EXPERIENCE HIGHLIGHTS
Freelance Consultant - BabyLiveAdvice INC
January 2023 - present
Advise Telehealth based maternity and perinatal services company on payer strategy, business development, operational reporting, compliance and care delivery including a path to value based payer contracts.
Chief Operating Officer · FPA Women's Health
February 2019 - November 2022
- Profit, loss and operations responsibility for 25 ambulatory and surgical clinics plus telehealth, behavioral health and high complexity laboratory, providing full spectrum family planning, gynecology and reproductive healthcare to 160,000 patients annually.
- Supervised payer contracting, revenue cycle, empanelment and credentialing, marketing, communications, HR, Telehealth and clinic operations teams of 400+ throughout the public health emergency.
- Launched Telehealth prior to the PHE and pioneered Abortion by Mail in California, preserving and expanding access to critical reproductive health care.
- Designed and implemented preventive care and public health initiatives.
- Partnered with Office of the Surgeon General as one of the first to integrate trauma informed care - screened 56,000 patients for adverse childhood experiences in first two years.
- Established and expanded high complexity laboratory services and built electronic reporting to CDPH - partnering with Physician leadership on EHR workflows for optimal care.
- Developed and standardized policies and procedures to drive regulatory compliance, charge capture, and operational efficiency.
AltaMed Health Services
AVP Patient Access & Contact Center · December 2017 - February 2019
- Led Patient Access Team through multi-phased organizational transformation towards a value based care delivery system. Complete restructuring of failing contact center, via integration of systems, process, staff re-training to support
- Clinicians in delivering the right care in the right setting at the right time.
- Exceeded strategic targets in Net Promoter Score, Patient Perception of Access and First Call Resolution. Directed front office and provider paneling operations for 23 primary care clinics and 100+ clinicians
- Re-engineered UM referral workflows to reduce referral defects and support transformation to value based care delivery system from FFS.
- Led CEC team, driving patient enrollment in MediCal by reducing leakage from redetermination.
Director of Dental Operations · July 2013 - January 2016
- P and L responsibility, strategy and operations for 8 general dentistry clinics and 5 mobile Oral Heath Units performing more than 85,000 visits per year.
- Pioneered Dental Quality Alliance measures focused on preventive care and maximizing impact on dental public health. Increased medical dental integration to 26%.
- Increased patient satisfaction scores from 86.2% to 89.6% in 19 months.
Practice Development Manager · Western Dental Services
May 2009 - July 2013
- P & L and Operations oversight of 15 general, specialty and orthodontic practices with 99,000 patient visits annually.
- #2 region out of 21 in EBITDA %, lowest bad debt of any region, collected 2.9 Mil in 2012 Insurance and Medicaid shortfall.
- Led cross functional administrative and technology teams to streamline eligibility, Care Coordination, diagnosis entry and treatment planning, risk management.
- Reduced wait times, improved patient satisfaction and reduced grievances to 1.4 per 1000 patient visits.