Managing Partner of Broward County

• Dec 2019 - Present

Regional Medical Director

• Jan 2015 - Dec 2019

Responsible for directing and leading 10 offices in the region toward achievement of the organization’s medical/clinical mission, delivery of quality care and sound medical practices. Provide overall strategic direction and oversight of a comprehensive medical policy including contributions to development, implementation and evaluation of the clinical and cost effectiveness of medical services. Emphasis on finance/budgets, growing patient census, maximizing clinical outcomes and utilization review. Direct a staff of 23 physicians and clinical staff serving 10,000 lives. Key member of the senior executive team, reporting directly to the CMO.✓ Reduced ER visits and hospital admissions by 17% while maximizing clinical outcomes.✓ Established processes and standards that improved quality scores (patient satisfaction/experience).✓ Implemented lean processes for office and physician scheduling which improved physician/employee satisfaction 21%. ✓ Dramatically improved our network of specialists who are aligned with our mission, vision and goals.✓ Engage in extensive mentoring of physicians, ensuring they utilize evidence-based protocols to achieve benchmark clinical outcomes, maintaining the highest patient satisfaction standards.✓ Identify clinical trends, best practices and key influences. Mobilize the organization to adopt and develop strategic plans to implement key process improvement that positively impact and improve clinical and cost effectiveness of medical/clinical services. Show less

Lead Primary Care Physician

• Feb 2012 - Jan 2015

Recruited by the Regional Medical Director and serve as the Lead Physician providing leadership, as well as clinical and administrative operational expertise while also delivering direct patient care to 15-18 patients per day. Emphasis on providing high quality, cost-effective medical care.Select Accomplishments & Recognition/Awards▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Recipient of the Humana 5 Star Apple Award for delivering the highest quality patient care.✓ Awarded the Century Award twice during tenure for dedication, hard work and going above and beyond expectations.✓ Turned around declining operations resulting in the office being rated #1 in Palm Beach County for patient satisfaction. Employed effective change management principles in the redesign of the care delivery model across the entire continuum of care.✓ Implemented best practices, process improvement initiatives, utilization review, and quality, cost-effective service delivery.✓ Chosen by the company to serve as a representative in a television commercial for the organization. Quality Assurance/Performance Improvement ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Managed and contributed to the overall services as it pertained to Quality for the healthcare facility. ✓ Facilitated increased quality medical services to patients in accordance with company objectives. ✓ Assessed medical necessity and appropriateness of care.***Continued below Show less

Lead Primary Care Physician

• Feb 2012 - Jan 2015

Operational Leadership Accountabilities▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Managed network participation, care with specialty networks and DME providers, and transfers to alternative level of care using knowledge of benefit plan design. ✓ Worked in conjunction with Medical Directors, quality improvement, utilization review/management, and risk management.✓ Coordinated and collaborated as an integral part of the patient care team working closely with center administration and peers, as well as clinical and non-clinical staff. Ensured compliance with all company policies and procedures. ✓ Ensured staff utilized evidence-based protocols to achieve benchmark clinical outcomes, maintaining the highest patient satisfaction. ✓ Served on Humana Corporate committees including the Physician Interactive Committee and Physician Well-Being Committee.Utilization Review/Risk Management ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Complied with medical records and risk assessment documentation. Reviewed and monitored patient safety policies of all areas for adherence to and compliance with regulatory agency and accreditation standards requirements.✓ Identified potential unnecessary service and care delivery settings and recommended alternatives if appropriate by analyzing clinical protocols. Ensured risk reduction strategies and improvement recommendations were carried through.✓ Reviewed reports regarding utilization and high risk patients and utilized the information in the delivery of quality, cost-effective healthcare services. Effectively identified trends of over- and under-utilization and implemented action plans to improve. ✓ Participated in problem assessment, solution recommendation, implementation, and followed up on corrective actions. Show less

Associate Medical Director

• Aug 2010 - Jan 2012

Responsible for day-to-day planning, supervision and ongoing management of primary medical care services providing medical guidance and clinical expertise. Fully accountable for all operations, administration and financial functions including clinical program development and operations, physician services, compliance, quality assurance, clinical program development, utilization review and policies/procedures. Managed a staff of 20 ancillary staff and 15 specialty physicians seeing 450+ patients per day. Reviewed P&L statements including fiscal results, budgets and forecasting. Select Achievements & Recognition▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Revamped consultation and care coordination processes resulting in significant improvements to efficiency and patient safety. ✓ Identified areas in need of improvement regarding physician recruitment and retention, as well as ongoing operations and initiated changes which resulted in a substantial cost avoidance for FY 2011.✓ Created an environment that maximized efficiency and achieved unprecedented patient satisfaction ratings. Staff & Operations Management▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Recruited, credentialed, and hired physicians. Conducted performance evaluations and completed report cards for all staff instituting corrective action and/or termination when necessary. ✓ Supervised clinical staff providing sound guidance and direction in the absence of the Chief Medical Officer. ✓ Managed all providers, performed new hire orientations and training, and conducted peer reviews. ***Continued below Show less

