Ana I’I Brown-Cohen
Sharon Colaizzi, RN BSN/BS, MPPM, CPHM
Tiffany N. Davis, Esq.
Chris Esguerra, MD
Dr. Travis Gayles
Karleen M. Haines, MPS
Rosemary Kennedy, PhD, RN, MBA, FAAN
Dean Koskinas, PharmD
Cynthia Knorr-Mulder, MSN, BCNP, NP-C
John Loughnane, MD
Dr. Elizabeth McKune
Dr. Pooja Mittal
Velisiwe Nkomo, RN, MBA, CCM
Mary Kay Owens
Darron Segall, MHS
Juan Pablo Segura
Karissa Smith, LPC, CADC I
Jan Smith Reed
Frank Song, PhD
Suzanne B. Thompson, MBA/MHA
Division of MH/DD/SAS
Dr. Gabriel Uribe, DSW
Kurt Waltenbaugh, MBA
Nancy Wongvipat Kalev, MPH
Dorthy K. Young, PhD, MHSA
Jamie Zajac, DC
Adimika Arthur is an experienced clinical epidemiologist and hospital/health system executive. She
uniquely brings her population health, public hospital expertise and focus on improving health
equity and access to advancing quality care for vulnerable populations to her daily advocacy. She
serves as the founding Executive Director for HealthTech for Medicaid (HT4M). HT4M is a
collaborative convening of payers, providers, policymakers and innovative entrepreneurs rapidly
advancing health equity and improvement of the Medicaid program on a national scale. Seen as a
market-enabler, HT4M believes that a strategic injection of technology and innovation into the
Medicaid ecosystem is essential. This bold, action-oriented, and inclusive network is working to
ensure critical novel technologies reach Medicaid enrollees and other traditionally vulnerable and
Mrs. Arthur has worked at many hospital systems including Alameda County Medical Center, University of California at San Francisco and Sutter Health. In her role as a hospital executive, her specialties included acute and children’s hospital and ambulatory care operations. She is skilled in turn-around environments including healthcare cost containment and revenue cycle enhancement engaging clinicians and staff without compromising patient care or quality. She is passionate about leadership development and is motivated to create successful pathways to further women’s advancement into C-suite roles in the healthcare delivery system and on hospital boards. She consistently mentors and inspires women to make meaningful changes in leadership while promoting health equity and making conditions better for vulnerable populations.
She is an ardent champion for providing leadership on planning, development, and implementation of strategies and initiatives to better understanding and improve the US Medicaid program. She was one of the authors of the 2005 California 1115 waiver Medicaid expansion grants for Alameda County Medi-Cal program, an investment of over $50 Million dollars into safety-net care improvements. This paved the way for Medicaid expansion in California (before the ACA) and is the largest healthcare award to date in Alameda County
Adimika is a public health leader, hospital executive and humanitarian who holds numerous certificates and awards. She combines her love of mentoring, servant leadership and service by maintaining non-profit board roles for many organizations including CALHIPSO and many others focusing on the promoting the pipeline of underrepresented youth getting into the full spectrum of health careers. She received her Bachelors in Science (BS) in Biochemistry from Clark Atlanta University in Atlanta, Georgia, her Master’s Degree in Public Health (MPH) in Epidemiology and Health Systems from the University of Washington and was educated at Boston University School of Medicine.
Mr. Brad Bauer brings over 30 years of professional experience working within commercial and government healthcare and strategic partner markets. Brad’s background also includes over 23 years of experience working within Healthcare Information Technology solutions to help access and mitigate risk. Prior to joining Bamboo Health, Brad worked with McKesson’s interoperability and healthcare technology company, RelayHealth. He worked on projects such as Provider/Supplier enrollment with CMS central office, and program integrity efforts at the state Medicaid level. Brad also worked closely with the DEA, FDA, and CDC leveraging prescription drug diversion solutions on a national scale. For the past 12 years, Brad has been focused on state Prescription Drug Monitoring Programs (PDMP’s) and efforts to integrate PDMP data within the clinical workflow. Currently, Brad has been coordinating Business Development activity around Bamboo Health’s Behavioral Health Care Coordination (BHCC) solutions.
Mr. Bledsoe has 17 years’ experience in healthcare with the past 10 focused on Health Information Technology. He began his career at St. Claire Regional Medical Center, obtaining insight into rural medicine for both hospitals and ambulatory providers. Leveraging his rural experience, Andrew moved to the Northeast Kentucky Regional Health Information Organization (NeKY RHIO), serving as the Network Director initially, later moving into the role of Executive Director. Andrew’s current position is the Deputy Executive Director for the Cabinet for Health and Family Services, Office of Health Data and Analytics where he oversees the strategic planning and daily operations for the Kentucky Health Information Exchange (KHIE). Andrew is a graduate of Morehead State University with a MBA in Business Management and in his spare time is an apprentice baker.
Ana I’I Brown-Cohen
Ana I’I Brown-Cohen, MPH is the Senior Manager of Health Programs at Colorado Access, a non- profit health plan specializing in the integrated management of populations enrolled in public insurance. Ms. Brown-Cohen leads the operationalization of Colorado Access’ health strategy through the design and implementation of population-level interventions for Medicaid and CHP+ members. This work is instrumental in ensuring delivery of whole person care and specifically, that the right intervention is delivered to the right population, at the right time. Ms. Brown-Cohen received her Master’s degree from the University of Colorado’s School of Public Health. Prior to coming to Colorado Access, Ms. Brown-Cohen previously worked at Centura Health, one of Colorado’s largest healthcare systems, where she led a Medicare eligibility and enrollment team that served the Denver Metro Area. She also has experience working in state corrections, mental health, and recovery from substance use.
