Healthcare operations executive with over 15 years of leadership experience in physician practice operations and value-based care. Successfully led networks of 50+ practices, enhancing quality outcomes and increasing provider revenue by $4.8 million. Achieved over $5 million in healthcare savings while building high-performing teams focused on measurable results. Recognized for transforming complex data into actionable strategies that strengthen provider partnerships and enhance financial and clinical performance.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Senior Physician Business Manager (Promoted)
WellMed Medical Management - United Health Group
02.2021 - 05.2026
Promoted after only 18 months in recognition of outstanding leadership, operational performance, and strategic impact.
Directed strategic operations for a network of 56 physician practices serving more than 26,900 Medicare Advantage members, driving operational excellence, quality improvement, provider engagement, and value-based performance across South Texas.
Expanded provider network from 21 to 56 physician practices, supporting more than 26,900 Medicare Advantage members across South Texas.
Generated over $5 million in healthcare savings through value-based care initiatives and utilization management.
Increased physician practice revenue by $4.8 million through strategic quality improvement and operational initiatives.
Reduced hospital utilization costs by $2.5 million.
Improved overall Medicare quality performance from 2.1 Stars to 4.2 Stars.
Oversaw three value-based revenue/risk pools, enhancing financial performance and quality metrics through strategic initiatives.
Led, coached, and mentored a team of eight Physician Business Managers while providing operational direction, performance coaching, strategic guidance, and best practice standardization across multiple physician markets.
Partnered with executive physician leadership, medical directors, hospital executives, and cross-functional stakeholders to develop strategic initiatives that improved operational and financial performance.
Designed operational strategies adopted throughout the organization (Created and launched the No patient Left Behind initiative to improve patient access and continuity of care.)
Developed the Call Us First Campaign, reducing avoidable emergency department utilization through patient education and improved provider access.
Expanded preventive healthcare access by securing increased mobile breast cancer screening services for rural communities.
Led processes and technology improvement initiatives that strengthened provider performance, optimized operational workflows, and improved Medicare Advantage quality, HEDIS/STAR, and financial outcomes.
Leveraged operational, financial, and quality performance data to identify trends, uncover improvement opportunities, and develop strategic recommendations that enhanced provider and organizational performance.
Developed and executed strategic operational plans aligned with organizational priorities, driving measurable improvements in provider engagement, quality outcomes, financial performance and value-based care initiatives.
Strengthened provider relationships by leading operational implementations, improving workflows, and driving change management initiatives that enhanced physician engagement and practice performance.
Collaborated with regional operational leaders, local Medical Director(s), and Physician Business Managers to standardize best practices, improve cross-market collaboration, monitor utilization trends and profit pools to assist with developing strategic plans to improve performance and ensure consistent execution of organizational initiatives.
Evaluated provider performance, value-based contracts, and risk pool metrics to identify performance gaps, implement targeted improvement strategies, and strengthen financial and quality outcomes.
Developed targeted action plans with physicians and practice leadership to improve coding accuracy, quality metrics, operational performance, and financial results across multiple physician practices.
Acted as a trusted operational advisor and subject matter expert, providing strategic guidance, coaching, and performance support to Physician Business Managers across multiple markets.
Built and maintained trusted partnerships with more than 50 physician practices, practice administrators, and executive leaders to improve operational performance, quality outcomes, and provider engagement.
Admissions & Marketing Director
La Hacienda De Paz Rehabilitation and Care Center
10.2017 - 02.2021
Directed the end-to-end admissions process, including referral review, pre-admission assessments, insurance verification, prior authorizations, interdisciplinary coordination, and patient placement to ensure timely, appropriate admissions.
Developed and executed data-driven referral and census growth strategies that maintained 100% facility occupancy for two consecutive years while increasing weekly referrals sevenfold.
Cultivated strategic referral partnerships with hospitals, physicians, discharge planners, assisted living facilities, home health agencies, and community organizations to drive sustained admissions growth.
Developed and implemented comprehensive marketing strategies to enhance brand visibility and attract admissions.
Managed admissions operations, departmental budgets, and referral strategies to optimize patient intake and resource allocation.
Maintained 100% facility occupancy for two consecutive years.
Created Continuation of Care Program to enhance successful transitions for short-term rehabilitation patients, improving overall patient satisfaction.
Collaborated with healthcare professionals to develop targeted outreach initiatives, effectively connecting potential clients and families with necessary services.
Managed digital marketing campaigns across social media platforms, increasing engagement and awareness of services.
Established partnerships with local organizations to boost referral sources and community involvement in rehabilitation programs.
Built strong relationships with hospitals, physicians, and community organizations.
Oversaw three employees to ensure effective task completion.
Mentored staff on best practices in client relations, fostering a culture of excellence in service delivery throughout the organization.
Developed the facility's Skilled Nursing Program for long-term care residents.
Partnered closely with nursing leadership, therapy, physicians, and administrative departments to coordinate admissions, streamline workflows, and ensure seamless patient transitions.
Maintained accurate admissions documentation, referral tracking, and census reporting to support operational performance and leadership decision-making.
Evaluated admissions workflows and implemented process improvements that enhanced efficiency, referral conversion, and patient experience.
Recruited, trained, coached, and supervised a high-performing admissions and marketing team while fostering accountability, customer service excellence, and professional development.
Prepared and presented census, referral, and operational performance reports to executive leadership to support strategic planning and resource allocation.
Educated referral partners and community stakeholders on rehabilitation services, admission criteria, and available programs to strengthen referral relationships and increase market awareness.
