Rhea Bautista

CEO

Honolulu, Hawaii, United States12 yrs 3 mos experience
Most Likely To Switch

Key Highlights

  • Transformative healthcare leader with a focus on independent providers.
  • Expert in value-based care and payer-provider contracting.
  • Proven track record in strategic operations and quality improvement.
Stackforce AI infers this person is a Healthcare Management expert with a strong focus on strategic operations and quality improvement.

Contact

Skills

Core Skills

Business StrategyHealthcare ManagementMentoringOperationsQuality Improvement

Other Skills

Board AdministrationCare CoordinationContract NegotiationsData AnalysisFinancial ManagementFinancial OversightGrowthHEDISHealthcare Information Technology (HIT)Insurance Credentialing & EnrollmentMedical BillingMedical EducationMember EngagementPartnership DevelopmentPatient Flow Improvement

About

I am a mission-driven healthcare leader and strategist with a passion for transforming care delivery, expanding access, and elevating independent providers. With deep expertise in operations, payer-provider contracting, quality improvement, and culturally sensitive care, I help organizations drive sustainable growth while improving outcomes for diverse communities. Currently, I serve as Director, Business Strategy & Growth at MDX Hawai‘i, where I lead initiatives to strengthen provider networks, improve care coordination, and create innovative pathways for value-based care. I also co-founded SB Solutions, a healthcare-focused administrative services company in Hawai‘i, where we streamline credentialing for private practices, leveraging automated tools to reduce administrative burden and accelerate provider onboarding. Previously, I supported the Primary Care Clinic of Hawai‘i (PCCH) and Hawai'i Filipino Healthcare (HFH) in strategic advisory roles across operations, payer relations, quality oversight, and organizational growth. As an entrepreneurial thinker and resilient operator, I thrive at the intersection of strategy, innovation, and execution — bringing teams together to solve complex challenges, strengthen partnerships, and deliver measurable impact. My purpose is to empower healthcare systems and physicians to navigate change with confidence, improve patient care, and build healthier communities.

Experience

Mdx hawai'i

Director of Business Strategy and Growth

Sep 2025Present · 6 mos · Hawaii, United States

  • Driving growth, partnerships, and innovation to transform healthcare delivery in Hawai‘i.
Business StrategyGrowthCare CoordinationProvider Network DevelopmentHealthcare Management

Hale santuwaryo

Co-Founder

Jun 2025Present · 9 mos

  • Co-founded a 501(c)(3) nonprofit dedicated to empowering the Filipinx community in Hawaiʻi through culturally responsive support for survivors of intimate partner and domestic violence. Helped establish programs, partnerships, and strategic direction to provide sanctuary, education, and pathways to healing and resilience.

Hawaii preceptorship program

Executive Board Member

Jul 2024Present · 1 yr 8 mos

  • Support program operations and governance for a statewide mentorship initiative that connects healthcare trainees with experienced providers. Responsibilities include maintaining records, coordinating communications, and assisting with program development. Contribute to building a strong pipeline of future healthcare leaders in Hawai‘i through mentorship, education, and community-centered care.
Board AdministrationOperationsMentoring

Sb solutions hi

CEO

Jun 2024Present · 1 yr 9 mos · Remote

  • As a dedicated advocate for independent healthcare providers, I specialize in strategies to help physicians maintain autonomy and thrive in today’s evolving healthcare landscape. Through SB Solutions, I provide local, personalized support to ensure providers navigate the complexities of payer contracts, compliance, and reimbursement structures with confidence. My expertise includes:
  • ✔ Insurance Credentialing & Enrollment – Streamlining the process for providers to get in-network and stay compliant.
  • ✔ Contract Negotiations – Securing favorable terms to maximize provider revenue and sustainability.
  • ✔ Workflow Optimization – Implementing strategies to enhance efficiency and reduce administrative burdens.
  • ✔ Value-Based Care Transition – Guiding practices from fee-for-service models to risk-sharing agreements.
  • ✔ New Practice Setup & Consulting – Supporting providers in launching and scaling independent practices.
Insurance Credentialing & EnrollmentContract NegotiationsWorkflow OptimizationValue-Based Care TransitionHealthcare ManagementBusiness Strategy

Hawaii filipino healthcare, inc

Network Development and Partnerships

Oct 2023Aug 2025 · 1 yr 10 mos

  • As a Practice Manager, my day-to-day involves monitoring performance metrics, managing staff schedules, and improving patient flow and satisfaction. I handle financial tasks like budgeting and billing, staff recruitment and training, and ensure compliance with healthcare regulations. I also engage directly with patients to address concerns and implement strategic initiatives for the practice's growth and sustainability, always aiming to maintain a high-quality, efficient healthcare environment.
Performance MetricsFinancial ManagementPatient Flow ImprovementHealthcare ManagementOperations

