CalOptima is led by an Executive Management Team with decades of health care experience and a lifetime commitment to improving the health of our community. Together, they have established CalOptima as one of the most respected public agencies in the country and have earned statewide and national attention for their success in providing health access to Orange County residents.
Chief Executive Officer As Chief Executive Officer, Mr. Schrader works collaboratively with the Board of Directors to set the organization’s strategic vision and ensure its successful implementation. He oversees all aspects of the organization and maintains positive working relationships with member, provider and community representatives as well as federal, state and county agencies. He serves on the boards of the California Association of Health Plans and the Local Health Plans of California. He has more than 20 years of executive leadership experience for managed care plans in California and Massachusetts. Prior to CalOptima, he was the Chief Operating Officer for Boston Medical Center HealthNet Plan and the Chief Operating Officer for CenCal Health in Santa Barbara. His bachelor’s degree is in aerospace engineering from the University of Arizona, and he has a master’s degree in business administration from the University of California, Los Angeles. Mr. Schrader has been Chief Executive Officer of CalOptima since December 2012.
Chief Counsel As Chief Counsel, Mr. Crockett oversees all CalOptima legal matters. In his role, he provides advice and legal counsel to the CalOptima Board of Directors and its advisory committees, and to senior management. Mr. Crockett addresses a wide array of activities and topics, including public agency, board administration and governance issues, as well as various health care and general legal matters. Prior to joining CalOptima in 2004, Mr. Crockett was a staff attorney for Presiding Justice David G. Sills of the California Court of Appeal. He also worked in private practice at the law firm of Woodruff, Spradlin & Smart. Mr. Crockett has more than 15 years of experience in professional and management positions, primarily in corporate finance and financial services, including financial reporting and analysis, capital budgeting, credit analysis, divestments, and mergers and acquisitions. Mr. Crockett is licensed to practice law in California, New York and Washington, D.C., and has served as Chief Counsel since 2006.
Chief Medical Officer As Chief Medical Officer, Dr. Helmer oversees CalOptima’s medical care delivery system, including development and implementation of strategies, programs, policies and procedures. He is responsible for leading key CalOptima departments, including Medical Data Management, Utilization Management, Quality Management, Case Management, Disease Management, Health Education, Pharmacy Management and Long-Term Care. A dedicated advocate for quality health care, Dr. Helmer is a surveyor for the National Committee for Quality Assurance. He will ensure that CalOptima maintains quality standards as an NCQA-accredited health plan. Prior to joining CalOptima, Dr. Helmer held medical leadership positions at private managed care plans and a public agency, Central California Alliance for Health, a county organized health system. He is board certified in family medicine.
Chief Operating OfficerAs Chief Operating Officer at CalOptima, Ms. Khamseh is responsible for oversight and day-to-day operations of several departments, including Customer Service, Information Services, Program Implementation, Process Excellence, Grievance and Appeals, Claims Administration and Coding Initiatives. She is charged with ensuring that those departments comply with all state and federal requirements as well as implement all Board-approved business strategies. Further, Ms. Khamseh champions key agency initiatives through her interactions with key stakeholders, including member advocates and community-based organizations. She was promoted to the Chief Operating Officer role from her position as Executive Director of Operations. She has been at CalOptima since its founding in 1995. Ms. Khamseh holds bachelor’s degrees in psychology and biology from University of Wisconsin, and a master’s degree in psychology from Illinois State University.
Chief Information OfficerAs Chief Information Officer, Mr. Rosignoli provides leadership and oversight of CalOptima’s information technology programs and services in support of its mission. Mr. Rosignoli brings more than 25 years of experience in information technology, process improvement and project management. Prior to CalOptima, Mr. Rosignoli was the head of IT at the University of Arizona Health Plans in Tucson, Ariz., and he held IT leadership positions at Coventry Health Care and PacifiCare Health Systems. He earned his bachelor’s degree in business administration and management information systems from Indiana University of Pennsylvania.
Deputy Chief Medical Officer As Deputy Chief Medical Officer, Dr. Bock works with the Chief Medical Officer in the oversight of CalOptima’s medical care delivery system, including development and implementation of strategies, programs, policies and procedures. He is responsible for leading several CalOptima departments, including Medical Data Management, Utilization Management, Quality Management, Case Management, Disease Management, Health Education, Pharmacy Management and Long-Term Care. A board-certified internist, Dr. Bock has served in a number of leadership positions, most recently as Chief Medical Officer at Molina Healthcare of California.
