Experience

• 

  Molina Healthcare

  • Director Of Process Improvement & Ops Excellence

    • Apr 2022 - Present

• 

  Delta Dental Ins.

  • Rancho Cordova, California, United States

  • Director Of Operations, State Programs

    • Jun 2020 - Oct 2021
    • Rancho Cordova, California, United States

    Directs all Customer Support activities including claims processing, provider training, provider enrollment, dental outreach, EDI, correspondence and grievance, fair hearing, and clinical screening for the Medi-Cal Dental state programs.

• 

  Job Hivery

  • Independent Consultant

    • Sep 2019 - Sep 2020

    Providing support for new business venture with a focus on scope definition and implementation management.

• 

  Community Psychiatry

  • Sacramento, California Area

  • Independent Consultant

    • Sep 2019 - Apr 2020
    • Sacramento, California Area

    Independent consultant engaged to provide support for new business implementation with a focus on rapid growth and process improvement.

• 

  Health Net Federal Services

  • United States
  • Insurance
  • 700 & Above Employee

  • Director, VA Programs

    • Aug 2015 - Apr 2019

    Responsible for directing a specified set of VA programs, from RFP response process, executing the contract, and establishing and managing business operations and administration. Develops and maintains senior level client relationships with numerous government departments and outside vendors and contractors.

  • Program Manager, VA Programs

    • Jan 2011 - Aug 2015

    Responsible for implementing and maintaining all necessary program infrastructure and business operations to support a specified set of VA programs.

• 

  Health Net/MHN

  • United States
  • Insurance
  • 700 & Above Employee

  • Director, Provider Network Operations & Communications

    • Jul 2006 - Jan 2011

    Responsible for the operations of the Professional Relations department at MHN, including functionality of the credentialing and provider records systems, as well as the Provider Portal, PR customer service center functions and provider communications.

  • Manager, Professional Relations Operations & Communications

    • Jul 2003 - Jul 2006

    Supervise Professional Relations staff, establish policies & procedures, participate in intradepartmental process improvement projects. Develop and review all communications to provider community.

  • Senior Professional Relations Representative

    • May 2003 - Jul 2003

  • Professional Relations Representative

    • Dec 2002 - May 2003

  • Claims Examiner

    • Aug 2001 - Dec 2002

• 

  Act-1

  • Client Services Supervisor

    • Apr 2000 - Apr 2001

    On-site at Health Net.