James has been in the health care industry for more than 30 years. He is a respected physician executive who has held progressive management responsibility for quality and performance improvement, medical staff affairs, clinical education, electronic health records implementation, and medical group operations. He has a strong clinical background with expertise in patient safety, Toyota Management System, telehealth, and clinical outcomes management.

James served as a principal at Rona Consulting Group (RCG) until it combined with Moss Adams in 2017. RCG’s founders were early adopters of the Toyota Management System in the health care setting. In addition, James has practiced as a pediatric intensivist in the PICU at UCSF Benioff Children’s Hospital since 1988, and is a clinical professor of pediatrics at UCSF.

Professional Affiliations

  • Council Member, Alameda-Contra Costa Medical Association
  • Emeritus Member, PREP ICU Editorial Board
  • Fellow, American Academy of Pediatrics
  • Member, American College of Physician Executives
  • Member, California Medical Association
  • Member, Society of Critical Care Medicine


  • BA, biology, University of California, Berkeley
  • MD, University of Kansas School of Medicine
  • Pediatric Intensive Care Fellowship, Children’s Hospital Medical Center, Washington, D.C.
  • Pediatric Intensive Care Fellowship, Children’s Hospital of Philadelphia
  • Pediatric Intensive Care Fellowship and Pediatric Residency, Children's Hospital & Research Center, Oakland
  • Pediatric Internship, UCLA Medical Center