Melanie Cavaliere serves as the Chief of Innovative Care Delivery at the Maryland Health Care Commission (MHCC). Melanie has twenty years of professional experience in health care policy and employee benefits consulting. Current projects include aligning practice transformation efforts in Maryland and assisting in the development of a statewide primary care strategy. Melanie previously worked as a Vice President at Discern Consulting in Baltimore, Maryland where she developed and implemented PCMH and ACO incentive plan and reward programs and Value Based Insurance Design (VBID) strategies. Melanie has also held consulting positions at Mercer and Aon. Melanie received a Bachelor of Arts in Psychology and a Master of Science in Industrial and Labor Relations from West Virginia University.
Sharon Colaizzi, RN BSN/BS, MPPM, CPHM
Sharon is the Senior Leader Clinical Strategy and Integration. In this role, she is responsible for
oversight of the development and execution of strategies for clinical and operational teams for the
Sharon is an accomplished population health management executive with comprehensive healthcare experience across acute, ambulatory and community settings addressing physical, mental and social health and well-being. Her impact has been in leading interdisciplinary teams strategically and tactically in clinical operations focused on patient engagement, provider engagement and cost of care. She’s held previous leadership roles at United Health Care, Molina and UPMC
In his role as National Vice President, Government and Healthcare Partnerships for Mom’s Meals,
Tim Conroy has responsibility for overseeing Long Term Services & Support (LTSS) waiver benefit
programs, helping customers and clients access state benefit programs for home-delivered meals.
He partners with executive management teams at state government, managed care and local Area
Agencies on Aging (AAAs) and Community Based Organizations (CBO) organizations to ensure
continuation of partnerships to support member services.
Before joining Mom’s Meals, Conroy gained nearly 20 years of healthcare executive experience in acute and post-acute care delivery, in healthcare sales and operations overseeing national field sales teams supporting Medicare and Medicaid, in clinical operations and program development.
He earned his MBA in Health Services Management from the University of Tennessee, Knoxville, his MS from East Tennessee State University, and his BS from the University of Kentucky – both in Health Sciences. Currently, Tim is working toward his PhD in Public and Community Health
Laura Crawn has more than 20 years in the Government Programs space leading strategy and market development for Healthcare Exchanges, Medicaid and Medicare plans, including Employer Group Waiver Plans (EGWPs). She joined Express Scripts over 10 years ago and is currently Vice President of the Regulated Markets Client and Market Strategies division where she is responsible for partnering with health plans and EGWP sponsors to develop solutions and strategies that assist in meeting their affordability, growth and quality goals. Prior to Express Scripts, Laura demonstrated her expertise in the regulated markets space holding a variety of business development, marketing and product strategy roles within Medicare Advantage and Pharmacy Benefit Management organizations.
Tiffany N. Davis, Esq.
Tiffany Davis currently serves as the Head of Medicaid Performance and Delivery for Health Care
Service Corporation (HCSC).
She has worked as an advocate, attorney and servant leader focused on improving outcomes for high risk populations and underserved communities.
Tiffany has led Medicaid teams at HCSC for 5 years working for the Illinois Medicaid and Enterprise Medicaid programs supporting more than 1M members. She is responsible for diverse spend partnerships, vendor management and Medicaid program oversight, privacy & security compliance to ensure the strategic operational, compliance and financial success of Medicaid programs in Illinois, New Mexico and Texas.
Prior to HCSC she worked as a as a Medicaid attorney and ombudsman for the elderly in long-term care facilities and a program coordinator for first time youth offenders in the Washington DC Area. Tiffany is a graduate of Bennett College for Women, (B.A. Journalism) and Howard University School of Law with a focus in criminal justice. She is admitted to practice law in the state of Maryland. In her free time she enjoys volunteering for Butterfly Dreamz a non-profit focused on developing girls into leaders which was founded in honor of her late sister and spending time with her husband and two children.
David Duhaime is the Regional Manager with Pondera, a Thomson Reuters Company and has more than 30 years of investigations and operations experience in Medicare, Medicaid, and Commercial Insurance. David has conducted multiple types of investigations including; healthcare, disability, workers comp, and internal theft. David implemented a 3rd-party administrator’s first Special Investigations Unit (SIU) to investigate disability fraud. He is a former Criminal Investigator with the New York State Attorney General, Medicaid Fraud Control Unit. For more than 10 years David was the Program Director of multi-million dollar CMS Zone Program Integrity Contracts (ZPIC). Prior to coming to Thomson Reuters/Pondera, he was the SIU Director at Anthem Blue Cross and Blue Shield.
Chris Esguerra, MD
An experienced healthcare leader, Chris Esguerra, MD, MBA, FAPA, CHCQM has led systems
transformation, program evolution, and public/private partnerships leading to outcomes meeting
the quadruple aim of improving health, cost effectiveness, enhancing patient experience, and
supporting provider well-being. He serves as Chief Medical Officer for Health Plan of San Mateo, a
local community plan serving Medicaid and dually eligible Medicare and Medicaid beneficiaries. He
also advises nonprofits partnering in healthcare delivery, healthcare startups, and provider groups.
