Western Health Advantage

Health Insurance Coverage in California

Health Plan Overview

Insurance CompanyWestern Health Advantage
StateCalifornia
Websitewesternhealth.com
Number of Hospitals in Network25
Number of Plans Offered4

Network Hospital Locations

Hospitals in Network (25)
Providence St. Joseph Hospital EurekaProvidence Queen of the Valley Medical CenterProvidence Saint Joseph Hospital OrangeProvidence Little Company of Mary Medical Center San PedroSonoma Valley HospitalPetaluma Valley HospitalUCSF Health Saint Francis HospitalProvidence St. Jude Medical CenterProvidence Santa Rosa Memorial HospitalProvidence Saint Joseph Medical CenterArrowhead Regional Medical CenterProvidence Holy Cross Medical CenterProvidence Saint John's Health CenterProvidence St. Mary Medical CenterProvidence Little Company of Mary Medical Center TorranceMarinHealth Medical CenterNorthBay Medical CenterUCSF HealthUCSF Health St. Mary'sProvidence Mission Hospital Mission ViejoProvidence Cedars-Sinai Tarzana Medical CenterProvidence Redwood Memorial HospitalHealdsburg HospitalUCSF Benioff Children's Hospital OaklandUCSF Langley Porter Psychiatric Hospital

Available Plans

HMO

3 plans

MEDICARE ADVANTAGE

1 plan

Plan Details
Plan NamePlan Type
Western Health AdvantageHMO
Western Health Advantage-Medicare AdvantageMEDICARE ADVANTAGE
Western Health Advantage (WHA)HMO
Western Health Advantage Covered CaliforniaHMO

State Leadership

Western Health Advantage (WHA)

Chief Executive Officer

Garry Maisel has provided leadership at Western Health Advantage (WHA) from its start-up in 1996 to the present. [1] He has been President and CEO for almost 30 years. [1] WHA currently provides medical coverage to more than 120,000 members in Northern California. [1] Maisel holds a degree in finance and economics from California State University Sacramento. [3, 5] He has over 34 years of experience in healthcare as well as 10 years in the banking and finance industry. [3, 5] He has received numerous awards, including the Sacramento Business Journal's 2020 Most Admired CEO Award. [3]

Western Health Advantage (WHA)

President

As of July 1, 2024, Dr. Khuram Arif serves as the President of Western Health Advantage. [1] He was formerly Chief Medical Officer and Chief Operating Officer. [3] Dr. Khuram Arif is a board-certified pediatrician and practiced for 19 years. [1, 3, 9] He has spent a decade in physician leadership guiding medical groups in the transition from volume to value-based care. [1, 9] Most recently he served as Chief Medical Officer at Woodland Clinic and Medical Director Managed Care at Mercy Medical Group. [1, 3] Dr. Arif obtained an MBA from UC Davis in 2014 and became a Certified Physician Executive with the American Association of Physician Leadership in 2019. [1, 3]

Western Health Advantage (WHA)

Chief Legal Officer

Wendy Soe-McKeeman joined WHA in 2024 as its Chief Legal Officer. [1] In this role, she provides legal and compliance leadership and is responsible for the Legal, Compliance and Privacy and Information Security programs. [1] She brings significant experience working in state government and the private sector with a focus on health policy, compliance, and law, and began her state service career in 2010 working on health care reform efforts spurred on by the Affordable Care Act. [1]

Western Health Advantage (WHA)

Chief Pharmacy Officer

Dr. Kiran Biring has been with Western Health Advantage since 2021. [1] She is an accomplished healthcare leader with nearly 20 years of experience across multiple sectors in the healthcare industry. [1] She has provided strategic and operational leadership for the Pharmacy and Medical Management Department, drawing from a diverse background that spans the public health sector, hospital systems, long-term care, pharmacy benefit management (PBM), and national health plans. [1]

Western Health Advantage (WHA)

Chief Sales Officer

As the Chief Sales Officer, Jeff oversees WHA's Sales and Major Accounts and provides market leadership as a key member of the senior management team. [1, 7] He leads a 21-person sales team, handling nearly 135,000 members from private and public sector employer groups as well as individual and family accounts. [7]

Western Health Advantage (WHA)

Chief Experience Officer

Since March 2019, Rick Heron is the strategic leader representing WHA's customers and driving excellent customer experience across the entire organization. [1] He is responsible for coordinating all of the organization's external affairs, including advertising, marketing, communications, branding, charitable outreach, public affairs and member services. [1]

Western Health Advantage (WHA)

Chief Financial Officer

Rita Ruecker is a Chief Financial Officer at Western Health Advantage. [1, 7]

Western Health Advantage (WHA)

Corporate Quality Director

Blaire has spent over 15 years at WHA, and currently, oversees Quality, Accreditation, Population Health Management, Credentialing, Potential Quality Issues and Health Equity. [9]

Western Health Advantage (WHA)

Population Health Manager

Amanda is currently leading population health initiatives at WHA. In May 2020, she completed her MBA with a concentration in Healthcare Analytics. [9]