County of Los Angeles CHIEF ADMINISTRATIVE...
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County of Los Angeles CHIEF ADMINISTRATIVE OFFICE 713 KENNETH HAHN HALL OF ADMINISTRATION. LOS ANGELES. CALIFORNIA 90012 (213) 974- 1101 http://cao. coJa. caus DAVID E. JANSSEN Chief Administrative Officer Board of Supervisors GLORIA MOLINA First District March 8, 2004 YVONNE BRATHWAITE BURKE Second District ZEV Y AROSLA VSKY Third District From: Supervisor Don Knabe , Chairman Supervisor Gloria Molina Supervisor Yvonne Brathwaite Burke Supervisor Zev Yaroslavsky Supervisor Michael D. Antonovich David E. Janss Chief Administra Offi r DON KNABE Fourth District To: MICHAEL D. ANTONOVICH Fifh District REQUEST TO APPOINT ROB LO ARDO TO THE MANAGEMENT POSITION OF DIRECTOR , OFFICE OF MANAGED CARE (UNCLASSIFIED) IN HEALTH SERVICES ADMINISTRATION Consistent with the Board' s August 4 , 1998 and December 5, 2000 actions on management appointments , the Department of Health Services (DHS) requests authority to appoint Rob Lonardo to the position of Director , Office of Managed Care (OM C) at a salary of $15, 000. 00 per month or $180, 000. 00 annually. The requested salary is in accordance with County Code Section 6. 78. 350 L , which specifies that , for recruitment purposes and at the time of initial appointment , the compensation of this position can be set at a rate of up to 50 percent above the rate shown in Section 6. 28. 050 (currently $10, 707. 27) as the base rate for this position. The requested salary of $15, 000. 00 per month is approximately 40 percent above the base rate. As OMC Director , Mr. Lonardo will direct the negotiation , administration and assessment of contractual agreements with providers of health care services to and by the Department. He will assume responsibilty for developing and maintaining an effective relationship with LA Care , directing the administration of the CHP service delivery networks and ensuring achievement and adherence to contractual agreements by private sector providers. Mr. Lonardo will also ensure appropriate reimbursement for DHS- provided services , as well as ensure that all federal , state and local licensure and regulatory requirements are in compliance. Lonardo. mbs To Enrich Lives Through Effective And Caring Service
Transcript of County of Los Angeles CHIEF ADMINISTRATIVE...
County of Los AngelesCHIEF ADMINISTRATIVE OFFICE
713 KENNETH HAHN HALL OF ADMINISTRATION. LOS ANGELES. CALIFORNIA 90012(213) 974-1101
http://cao.coJa.caus
DAVID E. JANSSENChief Administrative Officer
Board of SupervisorsGLORIA MOLINAFirst District
March 8, 2004 YVONNE BRATHWAITE BURKESecond District
ZEV Y AROSLA VSKYThird District
From:
Supervisor Don Knabe , ChairmanSupervisor Gloria MolinaSupervisor Yvonne Brathwaite BurkeSupervisor Zev YaroslavskySupervisor Michael D. Antonovich
David E. JanssChief Administra Offi r
DON KNABEFourth DistrictTo:MICHAEL D. ANTONOVICHFifh District
REQUEST TO APPOINT ROB LO ARDO TO THE MANAGEMENT POSITION OFDIRECTOR , OFFICE OF MANAGED CARE (UNCLASSIFIED) IN HEALTH SERVICESADMINISTRATION
Consistent with the Board's August 4, 1998 and December 5, 2000 actions onmanagement appointments, the Department of Health Services (DHS) requestsauthority to appoint Rob Lonardo to the position of Director, Office of Managed Care(OM C) at a salary of $15,000.00 per month or $180,000.00 annually. The requestedsalary is in accordance with County Code Section 6.78.350 L, which specifies that, forrecruitment purposes and at the time of initial appointment, the compensation of thisposition can be set at a rate of up to 50 percent above the rate shown inSection 6.28.050 (currently $10,707.27) as the base rate for this position. Therequested salary of $15,000.00 per month is approximately 40 percent above the baserate. As OMC Director, Mr. Lonardo will direct the negotiation, administration andassessment of contractual agreements with providers of health care services to and bythe Department. He will assume responsibilty for developing and maintaining aneffective relationship with LA Care , directing the administration of the CHP servicedelivery networks and ensuring achievement and adherence to contractual agreementsby private sector providers. Mr. Lonardo will also ensure appropriate reimbursement forDHS-provided services , as well as ensure that all federal , state and local licensure andregulatory requirements are in compliance.