His experience encompasses health care provider and systems leadership, managed care operations, novel payment models, public-private partnerships, and health care transformation. He has led significant efforts around integration of care and services for a variety of populations, holistically addressing social determinants of health in healthcare delivery, and helping people remain and age in the community with appropriate long-term services and supports. He most recently served on a National Academy of Science, Engineering, and Medicine committee that published Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health.
Dr. Esguerra is board certified in both Psychiatry and Health Care and Quality Management and is a Fellow of the American Psychiatric Association and the American Board of Quality Assurance and Utilization Review Physicians. He received his BS in Chemistry and Medical Degree from the University of Southern California. He completed his residency training in Psychiatry at San Mateo County Behavioral Health and Recovery Services Psychiatry Residency Training Program. He also received his MBA in business management from the Isenberg School of Management at the University of Massachusetts at Amherst.
Dr. Travis Gayles
Dr. Travis Gayles is the Chief Health Officer for Hazel Health. Prior to joining Hazel, Dr. Gayles served as the Health Officer and Chief of Public Health Services for Montgomery County, Maryland, where he oversaw the county health system and was integral in leading the COVID-19 pandemic response. Prior to his role in Montgomery County, Dr. Gayles was the Chief Medical Officer for the DC Department of Health's HIV/AIDS, Hepatitis, STD and TB Administration, and a pediatric provider at Lurie Children's Hospital of Chicago/Northwestern Division of Adolescent Medicine.
Doug Golub serves as President of MediSked, LLC focusing his expertise and passion on delivering innovative technology solutions to the healthcare and human services industry. Prior to joining MediSked, Golub served as Platform Services Manager for Microsoft’s Health Solutions Group. An original member of Microsoft’s healthcare venture, Golub is an expert in health care IT security, implementations, and customer needs assessments. Golub holds a Masters of Information Systems from Rochester Institute of Technology and a Bachelor of Science from State University of New York College at Geneseo.
Karleen M. Haines, MPS
Karleen is a non-profit executive with 23 years of experience in the field of human services. Prior to joining PHP in December 2014, she was Director of Vocational and Employment services at a large non-profit serving individuals with intellectual and developmental disabilities (I/DD), supporting over 500 adults through programs such as day habilitation, supported employment, and pre- vocational. She was instrumental in developing and growing affirmative business models that support gainful work for adults with disabilities. Karleen has participated on Education and Workforce Development Committees for various disability advocacy groups, served as a Diversity in the Workplace facilitator, and worked as an adjunct faculty at Nassau Community College – teaching an I/DD studies course. Ms. Haines recently transitioned into the role of Community Relations Chief after serving as PHP’s Chief of Care Coordination, with oversight of social workers and nurses providing intensive care management to plan members with disabilities. She is a licensed Health Agent in the state of NY; holds an undergraduate degree in Psychology and a Masters in Management from the State University of NY at Stonybrook.
Anna Hall is an experienced clinical pharmacist by training and a pioneer in building MTM programs and STAR Ratings/HEDIS measure improvement intervention programs for prominent national prescription plan sponsors. At Enhanced Medication Services, Anna oversees strategic partnerships, contracting of clinical services, and program compliance. Over the past ten years, she has developed interactive training programs designed to teach technicians and pharmacists how to engage patients in medication therapy management and encourage adherence by providing multi-modal interventions and motivational interviewing. Anna serves in national roles for both PQA and AMCP to influence MTM innovation and consensus and contributes to the national strategy to improve the effectiveness of MTM and quality improvement programs.
James Haskins is the Director of Government Programs at HealthMine. He has 13 years of experience
working at health plans focusing on Healthcare Effectiveness Data Information Set (HEDIS), Medicare
Star Ratings, Medical Record Review, and Data Analytics.
He previously led a Stars Program team that raised a plan from 2.5 Stars to 3.5 Stars. James is passionate about leveraging technology and advanced analytics to engage members in their healthcare, resulting in improved quality performance.
James graduated from the University of Michigan with a Master’s in Public Health in 2008, focusing on Health Management and Policy.
Kent Holdcroft is the Executive Vice President of Growth at Healthmine, bringing over 15 years of
operational, consulting, and business development experience with healthcare technology vendors
to our team.
Most recently, Kent was the Executive Vice President for Enterprise Accounts and Strategic Partnerships at AdhereHealth. For over 8 years, Kent installed the teams and processes that led to record growth and innovation in product strategy. Additionally, Kent had multiple successes with AIM Healthcare (now a part of Optum, a United Health Group, Inc. company), rising to National Director as it expanded into new markets. As a Client Account Executive, Kent was a key player in Optum’s growth strategy representing solutions for providers, managed care and government entities through a period of high growth and acquisition.
Today, Kent works within his zone of genius building the Healthmine Growth Team. Drawing on his expertise in strategy and innovation, Kent is focused on expanding Healthmine’s strategic partnerships, improving sales processes and optimizing pipeline management.
Kent received a Bachelor of Science degree in Psychology from Miami University of Ohio and Master’s degree in Counseling from the University of Toledo. Residing in Franklin, TN, he is an avid outdoorsman and enjoys spending time exploring new activities with his two teenage boys, watching college sports, and giving back to his community. He sits on the Board of Directors at BrightStone, Inc., as well as the Tennessee Crohn’s & Colitis Foundation.
Rosemary Kennedy, PhD, RN, MBA, FAAN
Rosemary Kennedy is Connect America’s Chief Health Informatics Officer, where she leads the
development of analytics to assess the impact of health information technology on outcomes.
