More than 14 years’ diverse leadership experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs and coaching medical staff on healthcare business and practice issues.
A self-directed professional with excellent communication, interpersonal and problem solving skills who builds consensus and promotes teamwork.
Healthcare Managers, Placentia, California 1993-1995
Led the creation and operational set up of an MSO that managed three IPA’s with 600 physicians and 60,000 lives located in four counties. Participated on the physician Board of Directors founded in 1993. Oversaw operations with involvement in claims management, authorizations, utilization, provider and health plan relations, and quality management. (HMO capitation contracts were managed for professional, facility and ancillary health care, with full risk and stop loss agreements.) Supervised four clinical case managers.
IPAs of California, Long Beach, California 1988-1993
Responsible for utilization review, quality assurance, provider relations, claims problems, and fiscal analysis of provider costs and budgets for an IPA with 200 physicians and 10,000 members. Acted as liaison with the corporate offices of a billion dollar for-profit healthcare system. Organized and initiated an expansion of the IPA to two additional hospitals and their medical staffs.
Board of Directors, Executive Committee, Chairman UR/QA (1988-1993)
Quality Care, San Pedro, California 1992
Recruited as the project director for the development of a potential county-wide EPO product for an organization that provided medical necessity and benefits review for 65,000 members.
Hillview Hospital, Stockton, California 1984-1990
Elected as chief of all clinical services of 185-bed, acute care hospital with responsibility for physician quality issues including legal credential challenges.
CLINICAL EXPERIENCE – 1981-1993
Began and built a two-office solo practice in adult and pediatric allergy, asthma and immunology medicine. Developed pro-formas and established capitation and case rate schedules for IPA and medical groups with 150,000 patients. Negotiated sale of practice to third party.
Completed more than 15 management training courses on leadership, quality, information systems and finance.
BOARD CERTIFICATION AND LICENSURE