Lonardo.mbs
To Enrich Lives Through Effective And Caring Service
Each SupervisorMarch 8, 2004Page 2
Mr. Lonardo is currently a health care consultant with a private firm in Newport BeachCalifornia and has over 24 years of extensive management experience in the healthcare field. His previous positions include Senior Vice President of ConsumerOperations/Government Programs at Blue Shield of California , National Vice Presidentof Medicare Programs at Met Life Health Care of Westport, Connecticut, andVice President of National Development for FHP Healthcare headquartered inFountain Valley. Mr. Lonardo s professional background also includes administrativeexperience as Chief Financial Officer of Pacifica Community Hospital , a 129-bed acutecare faciliy in Huntington Beach , California.
The department indicates that Mr. Lonardo is highly qualified to perform in this criticalposition as demonstrated by his past and current work performances.
Additional information, including the original request from Health Services and anorganization chart are provided. Sufficient funding for the item is included in theDepartment' s 2003-04 Adopted Budget, and the cost is 100 percent offset withcapitation revenue.
The Department indicates the requested annual salary of $180,000 is appropriate forperforming the duties of the position and the experience Mr. Lonardo brings to thisposition. Based on the above, we concur with the Department's request to appointMr. Lonardo to the position of Director, Office of Managed Care , at an annual salary of$180,000.
In accordance with the policy on managerial appointments , unless we hear otherwisefrom your offices by March 15 , 2004 , we will notify the Department that they areauthorized to proceed with the appointment.
Please let me know if you have any questions about this appointment , or your staff maycontact Amy Bennett of this office at (213) 893-9742.
DEJ:DLSS:AB:bjs
Attachments
Executive Officer, Board of SupervisorsDirector, Department of Health ServicesDirector of Personnel
Lonardo.mbs
BOARD OF SUPERVISORS
Gloria MolinaFirst District
Yvonne Brathwaite BurkeSecond District
Zev Yaroslavsky
Third DistrictTHOMAS L. GARTHWAIE, M.Direcor and Chief Medical Ofcer Don Knabe
Fourth District
FRED LEAChief Operating Ofcer Michael D. Antonovich
Fifth District
COUNTY OF LOS ANGELESDEPARTMENT OF HEALTH SERVICES313 N. Figueroa, Los Angeles. CA 90012(213) 240-8107
February 24 , 2004
FROM:
Sheila Shima , Acting Assistant Division ChiefHealth TeamChief Administrative Offqe
Sachi HamDirector, A
TO:
SUBJECT: REQUEST FOR AUTHORIZATION TO APPOINT ROBERT LONARDO TO THEPOSITION OF DIRECTOR , OFFICE OF MANAGED CARE IN HEALTH SERVICESADMINISTRATION
On October 1 , 2002, the Board of Supervisors instructed that all appointed Department Headsobtain the approval of the Board prior to filling any administrative or management position with anannual salary in excess of $107 000. As directed in this Board policy, CAO approval is required tofill any management vacancy.
