Experience

Innovative Integrated Health
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Chief Medical Officer

  • Aug 2021 - Present


CalOptima

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Medical Director, Medical Managment

  • Sep 2013 - May 2021

  CalOptima is the County Organized Health System in Orange County, the managed care Medi-Cal organization responsible for provision of Medi-Cal benefits to over 780,000 members in Orange County. Provides clinical leadership in the following areas: Quality and Population Health Management, Credentialing and Peer Review, Utilization Management, Grievances and Appeals, Quality Initiatives, Case Management, Complex Case Management, Risk Adjustment and Program All-Inclusive Care for the Elderly (PACE). Familiar with the National Committee for Quality Assurance Accreditation standards, the California Department of Healthcare Services Managed Care Accountability Sets, the Healthcare Effectiveness Data and Information Set (HEDIS), the Centers for Medicare & Medicaid Services (CMS) Star Ratings, and CMS and DHCS Audits. Show less



East Valley Community Health Center, West Covina Ca.

• Chief Medical Officer

  • Jun 2009 - Aug 2013

  Responsible for clinical operations and the quality of clinical care delivered across the entire company. Supervised and managed the daily activities of clinical staff across multiple clinical sites. Carried my own panel of patients and provided direct patient care. Oversight of HIV, Behavioral Health, Dental and Comprehensive Perinatal Services Program (CPSP) programs. Responsible for Infection Control and Critical Incidents, Risk Management, Utilization Management, Quality Improvement and Regulatory Compliance plans. Managed and directed fiscal operations, including planning budgets. Consistently complied with applicable laws and regulations and ensured the facility adhered to Medicare and Medicaid regulations. Led EMR implementation. Show less



AltaMed Health Services

• United States
• Wellness and Fitness Services
• 700 & Above Employee

• Regional Medical Director, Orange County

  • Aug 2008 - May 2009

  Involved in merger planning and implementation between AltaMed and Community Care Health Centers. Supervised and managed the daily activities across 6 clinical sites. Carried my own panel of patients and provided direct patient care. Responsible for clinical operations and the quality of clinical care delivered across the region. Strategically planned methods to achieve operational goals and targets. Ensured facility adhered to Medicare and Medicaid regulations. Involved in merger planning and implementation between AltaMed and Community Care Health Centers. Supervised and managed the daily activities across 6 clinical sites. Carried my own panel of patients and provided direct patient care. Responsible for clinical operations and the quality of clinical care delivered across the region. Strategically planned methods to achieve operational goals and targets. Ensured facility adhered to Medicare and Medicaid regulations.


Community Care Health Centers
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Medical Director

  • Aug 2001 - Jul 2008