Experience

County Welfare Directors Association of California (CWDA)

• United States
• Government Relations Services
• 1 - 100 Employee

• Senior Policy Analyst

  • Mar 2023 - Present



WelbeHealth

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Government Affairs Director

  • Jun 2021 - Feb 2023

• Regulatory Affairs Manager

  • Nov 2019 - Jun 2021

  Responsible for implementing the engagement strategy for California regulators, elected officials and member associations, making recommendations for and leading advocacy initiatives to support the WelbeHealth mission and growth plans. Implement PACE compliance initiatives as needed. Collaborate effectively with colleagues and stakeholders to promote WelbeHealth values, team culture and mission.• Lead the development and maintenance of outstanding relationships with CA regulators including, but not limited, to Department of Health Care Services, Department of Public Health and Department of Managed Health Care.• Coordinate the advocacy strategy for California making recommendations to the executive team on advocacy initiatives and leading the implementation of these efforts.• Track changing laws, regulations, policies, and guidance providing timely education and to the executive team.• In partnership with the WelbeHealth lobbyist, lead an engagement strategy with pertinent elected officials to ensure WelbeHealth maintains strong relationships with elected officials.• Represent WelbeHealth at the CA State Associations to support the WelbeHealth regulatory engagement strategy and growth plans. Show less



Sutter SeniorCare PACE

• Interim Administrative Director

  • Feb 2019 - Nov 2019

  Responsible for direct oversight of day-to-day program operations, maintaining a safe and secure work environment; and developing personal growth opportunities. • Manages personnel, ensuring staffing at the appropriate ratio and skill level. Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; initiating, coordinating, and enforcing systems, policies, and procedures. • Manage the procurement of business systems by identifying needs, evaluating options, maintaining equipment, and approving invoices. • Ensures compliance with all legally mandated state and federal requirements. Develops and manages services, systems, and linkages to support the integration of Sutter SeniorCare within Sutter Health and the community. • Improves program and service quality by developing new processes, updating procedures, and evaluating system results. Show less

• Project Manager

  • Jun 2018 - Nov 2019

  Provide strategic and operational support to Sutter SeniorCare for assigned initiatives designed to improve operational effectiveness and patient, employee, and clinician satisfaction. • Acts as a pivotal resource to manage all aspects of assigned projects and tasks. Designs, develops, leads, and assists with projects that align with service goals, targets, and key initiatives by organizing and coordinating information and requirements and monitoring results. • Achieves operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans; implementing production, productivity, quality, and customer-service standards; resolving problems; completing audits; identifying trends; determining system improvements; implementing change. • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations. • Acts as primary liaison with other Department contacts, outside vendors, and contractors. Show less



California Department of Health Care Services

• United States
• Government Administration
• 700 & Above Employee

• Health Program Specialist II

  • Oct 2017 - May 2018

  Serves as the Division’s expert for statewide development of policies and procedures regarding all aspects of home and community-based services (HCBS) Programs• Develops new, and/or modifies existing, policies and procedures to incorporate ongoing changes occurring in the HCBS Programs.• Provides expert technical assistance to HCBS providers regarding implementation of new or modification of existing policies/procedures and development and improvement of HCBS program administration. • Responsible for development and submission of waiver compliance reports to CMS including corrective action plans, if necessary. Responsible for the successful planning, design, execution, and ongoing operations of HCBS programs.• Acts as liaison with other Department programs and state agencies to coordinate and resolve problems and to improve and maintain awareness/understanding of policy and program guidelines between agencies. • Facilitates informational communications and other activities related to stakeholder engagement and advisory groups as well as managing/maintaining a good working relationship with the Centers for Medicare and Medicaid Services (CMS) and other state agencies. Show less

• Project Director, California Community Transitions (Money Follows the Person)

