Rafael Ortiz
Senior Director Government Programs @Capital Rx
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WORK HISTORY
Senior Director Government Programs @Capital Rx
US
As Senior Director, I am responsible for the installation, change management, and oversight of Medicare and Medicaid government programs utilizing technology, research, analysis, testing, and validation as tools. This entails interpreting guidance from CMS and state governments in collaboration with the Legal and Regulatory teams to achieve business objectives and adhere to federal and state regulatory requirements.
EDUCATION
Los Angeles City College
Computer Science
Western Governors University
Computer Software Engineering - AI
Western Governors University
Master of Business Administration - MBA
Western Governors University
Bachelor of Science - BS, Data Managament and Data Analytics
Udacity
WGU Data Analyst, Data Analytics
West Los Angeles College
Business
UEI College
Licensed Pharmacy Technician, Pharmacy Technician
SKILLS
ABOUT RAFAEL ORTIZ
Senior operations and analytics leader with deep expertise designing and governing technology-enabled workflows in highly regulated healthcare environments, including Medicare and Medicaid programs. Proven track record translating CMS and state regulatory guidance into scalable, auditable operational systems. Experienced leading cross-functional transformation across compliance, product, clinical operations, and executive leadership. Adept at operationalizing data, automation, and reporting to drive regulatory adherence, performance management, and scalable growth.
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