Consistent with this policy, this is to request approval to appoint Robert Lonardo to the position ofDirector, Offce of Mapqd Care (OMC), Item Number 4568A , within Health ServicesAdministration at $115:00 .00 per month or $180 000.00 per year. Mr. Lonardo is currently a healthcare consultant with'tvative Solutions of Newport Beach. His client base includes varioushealth care governmental entities and private healthcare corporations. The Director , OMC positionwill report to Fred L , Chief Operating Officer for DHS and is fully funded in the Fiscal Year2003-04 budget. The Department would like to make this appointment as soon as possible.As Director, Offce of Managed Care (OMC), Mr. Lonardo wil have oversight responsibility forthe development, planning, implementation , administration, and evaluation of managed carehealth plan program/services offered to patient populations served by the DHS CommunityHealth Plan (CHP). The CHP delivery system is comprised of County hospitals, ComprehensiveHealth Centers and Health Centers , as well as private hospitals and medical groups. It isaffliated with two other Knox-Keene licensed health plans in the Healthy Familes Program. Mr.Lonardo wil also direct the negotiation , administration and assessment of contractualagreements with providers of health care services to the Department and services provided bythe Department to non-County managed health care providers; and direct the developmentimplementation and evaluation of operational plans to expand the provision of services andincrease enrollment in the CHP.
Sheila ShimaFebruary 24, 2004Page 2
Mr. Lonardo wil also serve as principal liaison to and will assume responsibility to. develop andmaintain an effective relationship with the Local Initiative Health Authority for the Los AngelesCounty to faciltate the continuing CHP partnership relationship; direct the administration of theCHP service delivery networks; as well as direct the assessment of the quality of servicesdelivered by private sector providers to ensure achievement of an adherence to contractualagreements; negotiate cost effective contractual agreement/arrangements with private providers;ensure appropriate reimbursement for DHS' provided services; and ensure the achievement ofand adherence to all federal , state and local licensure/regulatory requirements associated withopening health maintenance organizations.
Mr. Lonardo has extensive experience in the healthcare field having served more than 24 years invarious management capacities. His previous positions include service as Senior Vice PresidentConsumer Operations/Government Programs at Blue Shield of California, National VicePresident - Medicare Programs at Met Life Health Care of Westport, Connecticut, and VicePresident - National Development for FHP Healthcare headquartered in Fountain Valley,California. Mr. Lonardo s professional background includes hospital administration experiencehaving been Administrator as well as Chief Financial Offcer of Pacifica Community Hospital, a129-bed licensed acute care facility in Huntington Beach, California. He holds a Master ofScience in Business Administration degree from California State University, Long Beach.The salary requested for Mr. Lonardo is commensurate with the scope and responsibilities of the DirectorOffce of Managed Care position. Mr. Lonardo is highly qualified for the position and possesses the specialknowledge, skils, and experience to successfully perform in this critical position. .
If you have any questions or require additional information, please let me know , or your staff may contactSusan Montenegro , at (323) 890-7903.
SH:nmm
Attachments
PERTINENT INFORMATION FOR ROBERT LONARDO. DIRECTOR. OFFICE OF MANAGEDCARE. DHS HEALTH SERVICES ADMINISTRATION
Certify that the position is vacant and budgeted.The Director, Offce of Managed Care (OMC) position is fully funded in the DHS Health Services Administration , Offceof Managed Care Division Fiscal Year 2003-2004 Adopted Budget and is vacant.
Attachment I - Item Control
Attach an organization chart highlighting the position. Describe where the position fits into themanagement organizational structure.This position is within the Department of Health Services , Health Services Administration and is structuredorganizationally under the DHS Chief Operating Offcer (COO). The Director, Offce of Managed Care positionwil serve report to Fred Leaf, COO. As Director, Offce of Managed Care (OMC), Mr. Lonardo wil haveoversight responsibilty for the development, planning, implementation, administration , and evaluation ofmanaged care health plan program/services offered to patient populations served by the DHS CommunityHealth Plan (CHP). The CHP generates annual revenues in excess of $200 millon and has 136 positions.CHP has a combined membership of 175,301 in its Medi-Cal, Healthy Familes Program , In Home SupportiveServices, and County Temporary Employees product lines. The CHP delivery system is comprised of Countyhospitals Comprehensive Health Centers and Health Centers, as well as private hospitals and medical groups.It is affliated with two other Knox-Keene licensed health plans in the Healthy Familes Program. Mr. Lonardo
wil also direct the negotiation, administration and assessment of contractual agreements with providers ofhealth care services to the Department and services provided by the Department to non-County managedhealth care providers; and direct the development, implementation and evaluation of operational plans toexpand the provision of services and increase enrollment in the CHP. .
