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Health Plan's Chief Executive Officer
Who is Lizeth Ganados?
Regulates health care service plans in California.
What is the Knox-Keene Act (Knox-Keene Health Care Service Plan Act of 1975)?
Promotes understanding and adherence to Health Plan Compliance Program and advises CRACO on development and implementation of the Program.
DHCS
What is California Department of Health Care Services?
"We are accountable to members, providers, our communities, and each other."
What is Accountability?
Joined Health Plan in 2022, with demonstrated abilities in both a technical and business operations capacity.
Who is Victory Worthy, Chief Information Officer?
Acronym "CCR," this is the official compilation of regulations adopted by state agencies in California.
What is the California Code of Regulations?
Governing body for Health Plan.
What is San Joaquin Health Commission?
DMHC
What is California Department of Managed Health Care?
"We actively engage in community partnerships to advance quality care and health equity."
What is Partnership?
An executive with extensive experience in operations, employee and labor relations, and recruiting.
Who is Evert Hendrix, Chief Administrative Officer?
HIPAA
What is the Health Insurance Portability and Accountability Act of 1996?
Committee responsible for oversight and reporting outcomes following audit and monitoring activities.
What is Audit and Oversight Committee (AOC)?
OIG
"We demonstrate teamwork in all our interactions."
What is Teamwork?
Joined Health Plan in 2015, bringing nearly 30 years of experience as a strong financial leader in the healthcare industry.
Who is Michelle Tetreault, Chief Financial Officer?
Also known as the Physician Self-Referral Law.
What is Stark Law?
PSOC
What is Privacy and Security Oversight Council?
MCO
"We serve as a responsible steward of entrusted resources."
What is Stewardship?
Joined Health Plan as CMO in October 2014, bringing over 25 years of experience as a practicing pediatrician.
Who is Dr. Lakshmi Dhanvanthari, Chief Medical Officer?
Regulations enforced by CMS are codified in Title 42 of these set of rules published by the U.S. federal government.
What are Code of Federal Regulations (CFR)?
Under the umbrella of the Compliance Committee, responsible for ensuring policies and procedures, and their outcomes, support the mission, values, and strategic goals of Health Plan.
What is Policy Review Committee (PRC)?
DHHS
What is Department of Health and Human Services?
"We believe in promoting a foundation of compassion and respect for diversity, equity, and inclusion strengthening our organization and community by embracing opportunities for growth and leveraging the uniqueness of individual ideas, thoughts, and cultures."
What is Diversity, Equity, and Inclusion?