- Medical Director, Milwaukee County Department of Family Care (2013–)
- Chief Clinical Officer (interim) Elli Health, Inc. (2014-2015)
- Public Health and Primary Care Playbook contributor
- Medical Director, Healthcare for the Homeless of Milwaukee (2005-2009)
- Medical Director, City of Milwaukee Health Department (1996-2004)
- Medical Director, MetroHealth Family Practice; MetroHealth Occupational/Environmental Health Clinic; MetroHealth Employee Health (Cleveland1987-94)
- Medical Director, Casa Alma Alcohol and Drug Rehabilitation (Cleveland, 1993-6)
- Medical Director, Pine Grove Habilitation Center for Disabled Adults (Cleveland, 1993-6)
- President, Milwaukee Academy of Medicine 2009
- Medical Care Section (Governing Council, Urban Health Chair) APHA (1985-1996)