Frank Canlas
Orange
Summary
Healthcare Executive dedicated to transforming healthcare access through community engagement and strategic partnerships. Led initiatives that expanded provider networks by eight counties and facilitated connections for 20,000 patients. Proven ability to negotiate contracts and manage projects to enhance service delivery and improve patient outcomes.
Overview
19
19
years of professional experience
Work History
Director, Provider Outreach
Tangelo
Tustin
04.2023 - Current
- Expanded provider network in California by adding eight counties through strategic partnerships, enhancing access to care.
- Established relationships with 200+ medical groups and community organizations, generating 20,000 patient leads for CalAim.
- Conducted presentations promoting Medi-Cal health plan connections to foster collaboration among stakeholders.
- Participated in community events to improve resource accessibility for low-income beneficiaries.
Executive Director
Blue Zones Health
Tustin
05.2024 - 03.2025
- Developed and implemented strategic plans for organizational growth, resulting in contracts with over 60 providers.
- Led strategic initiatives to enhance community health and well-being programs across Los Angeles and Orange Counties.
- Cultivated relationships with key stakeholders and providers, enhancing promotion of Lifestyle Medicine practices.
- Coordinated special events, including conferences and workshops, to raise awareness of the organization's mission.
Director, Provider Relations
Healthy Smiles for Kids of Orange County
Irvine
08.2019 - 09.2021
- Led provider network expansion of 50+ dental professionals and FQHCs to improve children's oral health access.
- Managed credentialing process and negotiated fee schedules for Medi-Cal and fee-for-service dental plans to ensure compliance and optimal reimbursement.
- Directed operations for multiple care coordination teams serving 200+ school and community sites.
- Secured operational funding through comprehensive grant proposals and strategic foundation partnerships, enhancing service delivery capabilities.
- Achieved Promotora de Salud certification, improving oral health education for special needs children in Hispanic community.
Region Performance Manager
Anthem CareMore Health
Cerritos
10.2011 - 12.2018
- Established direct medical group contracts that streamlined reimbursement processes for healthcare services.
- Created systematic claims resolution protocols that reduced payment delays across insurance networks.
- Analyzed unpaid claims data to pinpoint revenue bottlenecks and implemented effective payment solutions.
- Led nationwide provider credentialing operations, improving revenue cycle efficiency through strategic payer partnerships.
Network Manager
Prospect Medical Systems
Orange
09.2007 - 10.2011
- Led network of 300+ healthcare providers and 6 hospital systems, enhancing recruitment strategies and ensuring quality service delivery.
- Executed transition from capitated to fee-for-service model, managing provider contracts and fee schedules to support sustainable financial practices.
- Achieved 4.5 Medicare STAR Rating through physician engagement and performance optimization initiatives.
- Analyzed medical loss ratio data and implemented targeted improvement plans, directly contributing to reduced healthcare costs.
Education
Some College (No Degree) - Blue Zones Advocate
Arizona State University
Tempe, AZ06-2024
PROMOTORA DE SALUD -
Visión y Compromiso
01-2021
NON-PROFIT MANAGEMENT -
MSI
01-2020
BBA - BUSINESS MANAGEMENT, MINOR IN HISPANIC BUSINESS
Loyola Marymount University
Los Angeles, CA01-1993
Skills
- Healthcare strategy
- Healthcare operations
- Medicare and Medicaid
- Strategic partnerships
- Contract negotiation
- Project management
- Business planning
- Financial forecasting
- Organizational leadership
- Staff development
- Salesforce proficiency
- Microsoft Office suite
- Customer relations
Timeline
Executive Director
Blue Zones Health
05.2024 - 03.2025
Director, Provider Outreach
Tangelo
04.2023 - Current
Director, Provider Relations
Healthy Smiles for Kids of Orange County
08.2019 - 09.2021
Region Performance Manager
Anthem CareMore Health
10.2011 - 12.2018
Network Manager
Prospect Medical Systems
09.2007 - 10.2011
Some College (No Degree) - Blue Zones Advocate
Arizona State University
PROMOTORA DE SALUD -
Visión y Compromiso
NON-PROFIT MANAGEMENT -
MSI
BBA - BUSINESS MANAGEMENT, MINOR IN HISPANIC BUSINESS
Loyola Marymount University