Portland, Oregon Metropolitan Area
With over ten years of leadership in value-based care, I currently serve as Regional Chief Medical Officer and Vice President of Medical Affairs for Oregon and California at P3 Health Partners. My role is centered on improving health quality, affordability, and risk adjustment for Medicare Advantage members by overseeing utilization management, care management, and comprehensive population health initiatives. I also provide strategic leadership for behavioral health services, Medicare STARS gap closures, and primary care delivery, ensuring financial sustainability through innovative value-based care models. Previously, as Chief Medical Officer at Yamhill Community Care, I led quality improvement efforts, advanced care management systems, and implemented data exchange initiatives to support HEDIS metrics. My mission is to drive transformative healthcare delivery, leveraging collaboration, strategic partnerships, and patient-centered care to enhance both provider and patient satisfaction.
• Directed health services department to enhance quality of care and patient satisfaction for Medicare Advantage members. • Developed value-based care contracts, resulting in improved financial sustainability and reduced medical expenses. • Collaborated with market leadership to expand managed lives, contributing to organizational growth and market presence.
• Directed health services to improve quality, outcomes, and affordability for Medicare Advantage members. • Developed value-based care contracts, enhancing financial sustainability and optimizing patient care. • Collaborated with market president to expand managed lives and strengthen Medicare Advantage payer contracts.
• Led initiatives in value-based care, enhancing quality metrics and care management activities. • Collaborated with primary care and specialty providers to implement data exchange for HEDIS improvement. • Represented the organization at state-level committees, driving quality improvement and health evidence guidelines.
• Oversaw quality improvement initiatives and network partnerships to enhance healthcare quality and member satisfaction. • Directed the development of value-based payment models, significantly boosting outcome-based compensation. • Led the transition to a medical home network model, increasing access to primary care services. • Formulated digital health strategies to promote patient engagement and improve service delivery.
• Optimized work processes in utilization management, regulatory oversight, and policy development for state Medicaid programs. • Acted as a liaison to ensure compliance with CMS and federal standards while serving as a subject matter expert. • Influenced healthcare policy by collaborating with the Governor's office and state legislators on key initiatives.
• Spearheaded strategic planning and quality improvement initiatives to meet organizational goals at Yamhill Community Care Organization. • Enhanced healthcare access for 15,000 new members through resource expansion under the Affordable Care Act. • Secured $2.4M in financial incentives by achieving 17 performance-based rewards, boosting operational efficiency.