Rosemary’s career has focused on developing, implementing, and value creation of digital
technology, workflows, algorithms, and population analytics.
Previously, Rosemary was Vice President and Chief Nursing Officer for Sotera Wireless, Inc., focused on body-worn sensors measuring ROI and performance improvement. Rosemary was Vice President at the National Quality Forum (NQF), leading a team to develop electronic quality measures for value-based purchasing.
Rosemary is widely presented and published in informatics and health information technology. She is also the recipient of multiple industry awards, including the Modern Healthcare “Top 25 Women in Healthcare Award,” the Healthcare Information Management and Systems Society (HIMSS) “Nursing Informatics Award.” She is a Fellow with the American Academy of Nursing (FAAN) and elected Chair of the Informatics Expert Panel.
Rosemary earned her Ph.D. in Nursing, MBA in Healthcare Administration, and BSN in Nursing.
Dean Koskinas, PharmD
Dean is a seasoned clinical pharmacist that has spent the last 7 years designing and overseeing medication therapy management and quality intervention program operations. Through residency training and experiential opportunities over the past 7 years, Dean has experienced wide exposure to various practice models of quality intervention services. Dean has worked to directly manage teams of pharmacists and technicians and work with EMS clients directly to operationalize all programs. Dean is a subject matter expert in quality clinical intervention execution, meeting volume expectations, and Medicare program requirements that impact the delivery of MTM and quality services. Dean is also a subject matter expert in overcoming barriers to member and provider engagement in clinical services. He has trained hundreds of pharmacists and technicians in motivational interviewing and overcoming resistance to participation in services.
Cynthia Knorr-Mulder, MSN, BCNP, NP-C
Cynthia is the Administrative Director of Pain Management & Palliative Medicine at Englewood
Health where she has successfully implemented innovative program initiatives that have enhanced
the quality of care for patients while reducing cost of care, length of stay and preventing avoidable
readmissions. Recognized as a key opinion leader in pain and integrative medicine Cynthia has
lectured nationally on various strategies to improve the quality of life for patients with acute and
chronic pain. She has been at the forefront in the development of strategies to address the opioid
crisis through her work on policy development and implementation within the Opioid Stewardship
at Englewood Health and local communities.
Affiliated with various colleges and universities, she received the annual excellence award given by New York University for her contributions as a faculty member, and the first National Nurse Practitioner Award for Clinical Excellence given by the National Conference in Chicago.
She believes that healthcare providers must first recognize that the therapeutic relationship they provide for the patient is the primary foundation for optimal health and healing. Educating and engaging patients to become active participants in their healthcare can improve a patient’s behavioral health and remains a key strategy to address the opioid crisis.
Cynthia’s goal is to continue to implement innovative initiatives to address the opioid crisis while improving outcomes for patients with acute and chronic pain. She strives to improve the quality of life for cancer patients and implement measures to assure cancer patients receive appropriate prescriptions for opioids to manage cancer pain.
She believes the future success of healthcare will be achieved by integrating research-based medicine within a caring humanistic model.
As a healthcare provider and lecturer her philosophy and style is humanistic and supportive. She believes that at any given moment we are all teachers, learners and doers. At any given moment we all have the ability to influence the health and healing of another soul.
Maureen Lillis, Chief Clinical Transformation Officer for Independent Living Systems (ILS), has nearly
30 years of experience in the health care insurance industry. In this position, Ms. Lillis oversees the
integration of clinical services for both acute care and personal care needs. The focus is on managing
the whole person care across the healthcare continuum for the members ILS serves. Prior to her
most recent role at ILS, Lillis was the Chief Operating Officer for the company.
Preceding her time at ILS, Lillis served as the Chief Operating Officer for AmeriHealth Caritas’ Community Care of Florida – a Management Services Organization that supports Prestige Health Choice’s Medicaid and Florida Blue’s myBlue members. In 2012, Lillis was Chief Operating Officer of Prestige Health Choice, a Florida Managed Medicaid plan, where she was responsible for daily operations and oversight of the plan’s health care delivery system. From 1997 to 2012, Lillis served in two critical roles for Universal American Corporation. Serving as Senior Vice President of Long- Term Care Operations from 1997 to 2009, she was the operational lead for the company’s Third- Party Administration division. Beginning in 2009, she fulfilled the role of Senior Vice President and Administrator of WorldNet Services where she developed and implemented operations for the company’s home health agency that was leveraged into a contract with the Florida Nursing Home Diversion Program.
Lillis earned her Master of Business Administration from Florida International University, Bachelor of Science degree in Health Services Administration from Barry University, and an Associate Nursing degree from Blue Grass College. Having earned her Six Sigma Green Belt, Lillis is certified by the American Society of Quality as a subject matter expert in the implementation of quality and efficiency improvement initiatives. She also is a Florida International University Advisory Board member for their Healthcare Master of Business Administration program.
John Loughnane, MD
John Loughnane, MD currently serves as a board member and Chief Health Equity Officer at Activate Care. He formerly served as Chief Medical Officer and Chief of Innovation at Commonwealth Care Alliance. He is board certified in family medicine and hospice and palliative care. His clinical career has been focused on Medicaid and Dual Eligible populations. In addition to his roles at Commonwealth Care Alliance he served as Chief of Hospitalist Medicine at Quincy Medical Center and as a primary care provider at FQCHC in Greenfield and Quincy MA. He currently also is the co- founder of Present for You - an end of life doula solution and regularly works as an EOL doula for families in the Boston area.
