Leads Clinical Integration efforts for Meritus, an Arizona member-governed, non-profit health insurance model operating as a CO-OP (Consumer Operated and Oriented Plan). The company was created to provide more affordable health insurance coverage options to individuals, families and small businesses.

Responsible for providing technical assistance/ training to Arizona's Health Centers. Develop processes and training plan for Patient Centered Medical Home. Responsible for data and Quality and identifying goals for bench marking and best practices. Job responsibilities also includes emergency preparedness/management. Work with a variety of state agencies. Chair/co-chair for multiple Peer Networking Committees. Oversight of dental coordinator.

Managed a team of 13 RN's supporting the Medicaid population of Maricopa County through onsite and telephonic Utilization Review in the hospitals.