Chief Medical Officer

• Oct 2022 - Present

Responsible for promoting clinical excellence with a multidisciplinary team including medical professionals and key disciplines like strategy, data science, analytics and clinical oversight. The office of the CMO team collaborates closely with clinical operations and product development teams. These partnerships help ensure that our programs reflect changes in the health care landscape and emerging trends in our industry and that we consistently provide clear, relevant and actionable health information to our members. Show less

Senior Medical Director, Clinical Quality

• Jul 2022 - Oct 2022

Provide strategic and tactical guidance in support of clinical quality programs related to provider quality assessments and member support solutions, value based contracting, and analytics behavior change programs. Work with internal stakeholders and external quality organizations, including medical societies, data registry groups, national quality organizations, and vendors, to advance CVS Health and Aetna’s clinical quality programs for all lines of business.

Medical Director, Clinical Quality

• Jul 2021 - Jul 2022

Provide support to clinical quality programs related to provider quality assessments and member support solutions and work with external quality organizations, including medical societies, data registry groups, national quality organizations, and vendors, to advance CVS Health and Aetna’s clinical quality programs for all lines of business.

Medical Director, Medical Management

• May 2020 - Jul 2021

Supporting Utilization Review for Medicaid plans - primarily focused on Florida, Kentucky, and Louisiana markets as well as national Medicaid Neonatal ICU review and specialty medications.

Medical Director - Texas Children's Health Plan

• Oct 2015 - Apr 2020

Responsible for both clinical and operations oversight of the Utilization Management program in a Medicaid/CHIP HMO health plan with over 400,000 members focused on pregnant women and children. Additional responsibilities include oversight of the Medical Policy Committee, which implements the medical benefits of the organization, and clinical advisor of the Care Coordination program. Responsible for both clinical and operations oversight of the Utilization Management program in a Medicaid/CHIP HMO health plan with over 400,000 members focused on pregnant women and children. Additional responsibilities include oversight of the Medical Policy Committee, which implements the medical benefits of the organization, and clinical advisor of the Care Coordination program.

Medical Director - Pediatrics

• Aug 2011 - Sep 2015

Clinical oversight of the pediatrics department at Legacy Community Health Services. Responsibilities include hiring and management of Pediatric Providers, establishing clinical protocols, setting quality and productivity standards for the department, budget management, departmental expansion through additional providers, new clinical sites, and new programs.Achievements include:-Expansion of Pediatrics department from 5 providers at 2 sites to over 35 providers in 7 clinics and 9 school based clinics housed in the KIPP charter school system-Growth of Pediatrics department yearly revenue to over $18million -NCQA Level 3 PCMH certification for all Pediatric locations-Implementation of sustainable agency wide early literacy program "Legacy's Little Readers" utilizing Reach out and Read model Show less

Pediatric Physician

• Jan 2010 - Sep 2015

Provide care to patients from newborn to adolescence in a community health setting.

Pediatric Associate Physician

• Feb 2009 - Jan 2010

Provide care to pediatric patients in the community health setting in Southwest Houston. Clinic was acquired in January 2010 and merged into the Legacy Community Health Services group. Provide care to pediatric patients in the community health setting in Southwest Houston. Clinic was acquired in January 2010 and merged into the Legacy Community Health Services group.

Physician/Director

• Jun 2007 - Oct 2008

Founding partner of private group pediatric practice in the Miami area. Practice now known as Roads Pediatrics in Miami, Florida. Founding partner of private group pediatric practice in the Miami area. Practice now known as Roads Pediatrics in Miami, Florida.

Pediatric Resident

• Jun 2004 - Jun 2007