Deputy Chief CounselAs Deputy Chief Counsel, Ms. Hoffman has primary responsibility for the day-to-day operations of the legal department. With CalOptima since 2000, Ms. Hoffman serves as CalOptima’s primary contact with outside counsel on litigation and government claims matters. In her role, she provides advice and counsel to all operational departments on numerous topics, including health care and regulatory compliance, quality improvement, procurement, human resources, and provider contracting and operations. She also provides guidance on strategic initiatives and new program implementation. Ms. Hoffman is a cum laude graduate of Chapman University School of Law with an emphasis in tax law. She is a member of the California Bar as well as the U.S. Supreme Court Bar. Ms. Hoffman holds a bachelor’s degree in international affairs from Lafayette College and a master’s degree in national security studies from Georgetown University.
Executive Director, Program ImplementationAs the Executive Director of Program Implementation, Ms. Gomez oversees a newly formed department focused on launching new programs and initiatives at CalOptima. She is responsible for implementing Medi-Cal expansion in January 2014 and for Cal MediConnect, a proposed demonstration health plan to coordinate care for people who have Medicare and Medi-Cal. Most recently, Ms. Gomez led the teams that launched Orange County’s first Program of All-Inclusive Care for the Elderly (PACE) and completed the transition of Medi-Cal members to the Community-Based Adult Services program. Prior to this role, she served as the Interim Executive Director for Seniors and Persons With Disabilities and Director of CalOptima Kids, operating the Healthy Families Program and Healthy Kids.
Executive Director, Clinical OperationsAs the Executive Director of Clinical Operations, Ms. Hitzeman oversees the Case Management, Utilization Management, Long-Term Support Services and Clinical Outcomes departments. Ms. Hitzeman brings more than 30 years of experience in the health care industry. She is a Registered Nurse and Certified Case Manager. Since 2009, Ms. Hitzeman has been dedicated to serving CalOptima members, facilitating coordination of medical services for members, initially as part of the Utilization Management team. She transitioned to the Case Management department where she worked to enhance CalOptima’s programs and implement OneCare Connect. Prior to joining CalOptima, she served as the Medical Operations Manager at Sedgwick Claims Management Services. Ms. Hitzeman received her nursing degree from Los Angeles County Medical Center School of Nursing.
Executive Director, ComplianceAs Executive Director of Compliance, Ms. Ho oversees CalOptima’s regulatory and compliance functions to ensure that the organization meets all applicable statutory, regulatory and contractual requirements for all of CalOptima’s programs. She is responsible for overseeing CalOptima’s relationships with regulatory agencies, regulatory audits for all CalOptima programs, all internal and external compliance and auditing activities, ensuring compliance with privacy/HIPAA rules, and fraud, waste, and abuse (FWA) activities. Ms. Ho has more than 15 years of professional experience in health care, including health plan, Medicare Advantage, Medi-Cal managed care, and pharmacy benefit management. Ms. Ho was most recently the Director of Regulatory Affairs at CalOptima, and has previously also held positions with OptumRx(a subsidiary of UnitedHealth Group), the Centers for Medicare & Medicaid Services (CMS), PAREXEL, and The Lewis Group. She has a bachelor’s degree from Brandeis University, and a master’s degree in public policy from Georgetown University.
Executive Director, Quality AnalyticsAs the Executive Director of Quality Analytics at CalOptima, Ms. Ireland is responsible for overseeing key medical affairs functions, including quality improvement, quality analytics, and disease management and health education programs. She brings many years of diversified experience in quality improvement, health care operations and population health management for managed care organizations. In addition, she has developed and implemented programs that advance quality incentives, patient-centered medical homes, NCQA accreditation and HEDIS/Star performance. Prior to CalOptima, she was the Assistant Vice President of Quality Improvement at Hawaii Medical Service Association in Honolulu, Hawaii. Ms. Ireland holds a bachelor’s degree in school and community health education with a supporting program in family problems from University of Minnesota.
Executive Director, Public Policy and Public AffairsAs the Executive Director of Public Policy and Public Affairs, Mr. Tsunoda oversees the Communications, Community Relations, Government/Legislative Affairs and Strategic Development departments at CalOptima. He is primarily responsible for managing the agency’s external issues and activities, including interacting with the media, community-based organizations and other partners as well as elected officials in federal, state and local government. Prior to joining CalOptima, Mr. Tsunoda served in a number of leadership positions at the County of Orange, including as chief of staff to a member of the Board of Supervisors. Earlier in his career, he was also a key member of the government and external affairs staff for both the City of Anaheim and the Orange County Health Care Agency. Mr. Tsunoda graduated from the University of California, Los Angeles, earning a bachelor’s degree in political science with an emphasis in public administration. He has also been a member of the Aliso Viejo City Council since 2007, serving as mayor twice, in 2010 and 2014.
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