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Oubre is the senior vice president and area manager of Kaiser Permanente in San Diego, an
integrated, prepaid group practice health maintenance organization (HMO) serving nearly 500,000
members throughout San Diego County. More than 800 Southern California Permanente Medical
Group physicians, plus more than 7,000 Kaiser Health Plan and Hospitals staff, provide care to San
Diego's Health Plan members. Among the Health Plan facilities are the 392-bed San Diego Medical
Center, five contracting hospitals, 13 skilled nursing facilities and 19 physician office/ambulatory care
centers throughout San Diego County.

As the senior executive of Kaiser Permanente's Health Plan in San Diego County, Oubre's primary
responsibilities include financial operations and strategy, oversight of health care delivery -- including
quality, accessibility and affordability of health services -- and health plan functions in marketing,
member services, strategic planning and community/government relations. He oversees creation of
a work environment that attracts, motivates and retains high-performing, customer-focused staff, and
he provides leadership and active support for the Labor Management Partnership.  
He is
accountable for operating the service area as a financially sound business unit and oversees
both development and implementation of business plans that lead to the achievement of Kaiser
Permanente's goals.  
Oubre has oversight responsibility covering all Kaiser Permanente-owned and
contracted hospitals, home care agencies (home health and hospice programs) and other facilities
in San Diego. In all aspects of Kaiser Permanente's business operations in the San Diego area, he
carries the responsibility of ensuring the conservation of physical, financial, information and human
resources.  In addition, Oubre provides internal and external leadership in community service and
community benefit to communities throughout San Diego County.

Oubre earned his bachelor's degree in public health from University of California, Los Angeles, and
his master's in business administration from the Harvard Graduate School of Business
Administration in Cambridge, Mass.
Left San Diego in 2009 to go to Oakland:
"Barnes succeeds Nathaniel L. Oubré, Jr., San Diego's senior vice president and executive director
for the past seven years. Oubré recently accepted the position of senior vice president and area
manager for the East Bay Area in Kaiser Permanente’s Northern California Region."

Article about Oubre's job BEFORE he became vice president:
San Diego County hospital CEOs
Thursday, June 29, 2006
San Diego Source
Nathaniel L. Oubre Jr. Kaiser Permanente, San Diego Nathaniel Oubre is a seasoned financial
executive with 16 years experience at Kaiser Permanente, managing a broad variety of financial
functions and management consulting engagements. His track record of success at the senior
financial management level was built upon a well-rounded base of general management experience
in financial operations, planning, analysis, audit, decision support and technology strategy.  His
extensive expertise in organizational and operational process redesign, change management,
information systems design, development and implementation and operations improvement and
turnaround has made him a respected leader of one of San Diego's largest health care systems.
Nathaniel L. Oubré, Jr.
Kaiser Foundation Health Plan and Hospitals' senior
vice president and executive director
"...SCPMG's executive team works in tandem with Nathaniel
L. Oubré, Jr., Kaiser Foundation Health Plan and Hospitals'
senior vice president and executive director..."
Formerly in San Diego:
Nate Oubre
Chief Executive Officer, Kaiser Permanente, San Diego, CA
Nathaniel L. Oubré, Jr.

Kaiser Permanente hit
with $2.2 million fine
Mercury News
By Chad Terhune, California Healthline

California officials have again slapped health care giant Kaiser
Permanente with a multimillion-dollar fine for
failing to provide data
on patient care to the state’s Medicaid program

The $2.2 million fine comes just months after a $2.5 million penalty
in January against Kaiser,
one of the largest nonprofit health plans
in the country.

The California Department of [Managed]Health Care Services
said these are the first fines it has imposed against a
Medicaid managed-care plan since at least 2000.

The state agency uses this data on hospital admissions, doctor visits and prescription
drugs to help set rates, ensure adequate care is available and monitor how tax dollars
are being spent in the $100 billion program, known as Medi-Cal in California.

Kaiser isn’t appealing the latest fine, and the Oakland-based health plan said it
expects to deliver the required information by September.

The reporting lapses are surprising given that
Kaiser is known industrywide for pioneering
the use of electronic medical records and
developing data-driven treatment guidelines
. But
Kaiser has said its systems and technology were not designed to collect information in
the format required by the state. The company said the sanctions were in no way
related to the quality of patient care.

“We have recently made significant investments in new technology to help us comply
with the new administrative data reporting requirements,
” Nathaniel Oubre,
Kaiser Permanente’s vice president for Medi-Cal, said in
a statement.
“We are committed to full compliance.”

Jennifer Kent, Department of [Managed] Health Care Services director, notified Kaiser
of the latest fine in a May 25 letter. She wrote that the insurer was making efforts to
resolve the deficiencies, but it still had not complied with state deadlines. One of her
deputy directors, Sarah Brooks, said the agency has been trying to get Kaiser to
comply with the rules since 2014.

Brooks said additional fines may be imposed depending in part on whether Kaiser’s
violations put Medi-Cal out of compliance with federal rules.

In 2013, the California Department of Managed
Health Care fined Kaiser $4 million for
problems with patient access to mental health