Dwgas

2 roles

Director of Quality

May 2023Sep 2023 · 4 mos · United States

  • As the Director of Quality for DWGAS, I am tasked with leading the strategic integration of HEDIS, Stars, and risk adjustment methodologies to enhance care quality and operational efficiency. My role is instrumental in developing performance improvement plans aimed at elevating Stars ratings across all payors, focusing on areas crucial for delivering superior patient care and maximizing company revenue. I maintain advanced, up-to-date knowledge of HEDIS, Stars, Medication Adherence, and Patient Experience measures (CAHPS/HOS) ensuring our strategies align with the latest healthcare quality benchmarks.
  • I chair monthly quality meetings with organizational leadership to scrutinize metrics, pinpointing and eliminating obstacles to metric improvement. I'm also responsible for compiling and presenting operational reports and executive summaries that detail Star scores and their projected revenue impacts. Engaging with each payor monthly, I monitor performance and formulate tailored action plans to optimize quality metrics for each.
  • My duties extend to representing our organization at health plan Joint Operating Committees, advocating for our Stars and Patient Experience initiatives. I spearhead efforts to enhance CAHPS and HOS measures by collaborating with payor partners and internal teams, identifying improvement opportunities, and crafting targeted action plans. This role demands creating and nurturing collaborative relationships across the organization to boost patient care quality.
  • Additionally, I oversee workflow enhancements to advance HEDIS, Medication Adherence, Patient Experience, and Stars metrics, collaborating closely with leadership. My ability to work both independently with minimal supervision and as part of a team, combined with the capacity to thrive in a fast-paced environment and manage multiple simultaneous tasks, underscores my commitment to elevating our group's quality of care and operational excellence.
HEDISStars RatingsPerformance Improvement PlansQuality ImprovementHealthcare Management

Associate Director of Operations & Quality Improvement

Jan 2022May 2023 · 1 yr 4 mos · United States

Philippine medical association of hawaii

Executive Director

Jan 2021Present · 5 yrs 2 mos

  • As the Executive Director for the Philippine Medical Association of Hawaii, I spearhead the organization's strategic direction, financial oversight, and operational management. My role involves enhancing member engagement, advocating for healthcare policies that benefit the Filipino community, and fostering partnerships with local and international stakeholders. I ensure the association's initiatives align with our mission to improve healthcare quality and accessibility for Filipinos in Hawaii, overseeing projects that promote medical education, community health, and professional development among our members.
Strategic DirectionFinancial OversightMember EngagementBusiness StrategyHealthcare Management

Primary care clinic of hawaii

2 roles

Executive Director

Promoted

Jul 2018Dec 2024 · 6 yrs 5 mos · Honolulu, HI

  • As the Executive Director at the Primary Care Clinic of Hawaii, my primary responsibility is to oversee the clinic's strategic operations and ensure the delivery of high-quality, accessible primary care services. I lead the development and implementation of strategic initiatives aimed at enhancing patient care, operational efficiency, and clinical outcomes. This involves financial management, staff leadership, and fostering partnerships with healthcare providers and community organizations. My role emphasizes innovation in patient services and health programs, maintaining compliance with healthcare standards, and representing the clinic's interests in public health discussions to advocate for the needs of our community.
Strategic OperationsFinancial ManagementPartnership DevelopmentHealthcare ManagementBusiness Strategy

Senior Staff Medical Assistant

Jan 2014May 2017 · 3 yrs 4 mos · Waipahu, Hawaii

Harbor-ucla medical center

Research Associate

May 2017Jul 2018 · 1 yr 2 mos · Los Angeles, California

Hawaii pacific neuroscience

Senior Research Associate and Coordinator

Nov 2016May 2017 · 6 mos · Honolulu, HI

Dr. carolina davide

Senior Medical Assistant

Oct 2016Mar 2017 · 5 mos · Waianae, HI

Pacific diabetes and endocrine center

Office Manager/Research Associate

Sep 2016Jul 2018 · 1 yr 10 mos · Honolulu, HI

Education

University of Hawai‘i - Shidler College of Business

Executive MBA

Aug 2024May 2026

University of Santo Tomas, Faculty of Medicine and Surgery

Doctor of Medicine (M.D.)

Jan 2010Jan 2014

California State University-Sacramento

Bachelor of Science (B.S.) — Kinesiology and Exercise Science

Jan 2006Jan 2009

Stackforce found 100+ more professionals with Business Strategy & Healthcare Management

Explore similar profiles based on matching skills and experience