Amy Lung joined Healthmine in 2019 as the Chief Operating Officer. She brings 14 years of
healthcare experience focused on Quality Improvement through data-driven member and provider
engagement strategies. With extensive experience working between health plans and provider
organizations, Amy has designed multi-year, sustainable quality improvement programs for several
organizations and has a keen interest in utilizing data and technology to expedite results.
In previous roles, she led high performing health plans to achieve and sustain a 4.0 Star Rating in Medicare Advantage, 4.0 NCQA Medicaid Health Plan Ratings, led top-rated Medicaid Plan Performance, collaborated to win two state Medicaid RFPs and has captured significant revenue return in Medicaid Withhold Programs.
Amy is certified as an Improvement Advisor from the Institute of Healthcare Improvement and holds a LEAN for Healthcare certification through UCLA extension. She also holds a B.A. in Biology from the University of Wisconsin— Eau Claire.
In her free time, Amy enjoys traveling, reading, food & wine and spending time with her husband and two sons in their hometown of Grosse Pointe, Michigan.
Michelle Martin is the Senior Policy Director for LTSS at UnitedHealthcare Community and State. Prior to joining UnitedHealthcare, Michelle held LTSS-focused positions representing a variety of interests in the Medicaid space for consumers, payers, and providers. She has had the honor of being a caregiver for several family members, all of whom inspire her work today.
Dr. Elizabeth McKune
Dr. Elizabeth “Liz” McKune presently serves as the Associate Vice President of Population and Behavioral Health Strategy for Passport Health Plan by Molina Healthcare. She is a Kentucky Licensed Psychologist with a specialty in Health Psychology. Dr. McKune presently serves on the Kentucky Board of Examiners of Psychology and is the current Past Chair. She is a Past-President of the Kentucky Psychological Association and the Brain Injury Alliance of Kentucky. She currently serves on the Legacy Foundation for the former Jewish Hospital and St. Mary’s Healthcare Foundation. She is a graduate of the University of Louisville and the University of Missouri, Columbia.
Jim Milanowski has over 22 years experience in the management of mental health, substance abuse, behavioral health managed care and medical care coverage programs. Mr. Milanowski currently serves as the President and Chief Executive Officer of the Genesee Health Plan (GHP), administering a community based indigent health care plan. The health plan has covered over 70,000 Genesee County residents since 2001. Since the start of enrollment into Affordable Care Act in 2013, GHP has conducted outreach and enrollment sessions with over 15,000 Genesee County residents. The health plan received the 2015 Pinnacle Award from the Michigan Association of Health Plans for this effort. As a strong advocate, his expertise includes working to reduce racial disparities, uncompensated care, and the impact of chronic disease. During his leadership, Genesee Health Plan has received the national quality award from URAC for Best Practices in Patient Empowerment and Protection, the Greater Flint Labor Council's Community Partnership Award and the Robert M. Pestronk Excellence in Public Health Award. He is a founding member of the Health Net Collaborative, and a member of the Greater Flint Health Coalition Access, Dental and Medical Group Visit Committees. He is the Treasurer of the Michigan Association of County Health Plans and is on the Board of Directors for the Genesee Community Health Center. Mr. Milanowski received his Bachelor of Arts degree in Psychology from Spring Arbor University and his Master's of Science degree in Clinical Psychology from Eastern Michigan University. He is a limited-licensed psychologist in the state of Michigan, and has extensive counseling experience with adult, child, and adolescent populations.
Dr. Pooja Mittal
Dr. Mittal is Medical Director of Population Health Equity and the Health Equity Lead at Health Net.
She is a family physician and uses this lens to design strategic initiatives to improve care for the
most vulnerable. She is a member of the leadership team that works to further equitable care
through a population health model for all HealthNet members. She has an expertise in digital
health through her work in the HealthNet Digital Platforms Workgroup devising a defined digital
strategy to support quality and member engagement.
Dr. Mittal also works at the National Clinicians Consultation Center at UCSF, a national HIV/AIDS warmline, where she is recognized as a national expert on Perinatal HIV care. She is an Adjunct Associate Professor at University of California, San Francisco and Stanford University School of Medicine. In addition to her clinical work, she has published in the areas of well-child care, group visits, preconception care, health equity and perinatal HIV.
Velisiwe Nkomo, RN, MBA, CCM
Ms. Nkomo’s expertise includes more than 15 years of managed care experience in clinical program development, medical management, clinical operations, clinical programs strategy and clinical systems implementation. As the Divisional Vice President of Clinical Operations at Health Care Service Corporation she oversees Medicaid case management and care coordination activities for Illinois, Texas, and New Mexico. Her current focus is on impacting member health and health equity by addressing social determinants of health. Prior to her work in managed care, Ms. Nkomo held roles as a registered nurse in various clinical settings including medical/surgical unit, home health and private duty nursing.
Mary Kay Owens
Mary Kay Owens is President and CEO of Intelligent Health and SEC Consultants and serves as
Executive Director of the PAVE Florida Partnership. The mission of these organizations is to provide
advanced intelligent health solutions and platform services to federal and state agencies including
Medicaid, Medicare, and employers as well as to health plans, industry, healthcare collaboratives,
providers, accountable care organizations, patient advocates and others as they strive to implement
innovative payment and care delivery models. Areas of focus include initiatives such as patient
centered care integration and coordination, transitions of care models, multi-disciplinary team care
and case management, appropriate medication use, patient safety, quality assessment, creating
system wide cost efficiencies, and evidence-based evaluations.
