Healthcare Quality & Strategy Executive | Transforming Plans. Elevating Outcomes.
With 12+ years leading enterprise Medicare quality, Stars performance and health plan governance, I transform underperforming organizations into high-performing, accountable systems — through cross-functional alignment, data-driven strategy and a deep commitment to health equity. I build governance structures, translate CMS and NCQA requirements into scalable execution and lead the teams that sustain results.
"I don't just improve Star ratings — I build the systems that sustain them."
I am a Health Plan Performance Strategist with 12+ years of experience leading Stars, accreditation, strategic governance and regulatory-driven improvement across Medicare Advantage HMO and PPO products. Known for building enterprise governance structures, aligning cross-functional leaders and translating CMS and NCQA requirements into scalable strategies that strengthen performance, mitigate risk and improve member outcomes. A trusted advisor to senior leadership — driving enterprise accountability, operational alignment and sustainable quality transformation in complex healthcare environments.
As a transformative, coach-style leader, I believe the best outcomes happen when people are empowered, accountable and connected to a shared purpose. I hold a Master of Arts in Organizational Management, serve as a Board Member at Large for Inside Health Institute and previously led consulting engagements through Culturally Elevated Consulting focused on Health Equity and NCQA accreditation standards.
I coined the term "Denominator Intelligence" — because understanding not just who we serve, but why members remain in the denominator year over year, is the key to closing multi-year gaps and driving real, lasting health equity.
Accountable for Medicare Advantage quality across the full state of Texas — spanning 241 counties and approximately 60,000 members — led a cross-functional team to elevate all 7 MA contracts from 3.5 stars or below to 4 stars or better within just 2 years. Achieved through unified goal-setting, cross-functional alignment, appointed accountability frameworks and a comprehensive quality strategy build. Doing more with less — a team of 4 driving enterprise-level results.
The health plans that outperform in the next era will be those that understand this. I sit at that intersection — building the systems that drive both.
Protecting and generating tens of millions in CMS quality bonus payments through sustained Stars performance improvement
Improving HEDIS closure rates driving quality bonus revenue and CMS compliance outcomes
Avoiding CMS penalty adjustments through proactive governance and accountability frameworks
Reducing claims disputes through provider education and relationship-based engagement strategies
Contributed to benefit design and BID strategy — analyzing utilization patterns to optimize OTC and pharmacy card spend directly impacting medical cost ratio
Consolidated duplicative vendor outreach strategies — reducing vendor spend while improving member engagement efficiency
Reduced unnecessary ER utilization through intentional member engagement and gap closure strategies
Partnered with analytics to build a unified vendor performance dashboard — enterprise-level visibility from market down to provider level accelerating decisions
End-to-end quality program design, Stars performance improvement, CMS governance frameworks, cross-functional alignment and accountability structures that drive and sustain 4-star performance.
Building enterprise governance models, operating rhythms, KPI frameworks and executive reporting structures that align cross-functional leaders around measurable outcomes and disciplined execution.
Layered data analysis, SDOH gap closure strategies, denominator intelligence frameworks, provider conversation tools and member engagement approaches that address equity at the root level.
Partnering with analytics teams to shape Stars calculators, performance dashboards and process flows — translating organizational needs into data intelligence tools that sharpen decision-making and accelerate insight-led action.
Developing engagement models that enhance provider connectivity, designing educational programs with actionable data, and building feedback mechanisms that drive continuous improvement across Stars measures.
Coaching-centered leadership development, emotional intelligence training, mentoring frameworks and team empowerment strategies that build high-performing, accountable cultures from the inside out.
Bringing a quality lens to cost strategy — analyzing utilization patterns, informing benefit design decisions, consolidating vendor spend and identifying opportunities to reduce medical cost ratio while maintaining member experience and outcomes.
For full consulting services and engagement options
Visit Culturally Elevated →Most quality strategies optimize for closure, not understanding. Introducing the Denominator Intelligence Framework™ — a deliberate shift from tracking gaps to understanding persistence.
Read Full Article →Elevating 7 Medicare Advantage contracts simultaneously requires more than strategy — it requires a culture shift. Here's what actually worked.
Read Full Article →Health plans that separate quality strategy from cost strategy are leaving performance and revenue on the table. Here's why the two must operate as one.
Article in progress — check back soonThe leaders who drive the biggest transformations are not the loudest ones in the room. They are the ones who build the most trust.
Article in progress — check back soonWellSense Health
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Built the foundation of a distinguished healthcare quality career through progressive roles in Medicare Advantage quality improvement, DSNP program management and Stars performance — including leading quality across 241 Texas counties with accountability for 7 MA contracts and approximately 60,000 members.
Whether you're a recruiter exploring VP or Director-level talent in healthcare quality, health plan strategy or governance, an organization seeking consulting partnership, or a colleague looking to connect — I'd love to hear from you. Let's talk about what's possible.