Attachment II - OMC Organization Chart
Indicate current salary of the individual for whom the request is being submitted. Indicate proposedsalary, percentage increase over current salary. Mr. Lonardo currently is a health care consultant with a private firm in Newport Beach, California. The DHS DirectorOffce of Managed , Item Number 4568A, is compensated at the flat salary rate of $10, 720.07. The proposed annualsalary for Robert Lonardo of $180,000.00 ($15,000 monthly) is within the parameters established in the Salary Code.The salary requested for Mr. Lonardo is commensurate with the scope and level of responsibilty required of theDirector, Offce of Managed Care. Mr. Lonardo possesses the special knowledge, skils, and experience required tosuccessfully perform all duties of the position. The salary adjustment wil compensate Mr. Lonardo commensuratewith his professional background, management experience, and the scope and complexity of the duties andresponsibilties of the position.
Attachment III - Professional Resume
Provide a listing of all equivalent internal positions within organization.The Director, Offce of Managed Care item is a one-classification position at a flat rate, and there is no othercomparable position within the Department. Identify management position above the position being requested.Fred Leaf, Employee Number Cr.ief Deputy Director, Health Services (UC), Item Number 4553A, annualsalary $213,000.00 ($17,750.00 monthly), Salary Range 18, above the fourth quartile.
Identify highest paid subordinates reporting to this position.Mary Abbott, Employee Number Chief Physician II, M.
, ".. - .
Pauline Rodriguez Dorsey, Employee Number Nursing Director, Administration
. . . ... . --- . . - --
Attachment I tI- Management positions above in DHS Department 110
MAR Pertinent Information - Dir OMC February 2004
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Robert Lonardo
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Experience
1/03 - present
Consutat - Inovative Solutions
537 Newport Ceter Drive Suite 361. Newprt Beach, CA 92660
Heath Cae Constat for seera clients, includig the Federa Employee Progr Blue Cross and BlueShield Governent Unit, Washigton, DC; Blue Shield of Caiforna; s Angeles County Depaent ofHeath Servces Ofce Of Maged Cae; LA Cae; and Mercr HR
12/94 - 1/03
Senior Vice President - Consumer OptionsGovernent ProgrBlue Shield of Caorna50 Beae StreetSan Fracisco, CA 94105(415) 229 5053
As an offcer of the company, reportg to the Chief Opratig Ofcer, have diec line respnsibilty forall trsactona fuctons with Blue Shield. These include clai, cutomer/member servces,instlation, membership, grevances, and apps. With 2300 Ffs in ths division, a dedcated HR teaalso report to ths SVP. Additiona respnsibilities spifc to a Blue plan include admsttion of theFederal Employee Progr (PP), the Blue Cad Progr (National Accounts), and electonic datainterfacing (EDI). Also serve as the HI AA Ofcer for the entie heath plan
Line responsibility for 8 Direcors, 32 Magers, 180 Supervsors, for 2300 tota Ffs.Anua operatig budget of $112MImplemented work procss design chages to produce excellent servce metrcs, and 100%compliance with regutory agencies.Over 7 Servce Centers, procss over 25M claims, 6M cas anuay.Green statu on al HIAA requiements, DMHC mandates, SB168, and ERISA compliance.Work closely with large multi-stte nationa accounts for servce delivery and network issues.Implemented Network Choice option for tiered hospita delivery system statewide, bas on costscreen thesholds and quaty magement indicators (pEP-C, Lepfrog)Work closely with physicians, medica groups, IPAs and contracted facilities to implementcontrctu argements, review stop-loss submissions and increae encounter data capte.Incrse encounter data captue percentages sttewide.Improved work process flows, intenned contrct to improve EDI percentage to 700/0 totaclaims.
