STEPHANIE VIELMA
Livermore,CA
Summary
Strategic healthcare leader with deep experience in operations, value-based care, practice transformation, and financial planning across health systems, FQHCs, managed care, and physician practices. Partners with executive and clinical teams to turn organizational priorities into operating plans, technology decisions, and performance initiatives that improve access, patient experience, compliance, and financial sustainability.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Strategic Healthcare Consultant / Practice Transformation Advisor
Pediatric Care of Stockton
Stockton, CA
10.2025 - Current
- Financial & Value-Based Strategy: Advise leadership on payer strategy and value-based reimbursement, evaluating contract requirements, workflows, and readiness for alternative payment models.
- Strategic Planning & Organizational Development: Partner with physicians and administrative leadership to define a future-state practice strategy spanning operations, workforce, clinical workflows, technology, compliance, and growth.
- Analyzed utilization, no-show, and care-gap data to identify barriers to preventive care and designed targeted interventions, resulting in a 15% increase in visit completion.
- Assessed EHR capabilities and operational needs; developed business and clinical requirements along with an evaluation framework to optimize future EHR system investment.
- Built KPI and data governance frameworks integrating EHR and payer quality data to enhance reporting accuracy, facilitate data sharing, and support leadership decision-making.
Chief Operating Officer
Lana'i Community Health Center
Lana'i City, HI
02.2026 - 08.2026
- Promoted from a contracted interim leadership role into the Chief Operating Officer position, providing executive oversight and strategic direction across operations, finance, compliance, quality, workforce infrastructure, and organizational performance for an FQHC.
- Collaborated with CEO and executive leadership to align organizational priorities with operating plans, resource strategies, and performance initiatives that enhance access, patient experience, quality, and financial sustainability.
- Oversaw cross-functional operations, integrating clinical services, finance, facilities, workforce, vendor management, and administrative functions to optimize operational efficiency.
- Led business planning efforts for financial budgeting, revenue cycle management, grant budgeting, resource allocation, and fiscal oversight to ensure financial health.
Interim Compliance & Quality Officer, Contract
Lana'i Community Health Center
Lana'i City, HI
09.2025 - 01.2026
- Supported compliance and quality management efforts to maintain regulatory adherence and strong daily operations as interim compliance & quality officer.
- Reviewed incident reports, policy breaches, and corrective action requests, then recorded findings.
- Provided staff training on ethics, privacy, and compliance expectations.
- Handled medical records correspondence and documentation for patient services and administrative needs.
Director of Practice Transformation
RecastHealth, LLC
San Francisco, CA
08.2024 - 10.2025
- Directed Equity & Practice Transformation initiatives supporting FQHCs and independent practices to address disparities and strengthen primary care behavioral health integration.
- Partnered with physician leaders and managed care executives to build sustainable infrastructure for long-term performance and compliance alignment.
- Strengthened provider network infrastructure through community and practice engagement, guiding operational enhancements to meet DHCS, Medi-Cal, and NCQA standards.
- Partnered with managed care plan and community-based physician practices to enhance clinical operations, quality, EHR optimization, data governance, and value-based care readiness in accordance with CalAIM and DHCS standards.
- Collaborated with clinical and administrative teams on EHR redesigns that increased operational accuracy and reporting consistency.
Manager, Provider Network Operations
Santa Clara Family Health Plan
San Jose, CA
02.2020 - 07.2024
- Spearheaded strategic network expansion and provider development initiatives to strengthen access and capacity for more than 280,000 Medi-Cal members, aligning recruitment and network strategy with long-term growth objectives.
- Led strategic operations for a provider network serving 280,000 Medi-Cal members, advancing network growth, access, regulatory compliance, and performance. Partnered with executive, compliance, and clinical leaders to align network operations with DHCS requirements and strengthen organizational readiness.
- Designed and implemented the Provider Performance Program, aligning incentives with quality and population health priorities and contributing to a 15% improvement in HEDIS performance.
- Partnered with executive leaders and cross-functional teams in clinical, finance, IT, and quality to advance strategic initiatives, enhancing network performance and alignment with organizational goals.
- Oversaw incentive methodologies and budget forecasting, developing reimbursement strategies that supported financial sustainability and resource planning for value-based performance.
Clinic Operations & Quality Manager
North East Medical Services & School Health Clinics of Santa Clara County
San Jose, CA
05.2014 - 02.2020
- Managed operations and quality across multiple FQHC locations, enhancing access, diversifying services, and ensuring regulatory compliance. Led growth of multi-specialty service lines in dental, optometry, and acupuncture; oversaw clinic budgets and workflow design, strengthened payer partnerships, and implemented data-driven improvements to achieve NCQA PCMH accreditation and meet HRSA standards.
- Directed quality programs across community medical and school health clinics.
- Monitored compliance with patient safety and regulatory standards.
- Coordinated audits for clinical documentation and care processes.
Program & Clinical Operations Leader / Epic Ambulatory Trainer
El Camino Health
Mountain View, CA
02.2009 - 05.2014
- Led development of health programs and coordinated women's health initiatives to enhance care access in clinical and community settings.
- Managed patient flow operations daily across El Camino Health service areas. across El Camino Health service areas.
- Coordinated staff schedules and coverage for inpatient and outpatient departments.
- Monitored unit workflow and resolved service delays with clinical teams.
Education
Master of Business Administration -
University of Phoenix
01-2019
Bachelor of Science - Health Administration & Management
University of Phoenix
01-2014
Skills
- Value-Based Care Strategy
- Financial resource management
- Performance Analytics
- Patient Access & Experience
- Healthcare Operations
- Strategic Planning & Execution
- Service-Line Optimization
- Healthcare Partnerships
- Collaborative Leadership
- Organizational Transformation
- Change Management
- Executive partnerships
Certification
Credentialed Epic Trainer, Certified Medical Assistant
Accomplishments
- Expanded patient and organizational capacity through service-line development, provider network expansion, recruitment strategy, and redesigned care delivery models.
- Led enterprise and practice transformation by translating strategic priorities into operating plans, technology strategies, and performance measures that improved HEDIS and quality metrics by more than 15%.
- Directed business and operational planning across clinical operations, finance, quality, compliance, and workforce functions, aligning resources with strategic priorities and improving data accuracy and workflow efficiency by 20%.
- Partnered with executive, physician, payer, and community stakeholders to assess growth opportunities and advance patient-centered strategic initiatives.
Timeline
Chief Operating Officer
Lana'i Community Health Center
02.2026 - 08.2026
Strategic Healthcare Consultant / Practice Transformation Advisor
Pediatric Care of Stockton
10.2025 - Current
Interim Compliance & Quality Officer, Contract
Lana'i Community Health Center
09.2025 - 01.2026
Director of Practice Transformation
RecastHealth, LLC
08.2024 - 10.2025
Manager, Provider Network Operations
Santa Clara Family Health Plan
02.2020 - 07.2024
Clinic Operations & Quality Manager
North East Medical Services & School Health Clinics of Santa Clara County
05.2014 - 02.2020
Program & Clinical Operations Leader / Epic Ambulatory Trainer
El Camino Health
02.2009 - 05.2014
Master of Business Administration -
University of Phoenix
Bachelor of Science - Health Administration & Management
University of Phoenix