Healthcare Policy Advisor
Texas State Senate - District 19
01.2012 - 10.2017
Conducted legislative and healthcare policy research, monitored proposed state legislation, and analyzed potential impacts on constituents, healthcare providers, and community stakeholders to support policy development and legislative decision-making.
Prepared policy summaries, briefing materials, talking points, and constituent reports to support legislative meetings, committee discussions, and public engagement activities.
Conducted research and contributed to the development and implementation of healthcare-related Senate Bills.
Worked closely with healthcare organizations and state agencies to identify policy solutions for rural healthcare challenges.
Served as a healthcare policy resource for legislative staff by researching healthcare, public health, and community issues to support informed policy discussions.
Researched emerging healthcare issues and provided policy recommendations and supporting analysis to assist legislative leadership in evaluating community needs and healthcare priorities.
Engaged with stakeholders to align legislative priorities with constituent needs.
Collaborated with healthcare organizations, government agencies, community leaders, and advocacy groups to address constituent concerns and advance healthcare and community initiatives.
Built collaborative relationships with healthcare providers, hospitals, community organizations, local governments, and state agencies to facilitate communication and improve access to public resources.
Supported healthcare and public policy initiatives focused on improving access to care, strengthening community resources, and addressing the needs of rural and underserved populations.
Southwest Regional Director
Texas State Senate - District 19
01.2008 - 10.2017
Managed regional strategic initiatives addressing healthcare access, economic development, and public services.
Directed regional operations and constituent services across Maverick, Dimmit, Zavala, Uvalde and Val Verde counties.
Led regional policy initiatives to enhance legislative effectiveness and community engagement.
Collaborated with stakeholders to advocate for funding allocations and resource distribution within the district.
Liaised between Senate leadership and healthcare organizations, schools, and community leaders to enhance collaboration and resource sharing.
Cultivated long-term partnerships that improved collaborative efforts across South Texas.
Created strategic plans to address constituent needs and improve communication across district offices.
Special Events Coordinator
Texas State Senate - District 19
01.2008 - 10.2017
Coordinated the District 19 Back-to-School Fair, distributing more than 55,000 backpacks and school supplies to students across Senate District 19.
Organized annual Senator Santa initiative providing healthcare supplies to rehabilitation and long-term care facilities across Senate District 19.
Coordinated logistics for large-scale events, ensuring seamless execution and attendee satisfaction.
Managed sponsorships, volunteers, vendors, and event logistics to enhance community partnerships.
Led volunteer recruitment and training initiatives, enhancing team performance and engagement.
Managed vendor relationships to secure essential services and negotiate favorable contracts.
Developed event timelines and schedules, optimizing resource allocation and workflow efficiency.
Oversaw budget management, tracking expenditures to maintain financial compliance and support event objectives.
Collaborated with legislative staff to align event objectives with district goals, ensuring community engagement and support.
Executed community outreach initiatives across diverse populations to raise awareness. across 14 South Texas counties.
Education
Bachelor of Science - Healthcare Administration
Western Governors University
Salt Lake City, UT
12-2026
Skills
Healthcare Leadership & Operations
Healthcare Operations
Healthcare Leadership
Physician Practice Operations
Provider Relations
Physician Engagement
Healthcare Strategy and Strategic Planning
Population Health
Value-Based Care
Practice Transformation
Operational Excellence
Medicare Advantage
Risk Adjustment
Healthcare Compliance
Performance & Analytics
Healthcare Analytics
Data Analysis
Performance Analysis
Financial Performance
Revenue Optimization
Budget Oversight
Quality Improvement
HEDIS/STAR Performance
CAHPS & HOS
Utilization Management
Leadership & Business Strategy
Executive Stakeholder Management
Cross-Functional Leadership
Project Management
Community Partnerships
Rural Healthcare
Certification
Certified Physician Practice Manager (CPPM)-July 2026
Certified Rural Health Clinic Professional (CRHCP)-Expected December 2026
Certified Professional Coder (CPC)-Expected 2026
Technology & Analytics
Business Intelligence & Analytics
Microsoft Power BI
Tableau
SQL (Working Knowledge)
Alteryx
Dashboard Development
Data Visualization
Performance Analytics
Operational Reporting
KPI Development
Microsoft Excel (Advanced)
Performance Reporting
CRM & Relationship Management
Salesforce
Microsoft Dynamics CRM
Customer Relationship Management (CRM) Platforms
Healthcare Information Systems
Athenahealth
eClinicalWorks (ECW)
NextGen
Oracle Health / Cerner
Electronic Health Records (EHR/EMR)
Medicare Advantage Reporting Tools
Value-Based Care Analytics
Population Health Management Platforms
Project & Process Management
Microsoft Project
Smartsheet
Microsoft Visio
Azure DevOps
ServiceNow
Collaboration & Productivity
SharePoint
Microsoft Teams
Microsoft Office Suite (Excel, PowerPoint, Word, Outlook)
Professional Development
Python for Data Analytics (In Progress)
Accomplishments
Generated over $5 million in healthcare cost savings
Increased provider revenue by $4.8 million
Reduced hospital utilization costs by $2.5 million
Improved Medicare quality performance from 2.1 Stars to 4.2 Stars
Expanded Medicare Advantage membership by more than 130% growing from 11,598 to 26,908 members.
Physician Business Manager at WellMed Medical Management - United Health GroupPhysician Business Manager at WellMed Medical Management - United Health Group
Senior Physician | Executive Director at Private Hospital and Multimilitary medical CenterSenior Physician | Executive Director at Private Hospital and Multimilitary medical Center