I currently serve as the Chief Medical Quality Officer of Ambulatory Care for Ventura County Healthcare Agency. VCHCA is the public healthcare delivery system for Ventura County, a rural county located on California's Central Coast I am also a primary care physician and serve as volunteer clinical faculty at UCSF. I co-teach the health systems and quality improvement curriculum for UCSF internal medicine primary care residents.

From 2017-2021 I was a full-time UCSF faculty member. My role was as the medical director of the Public Hospital Redesign and Incentives in Medi-Cal (PRIME) and Quality Incentive Pool (QIP) programs for the San Francisco Health Network. I also worked on special COVID19 projects including serving as the deputy lead for SFHN's COVID vaccine delivery. My primary interest is in making public health care systems safer, higher quality and more equitable. Other interests include value based care, Medicaid transformation, teaching QI, developing the next generation of safety net leaders and high quality chronic disease care, especially for heart failure, diabetes and hypertension.