, Llc Feb 2013 - Jul 2013
    Working with RGP and as Principal with Bright Point, LLC. Led clients through strategy development to ensure a shared vision and roadmap for implementing new and improved business and IT capabilities. Provided interim management, executive leadership and advisory services to clients in key functional areas and on their most strategic initiatives. Led complex implementation projects that involve multiple organizations or departments – ensure the project is on time, on budget, and delivered with the highest quality.
  • Performant Corp
    Assoc Vp Healthcare Services And Cms Region A Recovery Audit Program Director
    Performant Corp Sep 2011 - Feb 2013
    Plantation, Florida, Us
    Federal Contractor under CMS. Led and oversaw the P&L for Performant's Healthcare Services Business Unit (BU). This was a major driver to help the company's IPO in 2012. As the CMS RAC Region A Leader, this included the development of healthcare compliance analytics, forensic auditing, MSP compliance improvements, all deriving from predictive and post-pay models. This helped optimize provider, payer and hospital compliance along with developing training materials for Providers to understand how CMS is looking at their data to help them improve their coding and documentation.
  • Kaiser Permanente
    National Director- Compliance Analytics And Technology
    Kaiser Permanente Sep 2009 - Sep 2011
    Oakland, California, Us
    Responsible for building and leading a nationally focused organization to develop and execute on KP's compliance data and technology strategies working with the health plan, hospital, med group and other KP entities. This includes the development of analytic outcomes from predictive models monitoring patient and provider aberrant activities, prioritize post and pre-pay outliers which support healthcare FWA monitoring and recoveries.
  • Blueshield Of California- Shield Advance Program
    Head Of Finance And Vendor Management
    Blueshield Of California- Shield Advance Program Jul 2007 - Jul 2009
    Oakland, California, Us
    Project CFO for a nearly $1B program and responsible for finance, vendor and facilities management of the company's largest Infrastructure transformation program. The program focused on improved claims and provider contract automation and other claims process improvements.
  • Kaiser Permanente
    Executive Director & It Compliance Officer
    Kaiser Permanente May 2005 - Jul 2007
    Oakland, California, Us
    Responsible for the IT Compliance of Kaiser Permanente's IT Division supporting all health plan and care delivery systems. Developed and executed on the strategy to improve the quality of compliance audits and overall compliance awareness. Implemented the initial IT SOX 404 program to include testing key applications and controls as well as support the remediation efforts.
  • Kaiser Permanente
    Asst Controller
    Kaiser Permanente Nov 2003 - May 2005
    Oakland, California, Us
    Responsible for the general finance and accounting of the new Shared Service Organization within Corporate Finance. Part of the initial Six Sigma Black Belt Program in Finance. Helped put in place the department’s initial SOX 404 program (focused initially on company-wide accounts payable).
  • Kaiser Permanente
    Corporate Finance Manager - Financial Shared Services
    Kaiser Permanente Feb 2002 - Nov 2003
    Oakland, California, Us
    Responsible for developing and executing against a finance shared services organization within Kaiser's $1B+ IT division. The shared services department included multi-million operational budgets to drive the following activities and impacts: Integrated IT procurement, strategic financing, asset management, material management services, vendor managements shared services, human capital resource management and facilities during department restructuring. .
  • Kaiser Permanente
    Operations Finance Leader - Network Services And Distributed Computing
    Kaiser Permanente Sep 2000 - Feb 2002
    Oakland, California, Us
    Oversaw finance, accounting, asset management and material services for a $300 million division. Piloted department’s first capital acquisition and requisition tracking process and helped create the IT Division’s first automated financial reports.
  • Marriott International
    Director Of Finance, Panama City, Republic Of Panama
    Marriott International Jul 1998 - Jun 2000
    Bethesda, Md, Us
    Part of Opening and ongoing Hotel Executive Team in Panama. Helped bring a new ERP to central america and developed an accounting and finance task force team for other opening new hotels in Costa Rica, Peru, Chile, & Ecuador.
  • Marriott International
    Ass'T Controller To Controller
    Marriott International Dec 1993 - Jul 1998
    Bethesda, Md, Us
    Opening and turn-around assistant controller for properties recently acquired or in the process of being acquired (Vail, Denver Tech Center, Albuquerque, Ft Collins, Breckenridge). Initial Controller role at El Paso Marriott preparing the hotel for sale by Host Marriott. Assisted Marriot in the due diligence and market analysis during acquisition and expansion processes. Developed initial Denver city-hub audit program to improve governance and controls by allowing cross property audits to support constrained internal audit program.
  • Us Army
    Fire Support Officer, Company Xo, Fist
    Us Army Aug 1990 - Aug 1998
    Field Artillery Officer in the 49th Armor Division 3/133rd FA Regiment, now with the 36th Infantry Division under the 56th Brigade Combat Team. Weapon systems- M109 & M114
  • Ibm
    Intern
    Ibm Jul 1991 - Aug 1991
    Armonk, New York, Ny, Us
    Forensic Auditing, Treasury Accounting, Bank Reconciliations, Presenting write-offs to corp during S&L closures.

Todd M. Gower Skills

Process Improvement Strategy Vendor Management Leadership Management Program Management Healthcare Information Technology Healthcare Consulting It Strategy Accounting Risk Management Strategic Planning Medicare Executive Management Analytics Business Process Improvement Healthcare Industry Mergers And Acquisitions Change Management Sarbanes Oxley Act Corporate Finance Budgets Hipaa Finance Healthcare Management Financial Services Revenue Cycle Healthcare Consulting Internal Controls Negotiation Auditing Financial Modeling Business Transformation Health Insurance Medical Compliance Business Case Sourcing Access Process Engineering Corporate Governance Data Mining Performance Improvement Fraud Detection Big Data It Compliance Managerial Finance Sox 404 Healthcare Compliance Hospitality Management

Todd M. Gower Education Details

  • Pepperdine University, The George L. Graziadio School Of Business And Management
    Pepperdine University, The George L. Graziadio School Of Business And Management
    Mba
  • The University Of Texas At El Paso- School Of Business & Administration
    The University Of Texas At El Paso- School Of Business & Administration
    Statistics & Military Science
  • Us Army Field Artillery Officer'S Basic Course
    Us Army Field Artillery Officer'S Basic Course
    Field Artillery

Frequently Asked Questions about Todd M. Gower

What company does Todd M. Gower work for?

Todd M. Gower works for L.a. Care Health Plan

What is Todd M. Gower's role at the current company?

Todd M. Gower's current role is Chief Compliance Officer | Healthcare | C-Suite | Board Director | Start-up and M&A | Strategy | Finance | Corporate Governance | Risk Management.

What is Todd M. Gower's email address?

Todd M. Gower's email address is tm****@****ail.com

What is Todd M. Gower's direct phone number?

Todd M. Gower's direct phone number is +192559*****

What schools did Todd M. Gower attend?

Todd M. Gower attended Pepperdine University, The George L. Graziadio School Of Business And Management, The University Of Texas At El Paso- School Of Business & Administration, Us Army Field Artillery Officer's Basic Course.

What are some of Todd M. Gower's interests?

Todd M. Gower has interest in Home Improvement, Reading, Gourmet Cooking, Sports, Home Decoration, Health, Photograph, Cooking, Electronics, Education.

What skills is Todd M. Gower known for?

Todd M. Gower has skills like Process Improvement, Strategy, Vendor Management, Leadership, Management, Program Management, Healthcare Information Technology, Healthcare, Consulting, It Strategy, Accounting, Risk Management.

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