Experience

Prealize Health

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Chief Medical Officer

  • Oct 2020 - 3 years 3 months

  Prealize Health has leveraged innovative AI technology developed at Stanford University in order to enable proactive healthcare solutions powered by predictive insights. Our best-in-class AI advances key business objectives like care management by being more accurate, earlier, and more explainable than other solutions in marketplace.



CERESTI HEALTH

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Clinical Advisor

  • Oct 2018 - 5 years 3 months

  Carlsbad, CA Supporting the growth and success of a novel intervention for seniors with dementia living at home with family caregivers - combining empowerment of caregivers through expert coaching with daily monitoring of patient status to avert avoidable facility utilization, Ceresti Health is achieving Triple Aim outcomes for this vulnerable population.



Fidelity Investments

• United States
• Financial Services
• 700 & Above Employee

• Management Consultant

  • Feb 2019 - 4 years 11 months

  Greater Boston Area Providing clinical & population health support to the growing Workplace Consulting team at Fidelity



Population Health Solutions LLC

• Principal

  • Feb 2018 - 5 years 11 months

  Newport Beach, CA Providing expert consulting services in population health and care management, accountable care, transition to value-based care and risk-based compensation to health systems, hospitals, provider groups, CINs, ACOs, and health plans.



WTW

• United Kingdom
• Financial Services
• 700 & Above Employee

• Practice Leader - Health Systems Consulting

  • Dec 2015 - Jan 2018

  Irvine, CA Advising and supporting health systems, hospitals, and provider groups seeking to deliver value-based care and thrive under risk-based reimbursement

• Senior Health Management Consultant

  • Jun 2015 - Jan 2018

  Irvine, CA Contributing deep population health, value-based care, and provider transformation expertise to the growing Health Management team within the Health and Group Benefits practice.



xG Health Solutions

• Hospitals and Health Care
• 1 - 100 Employee

• Chief Medical Officer

  • Dec 2012 - Jan 2015

  Columbia, MD Inaugural physician leader for startup company spun off by Geisinger Health System to scale, adapt, and disseminate all IP for value-based care from Geisinger’s two decade transformation process. Responsible for ensuring validity of clinical aspects of population health management products and services, developing an integrated clinical team to execute these capabilities, business development and customer/partner relationship management, clinical oversight for development, evaluation, and… Show more Inaugural physician leader for startup company spun off by Geisinger Health System to scale, adapt, and disseminate all IP for value-based care from Geisinger’s two decade transformation process. Responsible for ensuring validity of clinical aspects of population health management products and services, developing an integrated clinical team to execute these capabilities, business development and customer/partner relationship management, clinical oversight for development, evaluation, and continuous improvement of our products, and care management platform development. Show less



Alere Inc.

• United States
• Medical Device
• 700 & Above Employee

• Chief Innovation Officer

  • Oct 2009 - Dec 2012

  Responsible for identifying and leveraging emerging technologies, innovative services, and novel business partnerships to advance the company’s business growth and industry leadership. Focused on convergence opportunities between the company’s diagnostics business and health management services, and creating collaborative solutions with physicians to support patient-centered and accountable care delivery models.

• EVP, Science & Innovation

  • May 2008 - Sep 2009

  Accountable for improving the science and technology of health improvement programs for improved client value through internal innovation, business partnerships, and industry liaison.



Population Health Alliance

• United States
• Health, Wellness & Fitness
• 1 - 100 Employee

• Chairman of the Board

  • Oct 2008 - Sep 2010

  Responsible for Board leadership and oversight of Management Staff and association programs, industry relationships, advocacy, convening stakeholders, quality & research activities.



Accenx

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Director

  • 2008 - 2009

  Served as outside Board member to innovative startup in health information exchange business; oversaw company sale to Initiate/IBM.



Alere Medical, Inc.

• EVP, Chief Science Officer

  • Jun 2007 - Apr 2008

  Responsible for program scientific foundations, quality improvement, medical informatics, public/government affairs, and DM industry liaison role for Alere. Chairs Alere’s Scientific Advisory Board, and provides leadership to DMAA: The Care Continuum as Chairman-Elect.

• EVP, Chief Medical Officer

  • Jul 2005 - Jun 2007

  Joined Alere Medical, Inc. when Alere purchased PacifiCare’s disease management business. Responsible for expanding Alere’s portfolio of best-of-breed cardiac programs to a full suite of integrated multi-disease DM programs with one-stop account management. Provided executive oversight for clinical and informatics functions, government programs, and DM industry liaison.



Medical Device and Health Industry

• Medical Equipment Manufacturing
• 1 - 100 Employee

• VP, Disease Management

  • Jan 2004 - Jun 2005

  P&L responsibility for PHS disease management programs and Medicare disease management demonstrations. Developed a Third Generation DM model that combined best-of-breed specialty DM vendors with expert internal resources to create a hybrid service model unique to the DM marketplace, garnering numerous awards, including NCQA Quality Profiles, DMAA Best Medicare DM program award, AHIP National Exemplary Practice award, DMPC ROI certification, and awarding of two DM demonstration programs by CMS… Show more P&L responsibility for PHS disease management programs and Medicare disease management demonstrations. Developed a Third Generation DM model that combined best-of-breed specialty DM vendors with expert internal resources to create a hybrid service model unique to the DM marketplace, garnering numerous awards, including NCQA Quality Profiles, DMAA Best Medicare DM program award, AHIP National Exemplary Practice award, DMPC ROI certification, and awarding of two DM demonstration programs by CMS for FFS Medicare. Show less



Medical Device and Health Industry

• Medical Equipment Manufacturing
• 1 - 100 Employee

• VP, Health Care Quality

  • 2000 - 2003

  Enterprise-wide accountability for quality improvement, health management, medical informatics for 3.5 million commercial & Secure Horizons senior members, developing complete disease management portfolio through integration of outsourced specialty DM vendors and internal data management and informatics, high risk CM, and operations capabilities.



PacifiCare of California

• VP, Plan Medical Director

  • 1997 - 1999

  Statewide medical director for flagship PacifiCare plan with 2.3 million commercial and senior members, with management accountability for quality improvement, regulatory compliance and accreditation, benefits interpretation, health data management, and clinical operations.

• Regional Medical Director, No. Ca.

  • 1994 - 1997

  Responsible for health services programs in the North¬ern CA market including utilization and quality manage¬ment, case management, Rx management, appeals and grievance determinations, benefits issues, and liaison with provider groups, employers, and mem¬bers on medical matters.