Inside SFHP

Meet our Executive Team

We are led by an Executive team that brings years of public not-for-profit health care experience and policy development to the City’s award winning, managed care health plan.

 

Yolanda R. Richardson, Chief Executive Officer

Yolanda R. Richardson serves as the Chief Executive Officer (CEO) of San Francisco Health Plan (SFHP). In this role, she works collaboratively with the SFHP Governing Board to set the strategic vision and provide executive leadership for the #1 Medi-Cal Managed Care Plan in San Francisco. Ms. Richardson cultivates SFHP’s strong partnership with Providers, hospitals, and community partners to deliver quality whole-person care to the Medi-Cal members of San Francisco county, and ensures financial stewardship and stability for SFHP’s nearly $1.0 Billion operational budget.

Ms. Richardson joined SFHP in April 2022 as Chief Executive Officer. As a cutting-edge health care leader, she brings tremendous vision, operational excellence, and passion to her work. Ms. Richardson previously served as SFHP’s Chief Operations Officer from 2008 through 2009, working to improve the Healthy San Francisco program in its first year of operation. She also oversaw the implementation of San Francisco’s employer spending requirement, which became the San Francisco City Option program. Subsequently, Healthy San Francisco was recognized by President Obama in February 2009 for its creative and effective methods of delivering health care to the underserved.

Prior to joining SFHP as CEO, Ms. Richardson served as the Secretary of the California Government Operations Agency, appointed by California Governor Gavin Newsom in 2020. As Secretary, she oversaw the Department of General Services, the California Department of Technology, California Department of Human Resources (CalHR), the Franchise Tax Board, the Census Office, the California Victims Compensation Board, the California Department of Tax and Fee Administration, Fi$Cal, CalPERS, CalSTRS, and the Office of Digital Innovation. In this role, she was deployed to assist with government operations crises across multiple agencies, including serving as the Governor’s “Vaccine Czar” to accelerate the administration of the state’s vaccine supply between January and June 2021.

Ms. Richardson is the winner of many prestigious awards including Public Administrator of the Year (American Society for Public Administration, 2020), was honored as 1 of 5 “Warrior Women Leading the Fight Against COVID-19” (California Women Lead, 2021), was named as one of the 50 Important African-Americans in Infrastructure (Journal of Black Innovation, 2021), and received the Trailblazer Hall of Fame Award (California Black Women’s Collective, 2022)

Skip Bishop, Chief Finance Officer

Dr. Fiona Donald, Chief Medical Officer
Dr. Donald joined SFHP in 2015 as our Associate Medical Director and was given increasing responsibility with her promotions to Medical Director in 2016 and Senior Medical Director in 2020. She graduated from McGill University, Montreal, Canada and completed her residency in Internal Medicine at Royal Victoria Hospital. Having moved to the United States, she completed a Clinical Postdoctoral Fellowship at Stanford University, Division of Immunology and Rheumatology and then joined the faculty of UCSF as Clinical Assistant Professor in the Department of Internal Medicine.

Prior to joining SFHP, Dr. Donald focused on Medicare Quality Improvement and then moved into the role of Medical Director at Health Plan of San Mateo (HPSM), which serves over 130,000 underserved residents of San Mateo county, through both the Medicare and Medi-Cal programs. Dr. Donald had clinical oversight of the Health Services Department for Utilization Management, Clinical Case Management and Pharmacy.

Kate Gormley, Chief Human Resources Officer
Kate serves as San Francisco Health Plan’s Chief Human Resources Officer, bringing more than 30 years of experience in human resource management. Kate first joined San Francisco Health Plan in 2009 in a consulting capacity and throughout the years she continued to offer her expertise to SFHP until her appointment as Chief Human Resources Officer in 2018.

Prior to her role as CHRO, Kate held the top HR role in many companies while running a successful HR consulting firm for the past 20 years. As such, she brings experience and expertise from a number of industries which will most certainly benefit us as we continue to grow and develop our organization as well as the HR function here at SFHP.

Kate truly understands the importance of SFHP’s culture and values, which she instills upon the organization through her leadership and her team. She is dedicated to the mission of SFHP and understands that our people are the most important resource of the organization to further that mission.

Kate is a member and speaker at the Northern California Human Resources Association and participates in many HR forums. Kate has a BS in Political Science and an MBA with an emphasis in Information Systems.

Kaliki Kantheti, Chief Operations Officer

Nina Maruyama, Chief Compliance and Regulatory Affairs Officer
Nina has been with San Francisco Health Plan for 10 years and comes with over 25 years of experience in managed care, with a focus on health plan licensing, Medi-Cal, compliance and regulatory affairs. Some of her key responsibilities include: state license filings, regulatory agency audits, HIPAA compliance, breach investigations and reporting, delegate oversight, business continuity, fraud, waste and abuse investigations, auditing and monitoring, strategic planning, and board communications.

Through Nina’s leadership the National Committee for Quality Assurance (NCQA) has awarded the organization a Health Plan Accreditation for SFHP’s Medicaid (Medi-Cal) HMO line of business. Another vital initiative Nina takes on is the organization’s business continuity plan. Under her direction she prepares SFHP staff to successfully manage operations during business interruptions or disaster situations and identifies the necessary SFHP personnel and resources that ensure the timely restoration and continuation of services to SFHP’s members, regulatory agencies and business partners.

Nina lives with her husband and two boys in San Francisco and is an avid Warriors fan.

Darin Moore, Chief Information Officer

Sumi Sousa, Chief Policy Development and Coverage Programs Officer
Sumi Sousa is the Officer of Policy Development and Coverage Programs at San Francisco Health Plan. She oversees the non-Medi-Cal lines of business that SFHP operates on behalf of the City and County of San Francisco, including Healthy San Francisco, Healthy Kids and SF City Option. She also manages the enrollment, eligibility and outreach functions of the San Francisco Health Plan Service Center that help the City and County of San Francisco and SFHP meet their universal coverage goals. Sumi draws on her prior work in state health policy and budgeting to help guide SFHP’s strategy, government relations and work with trade associations.

Sumi joined SFHP in 2011. Prior to SFHP, she served as the principal health policy advisor to four Assembly Speakers where she focused on expanding access to affordable, comprehensive health insurance and the health budget. She staffed legislation implementing the Affordable Care Act in California, including the legislation establishing the CA Health Benefit Exchange, now known as Covered CA.

Sumi serves on the California Health Facilities Financing Authority, a statewide board that provides financial assistance to non-profit health facilities and is the major conduit issuer of tax exempt debt for California’s non-profit hospitals and health systems. From 2013 – 2016, she served on the Little Hoover Commission, a bipartisan, independent state commission advising the Governor and Legislature on opportunities to improve efficiency in state government. She previously served as a board member on the California Children and Families Commission (State First 5) and the Asian Pacific Youth Leadership Project.

Sumi is a member of the San Francisco Bicycle Coalition and can be seen riding her bike around San Francisco, usually between Beale St, the SFHP Service Center, and her residence in the Inner Richmond District.