Robert A. Beltran, M.D., M.B.A., FACMQ, C HCQM

***** ****** **. ****** *****, California 92845

ad4tc6@r.postjobfree.com

PROFILE

I have over 40 years of clinical administrative expertise, experience, knowledge, and skills.

This is demonstrated by collaborating with physicians’ groups, local hospital systems, state health organizations and national health organizations in the healthcare industry in California and Washington, DC.

My professional focus is on Quality, Healthcare and Medical Management (UM Outpatient, Inpatient, post-discharge facilities and Case Management) in the general population and in vulnerable underserved communities

Employment History

April 1, 2021, to December 7, 2021- position eliminated budget cuts

Titanium Healthcare

Reported to Founder/CEO- Gray Miller

Physician Executive – Business Development

Duties- Network Development MSO and Hospital contracts for seven clinic system in LA,

OC,Fresno counties. Imperial Health Plan, Premiere Plus One MSO-Center IPA,

Prospect, Conifer Emanante IPA, Alta Med FQHC, Practice Acquistions

Evaluations

July 1, 2013, to March 26th, 2021

Bright/Brand New Day Health Plan- restructure lay off- position consolidation

Reported to Jeff Davis- CEO/COO

Position- Senior Medical Director

Duties- UM- Inpatient Care Management, Outpatient Care Management, Referrals,

Appeals and Grievances, Clinical Operations, Hospital and Provider group

Health plan operations

January 1, 2011, to June 15, 2013

Citizen Choice Health Plan- Plan acquired by Alignment Health -laid off

Reported to Elizabeth Tejada, COO and Board of Directors

Position- Senior Medical Director

Duties- Inpatient/Outpatient Care Management and Coordination, Appeals and

Grievances, Referral Authorizations, Hospital/Physician group

Management

January 1,2010 to December 30th, 2010

Consulting

Position – Physician

Contracts- Kern Family Health- Medical Director- referral authorization,

Grievances and Appeals

Registry of Physician Specialist- Physician Placement Company

Gold Coast Health Plan- Interim CMO- policy development, hospital

And provider network / hospital development.

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June 2006 to November 2009

Monarch Health – laid off- restructuring

Position- Ambulatory Outpatient Medical Director-reported to CMO

Duties – Referral Authorizations, Coordination Care and Case Management

January 1st, 2003, to June 2006

Universal Care- health plan sold, position consolidation

Reported to CMO

Position – UM Medical Director

Duties- Referral Authorizations, Claim Review,

October 2000 to December 2003

Clínica De La Raza- FQHC- non-renewal of the contract

Reported to Executive Director

Position-Medical Director

Duties - Care Coordination, Clinical Staff Management

January 2000 to October2000

Tower Health- left for full time position

Reported to CMO

Associate Medical Director - Part time and administrative Surgical Practice

Duties- corporate committee – Quality, Peer Review, Pharmacy

May 1980 to January 2000

General Surgery Private Practice

Merage School of Business - Practice1997 to 1999- Health Care MBA

Education

1966 to 1969 – James A. Garfield High School

1969 to1972 – University of Southern California – BA Medicine

1972 to 1976 – USC Keck School of Medicine – M.D. -

1976 to 1980 – General Surgery Residency – LAC-USC Surgery Residency

1997 to 1999 – UCI- Merage School of Business

Medical Management Certification

American Board of Quality Assurance Utilization Review Physicians

Community and Medical Professional Boards

Latinas Contra Cancer

American College of Medical Quality- Board of Trustees

Office of Minority Health – Vice -Chairman – Western Region Health Equity Council

California Latino Medical Association – State President

National Hispanic Medical Association – Leadership Certificate – NYU

LAC-USC Medical Center Replacement Advisory Board

Los Angeles County Department of Health Services – Director’s Health Care Advisory Council

Network of Ethnic Physician Organizations- Founding Member

Bright Health/Brand New Day- Diversity, Equity, and Inclusion Taskforce

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