6/94 - 12/94
Nationa Vice Prident - Medcae PrgrTook Met Life HMO though license in 8 key marets natinwide for Medca Risk license and approval. Implemented delegllted risk model for seor HMO and supplementa product in sae maets.Afer 3.mont, the Met Life and Travelers merger was anounce and reloction to Virgi was offereto be a pa of Met Heath Met Life Heath 6300 Grns Far RoadWestrt CT
11/88 - 6/94
Vice President - Nationa DevelopmentAssociate Vice President - Heath Ca FacilitiesAssociate Vice President - Network Development/Oprations
Held seera key positions in ths well-known Southern Caorna HMO. Intily served as A VP -Network Development when FB detenned it would beome a mixed model delivery system.Succssfy contrcted with medca groups, IF As and facilities stewide to assue HMO (commercial andsenior) licensur in al counties. Develope contrcted network under may contrct argementsincludig shed risk pols, DRG, and FFS payent methodologies. Served in ths capacity for approx. 2yea, at which tie, position was rotated for cross-trg puses.
Subsequent two yea were spt magig the st model contiuum of heath ca delivery as A VP -Heath Cae Facilities. Responsible for oversight of expansion of acute cae hospita in Founta Valley,CA; and the leaing and license of two sklled nurg facilities (us priarly as step down wrts fromacute cae). Also launched and license two home heath agencies and a hospice for the FB deliverysystem. Admsttors an Direcors at each level rerted to ths A VP. Additionay respnsible for outof network contrctg for tertar and quaena servces at extern facilities.
Fina two + years were spnt as VP - Nationa Development, where FB sent ths exective to serve as of an extem HMO's senior maagement tea to expd their product portolios in lie with those offeredby FH. Finci angements were developed with these HMOs in geogrphic makets where thecompany did not sttegicay intend to commence FB braded operations. Served in ths capacity for twoEas Coas HMOs and one in S1. Louis.
FB HeathCae9900 Talbert Ave.Founta Valey,
7/84 - 11/88
AdmsttorChief Finacial Ofcer
Served firs as the Chief Finacial Ofcer and then the Admsttor of ths 129 licensed acute care facilityin Huntigton Beach Caorna. Facility fuctoned durg tenure under physician ownership. Developestrong undersdig of overall hospita fice, includig multiple payment methodologies and accountsrecivable mangement. As Admstor, worked closely with physician ownership to prepare any andall necssa documentation/presentations for acquisition by a proprieta hospita chai Facility wasacquied 10/88 by AHGI of Seatte, W A. Subseuently recruted by FH Heathcae in November.
Pacifca Communty Hospita18790 Delaware Ave.
Huntigton Beach, CA 92648
6/81- 7/84
Deloitte Haki & SellsOne Wilsh Blvd. -Los Angeles, CA
Heath Cae ConstatSenior Sta Accountat
Worked as a senior st account with pri client bas of heath cae companes, includig seerahospita clients and other heath related servces. Fin stongly encourged choice of an inus spialization, and upon sign off, was trerred to the heathcae consultig division. In addtion to bacauditig skils, and multiple spal projec, the fi taugh its st how to red, undersd, and quickly
, perform anytc revew of penient finacia inormtion when presented by its clients. Thes invaluableskills are so stongly reinorce that they remai a key capability tht was and rema to be us in alsubsequent positions.
Education
Maer of Science in Business AdmsttionCaorna State Universty - Long Beach, CAJune 1991
Bachelor of Science in Business AdmsttionYoungstown State University - Youngstown, OHJune 1981
ATTACHMENT IV
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