Open To Work
FRANK CANLAS
Tustin,US
Summary
Dynamic healthcare executive committed to transforming access to care through innovative community engagement and strategic partnerships. Successfully led initiatives that expanded provider networks across eight counties, connecting over 20,000 patients to essential services. Expertise in contract negotiation and project management consistently enhances service delivery and improves patient outcomes. Passionate about driving systemic change to ensure equitable healthcare for all communities.
Overview
19
19
years of professional experience
Work History
Head of Growth
TANGELO
Tustin, CA
03.2026 - Current
- Engage with Medi-Cal health plan providers and community organizations to educate on the benefits of food-as-medicine for improved health outcomes.
- Analyze market trends and developed targeted growth strategies to strengthen market presence and improve member engagement in food as medicine.
- Coordinate efforts with product development teams to tailor offerings that meet the specific requirements of partners and members.
- Spearhead data-driven initiatives to enhance marketing effectiveness and brand visibility.
- Facilitate tracking of member feedback through surveys, interviews, and online forums to drive strategic product improvements.
- Implement key performance indicators to measure success of growth initiatives effectively.
Executive Director
BLUE ZONES HEALTH
Tustin, CA
06.2025 - 03.2026
- Analyzed market trends and developed strategic initiatives that facilitated organizational growth and resulted in agreements with over 60 providers.
- Collaborated with stakeholders to design and execute strategic initiatives that enhance community health and well-being programs in Los Angeles and Orange counties.
- Managed logistics and planning for special events, including conferences and workshops, aimed at increasing understanding of the organization's mission.
- Developed partnerships with local organizations to expand health programs and resources.
- Led strategic initiatives to promote community well-being and enhance public health outcomes.
Director, Provider Outreach
TANGELO
Tustin, CA
04.2023 - 05.2025
- 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.
Director, Provider Relations
HEALTHY SMILES FOR KIDS OF ORANGE COUNTY
Irvine, US
08.2019 - 09.2021
- Facilitated growth of provider network by onboarding 50+ dental professionals and FQHCs, aimed at increasing children's access to essential oral health care.
- Directed credentialing operations and negotiated fee structures for Medi-Cal and fee-for-service dental plans to uphold regulatory standards and enhance financial outcomes.
- Directed and optimized workflows for care coordination teams, ensuring effective support for 200+ school and community locations.
- Developed and submitted grant proposals to secure operational funding, thereby enhancing service delivery capabilities.
- Secured Promotora de Salud certification to advance oral health education tailored for special needs children within Hispanic community.
- Developed and implemented strategies aimed at enhancing pediatric dental care accessibility and quality for marginalized populations.
Contact Center Manager
GOLDEN STATE MEDICARE HEALTH PLAN
Newport Beach, California
03.2019 - 05.2019
- Implemented data-driven metrics in contact center, achieving 15% efficiency gain in member services.
- Created standardized procedures and onboarding program to enhance team service consistency.
- Managed operations of 12-member team, prioritizing quality assurance and performance optimization.
- Facilitated interdepartmental communication to resolve customer issues swiftly.
Region Performance Manager
ANTHEM CAREMORE HEALTH
Cerritos, US
10.2011 - 12.2018
- Facilitated the establishment of direct medical group contracts, optimizing reimbursement workflows for healthcare services.
- Facilitated provider engagement initiatives aimed at boosting HEDIS scores and reducing medical loss ratios (MLR).
- Designed and implemented structured claims resolution procedures that streamlined payment workflows across various insurance networks.
- Conducted analysis of unpaid claims data to enhance revenue flow by implementing effective payment strategies.
- Oversaw provider credentialing initiatives across the nation, fostering strategic partnerships with payers to optimize revenue processes.
Network Manager
PROSPECT MEDICAL SYSTEMS
Orange, US
09.2007 - 10.2011
- Oversaw recruitment strategy development for a network of 300+ healthcare providers and 6 hospital systems, focusing on quality service delivery and operational efficiency.
- Directed execution of transition from capitated to fee-for-service model, ensuring alignment of provider contracts and fee schedules with financial objectives.
- Analyzed medical loss ratio data to develop and implement strategic improvement plans aimed at reducing healthcare expenses.
Education
Blue Zones Advocate - Healthcare
Arizona State University
Tempe, AZ06-2025
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PROMOTORA DE SALUD
01-2021
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NON-PROFIT MANAGEMENT
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
- Customer relations
- Data-driven decision making
- Sales funnel management
Work Preference
Work Type
Full TimeLocation Preference
HybridTimeline
Head of Growth
TANGELO
03.2026 - Current
Executive Director
BLUE ZONES HEALTH
06.2025 - 03.2026
Director, Provider Outreach
TANGELO
04.2023 - 05.2025
Director, Provider Relations
HEALTHY SMILES FOR KIDS OF ORANGE COUNTY
08.2019 - 09.2021
Contact Center Manager
GOLDEN STATE MEDICARE HEALTH PLAN
03.2019 - 05.2019
Region Performance Manager
ANTHEM CAREMORE HEALTH
10.2011 - 12.2018
Network Manager
PROSPECT MEDICAL SYSTEMS
09.2007 - 10.2011
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PROMOTORA DE SALUD
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NON-PROFIT MANAGEMENT
BBA - Business Management, Minor in Hispanic Business
Loyola Marymount University
Blue Zones Advocate - Healthcare
Arizona State University