Nina Maruyama

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.