  • Jun 2015 - May 2018

• Chief, Waiver Operations Section

  • Jan 2017 - Sep 2017

  Plans, directs, manages, and supervises professional staff in direct administration and operations, monitoring and oversight, provider enrollment, provider meetings, and stakeholder workgroups of two 1915(c) HCBS waivers and one federal Medicaid grant program. • Serves as the primary management liaison with CMS, other departmental divisions including the fiscal intermediary, other state agencies, provider groups, consumer advocates, and the public regarding programmatic policies, procedures, laws, regulations, rates, Medi-Cal denied claims issues, Medi-Cal state plan services, and other Section responsibilities. • Directs waiver administration, operations, and monitoring and oversight activities as outlined in the applicable waiver applications. • Directs/coordinates the preparation and submission of mandatory federal reports, budgets, and data collection activities within multiple sources that identify to what extent DHCS addresses compliance with each of California's 1915(c) HCBS waivers and manages the preparation of remediation plans when non-compliance is identified. • Directs/coordinates staff involvement in needed amendments and renewals to waiver applications, and modifications to provider contracts, provider policy documents, provider manuals, program websites, and electronic systems and/or processes as appropriate. Show less

• Health Program Manager I

  • Jun 2015 - Jan 2017

  Responsible for the development, management, and operations of the Money Follows the Person (MFP) Rebalancing Demonstration, California Community Transitions (CCT), and the Assisted Living Waiver (ALW) operations. • Responsible for recruiting, hiring, training, supervising, and evaluating interdisciplinary staff who develop program policy and guidance letters, operational guidance, and other work products required by state and CMS.• Develop, implement, and manage MFP/CCT and ALW provider contracts, as well as contracts/agreements with related California state departments. • Oversee MFP/CCT and ALW provider enrollment process. Maintain MFP/CCT and ALW program intake through oversight of MFP/CCT and ALW dedicated mailboxes and databases, assist with case assignment to nurse evaluator staff. • Provide direct technical assistance and training to MFP/CCT and ALW providers.• Responsible for development and submission of waiver compliance reports to CMS including corrective action plans, if necessary. Produce PowerPoint presentations, issue papers, progress reports, forms and other work products necessary to meet program goals and objectives.• Analyze proposed legislation, budget initiatives or other administrative proposals relative to MFP/CCT and ALW programs. • Collect and evaluate operational data for MFP/CCT and ALW program operations, including enrollment/transition timeframes, intake by provider organization, sustained transitions, and other measures of program performance. Work closely with Waiver Data Unit chief to initiate provider audits. Show less



CalPACE

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

• Program Analyst

  • May 2013 - Jun 2015

  Dedicated to the expansion of comprehensive health care services to seniors with chronic care needs through the Program of All-inclusive Care for Elderly (PACE). Work through education and advocacy to support, maintain, and safeguard the PACE model and promote high-quality health care services to California's seniors. • Develop and maintain strong relationships with association members. Provide regulatory compliance education and technical assistance to association members. • Assist in the management of work plans for consultants, subcontractors and work groups. Maintain and update strategic plan. • Manage outcomes and quality measure data collection and prepare final report. • Review and analyze proposed legislation and State proposals for potential effect on PACE organizations. • Implement the association's messaging strategy to become a key resource on aging and long-term care issues for policy makers/engaged stakeholders and informed consumers. • Create and manage the association's communication products by developing and editing written content including: press releases, presentations/talking points, quarterly e-mail newsletter, social media, association reports/fact sheets and outreach efforts. • Assist in preparation and distribution of meeting summaries and reports. Show less



California Department of Health Care Services

• United States
• Government Administration
• 700 & Above Employee

• Contract Manager

  • Dec 2011 - May 2013

  Contract Manager for the Medicare/Medi-Cal funded Program of All Inclusive Care for the Elderly (PACE) and the Senior Care Action Network (SCAN) health plans. • Responsible for the development, implementation, evaluation and expansion of plans. • Preparation and management of state contracts including renewals and amendments. • Ensure compliance with all state managed care requirements including Knox-Keane licensure compliance. Oversight of federal program agreements to ensure that the regulatory and contractual requirements are being met. • Conduct site visits to examine if record keeping and operating practices meet state, federal and contract standards pertaining to facility requirements; provide technical assistance on regulatory and contractual requirements to contract providers and other interested parties. • Act as unit lead when unit manager is absent or unavailable. Act as a liaison to coordinate tasks and resolve issues related to program compliance. Provide technical assistance on Medi-Cal Eligibility Data System (MEDS) transactions. • Research, write, and formulate recommendations on legislative bill analyses; prepare written reports, controlled correspondence, budget change proposals, issue memos and briefing papers. • Maintain and update program webpage. Show less