Mary Kay has over 30 years’ experience in providing services to government agencies, public and commercial health plans, academic institutions, health information technology groups, care management companies, pharmaceutical industry, and professional health care associations in areas such care coordination assessment, HIT, Medicaid/Medicare/commercial program operations, state and federal regulatory policy and reimbursement, government affairs, health policy, medication use, utilization management, CMM, auditing methods, litigation support and fraud detection. Mary Kay is a pharmacist by training and Clinical Associate Professor at the University of Florida College of Pharmacy, Department of Pharmaceutical Outcomes and Policy and serves as a consultant to the Florida Center for Medicaid and the Uninsured, a health policy analysis and research institute. Owens serves as President of the National Alliance for Integrated Medication Management (AIMM) and served on the National Pharmacy Work Force Center Technical Advisory Panel and has served on various state and federal Medicaid and Healthcare Advisory Boards.
Owens formerly served as the Director of the Florida Medicaid Drug Utilization Review (DUR) Program and Chair of the National Medicaid DUR steering committee. She also served as a senior health care fraud investigator and auditor within the Florida Medicaid Agency for Health Care Administration.
Mary Kay routinely presents at regional, state, and national forums for public officials, legislators, associations, industry and advocacy groups. The topics include using sophisticated analytical methods to identify and quantify the cost of uncoordinated care for creating targeted care management strategies while tracking improvements. Other areas include analyzing and interpreting the relationships between utilization patterns, access and adherence behaviors, and total healthcare costs to identify and target avoidable and inappropriate services. Owens also presents to national audiences on Medicaid/Medicare/Commercial programs, reform initiatives, development of new payment and delivery models, comprehensive medication management, and integrated care incentive alignment program development using advanced analytics and health information technology.
Owens has authored numerous publications such as Identifying and Quantifying the Cost of Uncoordinated Care, The Healthcare Imperative: Lowering Costs and Improving Outcomes, The National Institute of Medicine; and Medicaid Pharmacy Benefit Management in Managed Care Pharmacy Practice, in nationwide distribution. She also authors health care policy issue briefs on Medicaid/Medicare, journal articles, and provides content for educational programs and Internet sites.
Throughout his career, Andrew Parker has focused on health care innovation that brings care to the consumer. In late 2017, Andrew founded Papa, a curated platform of companionship and support for older adults, families, and other vulnerable populations. He started the company to support his own grandfather, his “papa,” and the company has since scaled to provide social support across 50 states and through Medicare Advantage, Medicaid, and employer benefits. Prior to Papa, Andrew was part of the founding team of MDLIVE where he held several roles in sales, product, and strategy. Andrew resides in Miami, Florida with his girlfriend Romi and dog Chewie.
Errol Pierre is the Senior Vice President of State Programs at Healthfirst, Inc, the largest non-profit
health plan in New York State, serving 1.6 million members. In this role, he is accountable for
growth, profit/loss, sales and retention for the Medicaid, Long-Term Care, and Commercial product
portfolios. Additionally, he provides strategic and operational direction for Community Affairs and
the company’s newly launched Health Equity Foundation. As a result of many efforts in 2020, Errol
Pierre was appointed to the Yonkers Health Equity Taskforce by Mayor Mike Spano.
Prior to Healthfirst, Errol spent over 10 years at Empire BlueCross BlueShield, which is the largest for-profit health plan in New York State serving close to 5 million members. Errol’s career in health care started at Empire as an intern in 2003. Throughout his tenure, he held various leadership roles in Sales and Strategy, leaving the company as the Chief Operating Officer in 2019.
A Bronx, New York resident, Errol graduated from Fordham University with a bachelor’s degree in Business Administration with a concentration in Finance. He later obtained a master’s degree in Health Policy and Financial Management from New York University. He will complete his doctoral degree, focused in Health Equity, by November 2021. Lastly, he is an adjunct professor at New York University; teaching various courses in Healthcare and Business. In his spare time, Errol volunteers for numerous non-profit organizations. He serves as a board member of the Arthur Ashe Institute of Urban Health. He is a member of the national 100 Black Men’s Health & Wellness Committee.
Lastly, he mentors both high school students and Fordham undergraduates in the Bronx. In 2020, he was acknowledged as one of the Caribbean-American “Power 100” by Carib News and was awarded for “Outstanding Community Service” by the Aesclepius Medical Society.
Shreeta Quantano serves as the Head of Telenutrition Operations at Foodsmart. In this role, Shreeta
develops and executes the growth and operations strategy for Foodsmart Telenutrition Network
while also expanding Foodsmart’s capabilities to assess, identify and address patient social
determinants of health needs. Foodsmart partners with health plans, employers and health systems
to offer solutions that make eating well easy, affordable and accessible. Prior to joining Foodsmart,
Shreeta has held various executive roles leading healthcare strategy, operations and developing new
models of care.
Shreeta holds a Bachelor’s of Science degree from Emory University and a dual Masters of Public Health and Health Services Administration from the University of Michigan and currently resides in the Atlanta-metro region.
