Nursing administrative manager Hermann Hospital, Houston, 1981-1985, head nurse cardiac care unit, 1985-1986. National quality assurance director Maxicare Health Plans, Inc., Los Angeles, 1987-1989. Director of quality assurance Partners National Health Plans, Irving, Texas, 1989-1991.
Director health plan quality Aetna Health Plans, 1991-1993, director quality improvement Hartford, Connecticut, 1993-1995. Assistant vice president for education and training National Committee for Quality Assurance, Washington, since 1995.