Associate Medical Director

• Aug 2010 - Jan 2012

Utilization Review/Risk Management ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Assessed, developed, and recommended strategies for compliance with regulatory requirements. ✓ Developed, implemented and monitored the outcomes of utilization review and disease management program and effectively met quality and cost requirements. ✓ Instrumental in the design and implementation of new policies and procedures for the center.Quality Assurance/Performance Improvement ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✓ Utilized the quality process and best practices to improve clinical operations. Supported the facility’s mission and strategic plan. ✓ Seamlessly integrated a culture devoted to excellence in patient care, education and research, delivering the most cost effective, high quality care to patients. ✓ Fostered an environment that promoted NYAHQ Quality Assurance. Effectively removed barriers to achieve quality medical care. Show less

Lead Attending Physician

• Jul 2004 - Aug 2010

Attending physician in a senior leadership role at the hospital, reporting directly to the Chief of Medical Services and Chief of Staff, M.D. at a 552-bed medical center including a hospital, outpatient clinical and rehabilitative unit. Provided direct patient care; supervised/taught rounds; taught clinics; supervised all residents; and worked with residents on the Family Medicine Program. ✓ Modeled constructive behaviors, facilitated change and process improvements, initiated effective problem solving, coached employees in performance enhancement, and mentored the skills and techniques needed to achieve excellence. ✓ Identified, accessed and provided essential support service resources critical for patient care delivery. ✓ Participated in the department/hospital performance improvement program by conducting and monitoring patient care activities, evaluating plans of care and following through on steps to problem resolution. ✓ Ensured adherence to highest OSHA, JC and HIPAA standards and requirements. Show less

Attending Physician

• Jun 2002 - Jul 2004

Diagnosed sick and injured patients, delivered appropriate treatment, educated patients on health matters and maintained accurate patient records. ✓ Ensured the delivery of high quality patient care and family support services utilizing a patient-focused care model. Diagnosed sick and injured patients, delivered appropriate treatment, educated patients on health matters and maintained accurate patient records. ✓ Ensured the delivery of high quality patient care and family support services utilizing a patient-focused care model.

Lead Attending Physician

• Jan 2000 - Sep 2001

Attending physician in a senior leadership role at the hospital, reporting directly to the Chief of Medical Services and Chief of Staff, M.D. at a 220-bed medical center including a hospital, outpatient clinical and rehabilitative unit. Provided direct patient care; supervised/taught rounds; taught clinics; supervised all residents; and worked with residents on the Family Medicine Program. ✓ Accountable for ongoing program evaluation, performance improvement, and serving in an operational liaison role with the Medical Director. Collaborated effectively with an interdisciplinary team regarding patients care, concerns and needs. ✓ Integral part of the continual proactive efforts of quality improvement for patient care. ✓ Ensured clinical skills were performed according to facility policies and the highest standards of practice. Show less

Staff Physician and Clinical Professor

• Dec 1998 - Dec 1999

Lectured residents and medical students on medical topics and procedures. Served as Preceptor for residency and medical students, and performed duties as a Hospital Attending Physician on a rotational basis. ✓ Maintained own panel of patients in addition to teaching duties. ✓ Interviewed candidates for the Residency Program and recruited prospective students. ✓ Conducted performance improvements assessments and developed training plans to meet needs of clinical staff. ✓ Ensured the delivery of professional patient care that was based on recognized national standards of practice. Show less

Chief Resident | Medical Resident

• May 1997 - Jun 1998

Chief Resident ▬��▬▬▬▬ Fourth Year Residency student in charge of administrative tasks including resident scheduling and serving as a liaison between residents and faculty. Counseled and served as Medical Preceptor for other residents. Medical Resident ▬▬▬▬▬▬▬ Gained valuable and essential clinical experience treating patients in a disadvantaged urban setting. Provided medical treatment for AIDS; teen pregnancies; OB/GYN patients; pediatric patients including cases involving well babies, as well as abused children; victims of family violence; mentally ill patients; and geriatric populations. Show less