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Work Background
Clymer & AssociatesManaging Director
May. 2024Leveraging Medicare ACO experience with FQHCs in Arizona, resulting in ACO adoption of value-based care clinical model and eLearning Leadership Training series focused on care management. Developed integrated Primary Care Clinic for community-based SUD Rehabilitation organization – licensing, proforma, project plan, protocols, Medi-Cal enrollment, training plan and adoption of EMR/PMS.
Collaborative Health SystemsExecutive Director, Southwest (NM & AZ)
Jun. 2022 - Mar. 2024A former Centene Company. P&L responsibility for markets within national and joint venture ACO for ~100 communities. Drive improved profitability through optimizing provider clinical documentation, bending the cost curve through changing practices/providers behavior that optimize CMS Medicare Program quality measures and, in doing so, move them closer to providing value-based care.
Blue Shield of CaliforniaSenior Director
Apr. 2020 - Mar. 2022Sacramento, California, United States
Blue Shield of CaliforniaSenior Clinical Program Manager
Sep. 2019 - Mar. 2020Sacramento, California
Central California Alliance for HealthHealth Services RN/Quality Improvement and Utilization Review
Sep. 2017 - Aug. 2019Scotts Valley, CA (Santa Cruz, Monterey and Merced Counties)Support a comprehensive preventive healthcare strategy in collaboration with internal stakeholders and network providers for this $1.3B Medi-Cal Managed Health Plan to promote evidence based best practices and improve member health outcomes; determine cost effective approaches through Agile performance improvement process. Delegate oversight of QI Behavioral Health Services.
Boldly MeMember Board Of Directors
Nov. 2015San Francisco Bay AreaInvited to join rapidly growing, now eight year old non-profit behavioral health and educational organization whose online Academy and classroom programs help youth and communities transcend emotional trauma caused from a variety of issues so to pursue goals and healthy lifestyle confidently.
Clymer & AssociatesManaging Director
Jan. 2014 - Aug. 2017San Francisco Bay AreaLeveraged leadership and professional relationships to create organizational value for both non profit and for profit companies, transforming organizations, teams and/or products/services to the next level.
Planned Parenthood Mar MonteChief Operating Officer
Mar. 2008 - Dec. 2012Northern and Central CaliforniaLargest U.S. based Planned Parenthood 501c3 affiliate with growth during my tenure from ~$75 to $100m among 34 adult and pediatric primary care ambulatory health centers and 11 satellites throughout 42 California counties. Recruited as VP Patient Services and promoted in 2.5 years to first ever COO with oversight of 800 plus employees /volunteers and 13 direct leadership reports (five more than average) responsible for performance-driven company and regional operations: clinical services, quality, IT/EHR, 53-agent and nurse call center, billing, contracting, payer network, education, and facilities.
Kaiser PermanenteDirector
Sep. 2003 - Feb. 2008San Francisco Bay AreaReturned to healthcare as member of the Leadership Team first responsible for working across operations with managers, union representatives, and nursing, medical and support staff to transition organization from a provider-focused to a patient-focused culture with improved patient experiences.
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