Dr. Jose Pelayo is a hard-charging, entrepreneurial executive with a solid history of creating business models, organizational structures, and strategic plans in the healthcare marketplace. His career trajectory includes operating in diverse healthcare environments, ranging from years of hands-on clinical activity to years of managing multiple practices and MSOs.
Dr. Pelayo is a seasoned executive with over 25 years of healthcare experience across several sectors of the medical business, including extensive expertise in Practice Management, Management Service Organizations (MSOs), Health Maintenance Organizations (HMOs) and Third Party Administrators (TPAs).
His expansive career began in 1986, when he received his doctorate from New York Chiropractic College. Dr. Pelayo's entrepreneurial spirit was ignited soon after earning his degree. He developed and operationalized Pelayo Health Centers (PHC), an entity comprised of seven multidisciplinary medical centers throughout South Florida.
Pelayo Health Centers grew as it broaden its clinical treatment options by offering a robust set of medical specialties. Dr. Pelayo's ability to attract first-rate specialists in the areas of internal medicine, cardiology, orthopedics, neurology, podiatry, rheumatology, and ENT, plus a compliment of exceptionally qualified support staff, made PHC a success in every community it served.
As one of the founders and board members of Provider Network Solutions (PNS), Dr. Pelayo is intimately involved in the overall strategic direction of the company and oversees the operations of our Third-Party Administrator (TPA) and Physician Specialty Networks, which services over 1,000,000 lives on behalf of the major managed care plans in Florida as well as in Louisiana. Presently, Dr. Jose Pelayo is chairman of the Board of National Medical Management, an organization based in the commonwealth of Puerto Rico that is comprised of freestanding emergency rooms, IPA/MSO and soon to operate staff model medical facilities.
Connected Healthcare
HITRUST Risk-Based 2-Year Certification Achiever
The Health Information Trust (HITRUST) is a standards organization dedicated to security, privacy, and risk management. They developed the HITRUST Common Security Framework (CSF), which assists organizations in maintaining a comprehensive and secure approach to HIPAA compliance and managing risks. HITRUST is widely recognized as the benchmark in data security and privacy.
Certified Member of HCAA
The Health Care Administrators Association is the nation's largest nonprofit trade association for third-party administrators, stop loss insurance carriers, managing general underwriters, audit firms, medical managers, technology organizations, pharmacy benefit managers, brokers/agents, human resource managers, and health care consultants. HCAA has spearheaded the change of self-funding for more than 35 years.
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