Amy Riegel is the Director, Housing at CareSource. She plays an integral role in building a new division of CareSource that will transition current Medicaid members off of government subsidies into a high-quality life. JobConnect will accomplish this goal through assisting members to build a solid structure of economic and social supports that when coupled with the health supports currently in place will give members a new path for their future. Prior to joining CareSource, Amy was with the City of Dayton for ten years serving as the Manager of Community Development and Grant Administration. Amy provided policy leadership to the City in the areas of housing development, asset-based community development, education, and homelessness reduction. During her tenure she oversaw the administration of over $200 million dollars in HUD funding and used forward thinking strategies to provide a 3:1 leverage with private, local and state dollars. She works tirelessly for the underserved within the community. She has served on numerous Boards within Ohio that are focused on poverty elimination, affordable housing, and neighborhood revitalization. Amy is a graduate of Wright State University. She has her Housing Development Finance Professional certification from The National Development Council. She is proud to live in Dayton, Ohio with her husband and three young daughters.
Jared is Vice President of Marketing at Foodsmart. He is responsible for Foodsmart's internal
marketing agency, a group that takes innovative approaches to Medicaid member enrollment and
engagement to maximize the number of members improving their health outcomes. He also
oversees Foodsmart's clinical research and partnerships.
He previously worked at McKinsey & Co, working with clients on developing care management and innovative care delivery strategies for Medicaid, Medicare and DSNP plans. He serves on the Chicago Board of Common Threads, a nonprofit providing cooking & nutrition education in lower income areas. He is a Certified Personal Trainer and was previously a Health Coach at Kurbo. He holds his MBA from Kellogg School of Management at Northwestern University and his BSc in Finance and Economics from Villanova University, and currently lives in Denver.
Darron Segall, MHS
Darron Segall, MHS is the Head of Market Access & Billing at Sera Prognostics and has extensive experience as an innovative leader commercializing novel diagnostic solutions. Darron has been deeply involved in developing integrated, value-based market access strategies that include, and are specific to, both payer and employer stakeholders. He is recognized for his leadership in helping to ensure the shortest time possible to patient access and market adoption for impactful clinical diagnostic tests. Darron is published and has presented at diagnostic reimbursement and payer access forums nationwide. He holds a Master of Health Science (MHS) degree in Health Finance, Policy and Management from The Johns Hopkins University School of Public Health.
Juan Pablo Segura
Juan Pablo Segura is an active voice in advocating to improve access to innovative models of care for
the underserved. He is a board member of Heathtech4Medicaid and a frequent speaker on the
subject of digital health for Medicaid and low-income populations. In 2014 he co-founded
Babyscripts, a virtual maternity care company delivering a new model for prenatal and postpartum
care that is transforming the way expectant mothers use technology to work with their healthcare
Juan Pablo has raised over $30 million in venture/angel financing for furthering his vision of a data- centric model in prenatal care. He has orchestrated large partnerships with Roche Diagnostics, Philips International, General Electric and their Healthymagination initiative, and the March of Dimes, specifically targeting improving access to care and maternal health outcomes. He has also led the Babyscripts sales team, partnering with over 70 health systems and insurers around the country that manage over 250K pregnancies annually.
Since 2014, Juan Pablo has been named a Healthcare Transformer by the Startup Health Academy in New York, a Wireless Lifechanger by CTIA for his work in detecting problems in pregnancy faster, selected as a finalist for the EY Entrepreneur Of The Year 2019 & 2020 Mid-Atlantic Award, and named to the inaugural class of the Greater Washington Hispanic Chamber of Commerce’s Hispanic Business Hall of Fame. Juan Pablo is the architect of the first "Prenatal Care Moonshot" focused on eliminating maternal mortality by 2030 through mobile/digital technology, and Babyscripts has been named a Champion of Change in Precision Medicine by Barack Obama and the White House. In 2020, Babyscripts was named to the Digital Health 150, CB Insights’ annual ranking of the 150 most promising private digital health companies in the world.
Karissa Smith, LPC, CADC I
Karissa Smith, LPC, CADC I is the Senior Operations Manager and leads the Regional Care Teams who provide care coordination services to CareOregon’s most vulnerable and underserved members. overseeing the care coordination functions for CareOregon. She is a Licensed Professional Counselor and Certified Alcohol and Drug Counselor within the state of Oregon. Karissa received her BS in Psychology from Oregon State University and her MA in Marriage and Family Therapy from George Fox University. Over the past 12 years Karissa has worked with individuals of all ages and in a variety of settings within the healthcare field including residential substance use treatment, outpatient individual and family therapy, crisis services, and behavioral health care coordination. She enjoys working collaboratively with teams to develop and implement processes that reduce barriers to care and promote effective efficient systems.
Jan Smith Reed
Jan Smith Reed has dedicated her career to discovering and implementing solutions across the Healthcare enterprise. Combining her broad industry knowledge, education, and social awareness she brings a holistic view of best practice to achieve business goals, advocate for patients, and ensure compliance. Having personally experienced blindness, Jan is passionate to bring awareness and solutions to simplify the challenges around healthcare accessibility. She is excited to represent T-Base Communications as Director of US Healthcare.
Frank Song, PhD
Frank Song has over 20 years of leadership experience in building and developing enterprise analytics to drive innovation for healthcare delivery for small and big health plans, provider organizations, and executive decision-makers. Currently, Frank serves as data and analytics service director at Central California Alliance for Health, where he oversees three teams of health informatics, enterprise data warehouse, and data science. Dr. Song has a Ph.D. in sociology, postdoctoral training in public health and epidemiology. Frank is a certified professional in health quality (CPHQ), certified healthcare consultant from BCBS Association, accredited project management professional (PMP), and professional academy of healthcare management (PAHM) from AHIP. A passionate expert in predictive modeling and program evaluation in quality and value- based payment models that provide enterprise solutions to provider enablement and population health management. A strategic thought leader with an extensive level of business acumen, solid advanced analytical skills, broad understanding of technical innovations & trends using data analytics to solve complex business problems with impactful insight-driven decisions.
Summer Sweet is the Triage and Data Integration Manager of Population Health at CareOregon. Summer received her BS in both Neuroscience and Psychology from Washington State University in Pullman, Washington. She was a recipient of Psychology Dean’s Research Scholarship to develop and support a Longitudinal Study of Decision Making with persons diagnosed with Parkinson’s Disease led by Dr. Maureen Schmitter-Edgecombe and continued to support the project as a post graduate. Summer has a broad knowledge base from her diverse experience across the spectrum of healthcare. She has experience in direct patient care, customer service, billing and coding, insurance, care coordination and technical systems. She has a unique understanding about how to integrate systems, assist with data analysis, and coordinate care. She is extremely passionate about the healthcare service industry and utilizing the technological tools available to improve process, reduce cost and utilization impacting our most vulnerable and underrepresented populations.
Suzanne B. Thompson, MBA/MHA
Division of MH/DD/SAS
Suzanne Thompson has worked mental health, developmental disabilities and substance abuse services field for more than 30 years. She currently works as the Team Leader for the Community Engagement & Empowerment Team with the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS). She has a bachelor’s degree in Psychology from James Madison University and Masters degrees in Business Administration and Health Administration from Pfeiffer University. She has held many positions over the years from direct care to administrative.
Joined the Molina Healthcare of Ohio team in October 2019 and have been focused on leading
and working alongside the clinical teams ensuring individual members receive necessary care and
Senior Executive Health Services Leader with over 38 years of experience in nursing, 20+ in health care and health plan administration. Direct clinical experience in palliative care, hospice care, home care, pain management, and case management practice. Current nursing license in three states: Ohio, Florida, and Arizona. In-depth understanding of the challenges facing complex and underserved populations/Medicaid and Medicare recipients both from the direct clinical practice and payer side. Experience includes executive leadership of health plan clinical service areas including case management, disease management /population health, utilization management, quality management/improvement, and 24-hour nurse triage; as well as designing innovative programs to help better serve the needs of Medicaid / Medicare members while driving financial efficiency. Experience in clinical program design and implementation for new and existing public sector health plan programs. These programs include behavioral and physical health specialty integration and long-term services and supports. Prior experience includes senior-level positions on both the provider and payer side.
As Lead IT Consultant, Ms. Turk collaborates with HCSC Business teams to develop and drive technical solutions that enable effective execution of business initiatives. Prior to her role in IT, Ms. Turk served HCSC in Product Development, Marketing and Business Planning. With her broad background and experience at both HCSC and The Blue Cross Blue Shield Association, Ms. Turk brings a valuable perspective to technological solution development and collaboration. Before joining HCSC, Ms. Turk worked in Sales with Procter & Gamble Corporation, and Marketing Management with Pillsbury Company, Keebler Company, Chicago Tribune, and The Blue Cross Blue Shield Association. A native of Chicago, Illinois, Ms. Turk earned an MBA in Marketing and Finance from Northwestern University, Kellogg School of Management and a BS in Business Administration from the University of Illinois, Urbana.
Dr. Gabriel Uribe, DSW
Dr. Gabriel Uribe serves as the Director of Community Health at the Inland Empire Health Plan
(IEHP) and as a Professor of Social Work Policy at La Sierra University. IEHP is a not-for-profit public
entity, rapidly growing Medi-Cal and Medicare health plan in California. With a network of more
than 6,000 Providers and 2,400 employees, IEHP serves over 1.3 million residents of California’s
Riverside and San Bernardino counties who are enrolled in Medi-Cal, and Cal MediConnect
(Medicare-Medicaid Plan). Dr. Uribe oversees operations of IEHP’s Community Resource Centers,
Community Health Worker program and diversity services.
In addition to his formal occupations, Dr. Uribe serves as the President of the Inland Empire Disabilities Collaborative (IEDC). The IEDC provides networking and educational resources to over 2,500 disability service professionals employed at over 400 regional organizations that serve nearly half a million seniors and persons with disabilities in Southern California. Dr. Uribe earned a Doctor of Social Work at the University of Southern California and holds a Masters of Public Administration from Cal Poly Pomona. He is an experienced social service professional committed to the delivery of accessible health care for low income and underrepresented communities.
Kurt Waltenbaugh, MBA
Kurt Waltenbaugh is a serial entrepreneur with a career focused on the consumer: using data to
predict and influence behavior. Understanding consumer behavior, Kurt has built successful analytic
solutions, products and companies in the health care, retail, education, and credentialing industries.
His previous companies were sold to Oracle and Pearson Education. Most recently, Kurt was responsible for product strategy at Optum, Inc. (UnitedHealth Group), building data analytic businesses for the provider, payer and employer markets.
When not working with customers, Kurt is with his wife, guiding their three children toward adulthood, and planning their next winter camping trek into Minnesota's Boundary Waters (BWCAW).
Karen Weintraub is an Executive Vice President at Healthcare Fraud Shield. As EVP, Ms. Weintraub is
responsible for the design and development of the company’s healthcare fraud detection software
products and services. She provides subject matter expertise on system design and workflow,
business rule development, data mining and fraud outlier algorithms as well as SIU policies and
Prior to joining Healthcare Fraud Shield, