Luby M.

About Luby M.

A seasoned healthcare consultant with over two decades of experience, currently serving as a Physician Network Consultant at Imagine Pediatrics, where the focus is on developing strategic physician networks across Florida to help complex care pediatric patients. Proficient in physician and hospital networks, operations management, health plan contract negotiation, with a strong emphasis on fostering physician and C-suite relationships to enhance healthcare delivery and operational efficiency. A dedicated member of the American College of Healthcare Executives (ACHE) and an advisor to the South Florida Hispanic Chamber of Commerce Healthcare Committee, actively engaged in initiatives to improve healthcare access and quality. Committed to advancing value-based care models, ensuring regulatory compliance, and facilitating collaborative clinical trials to improve outcomes for underserved patient populations.

Experience

1. Physician Engagement Network Consultant - Florida Region

   Imagine Pediatrics

   Feb 2025 — Present

   Imagine Pediatrics is a tech enabled, pediatrician-led medical group reimagining care for children with complex care needs. We deliver 24/7 clinical services and in home medical, behavioral, and social care, working alongside physicians, families and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them while providing an extra layer of support with compassion and an unwavering commitment to children with medical complexity. We serve children who are Medicaid, covered by a Medicaid Managed Care Organization (MCO) and also complex care children on commercial health plans across the USA.As a Provider Engagement Network Consultant, I serve as a physician relations ambassador. Including-Managing provider relationships contracts and drive engagement in Florida with a focus on a specialized patient and provider population in South Florida counties-Executing business development initiatives within Florida healthcare market and the East USA-Executing strategic initiatives, including supporting providers with different compliance needs such as HEDIS, well care visit events while addressing day-to-day operational needs and decisions-Act as the main point of contact for physicians, NPs, hospitals, clinics and organizations under contract-Provide input on central engagement strategies from on-the-ground experience-Independently handling day-to-day challenges and fast business decision-Work closely with the Florida healthcare market, event attending for brand recognition-Identify additional opportunities by pulling data to share with doctors and health plans-Meet and exceed established quarterly KPIs -Travel 75% in Florida and East USA region market-Independently develop and maintain relationships with health plans and other business partners in healthcare-Independently work with actuarial software systems like Tableau, Definitive Health, J2, Carehub as well as EMR systems.

Education

• Albizu University - Miami Campus

  Masters, Industrial and Organizational Psychology

• The University of Kansas

  Bachelor of Applied Science (BASc), Journalism, Marketing and Mass Communciations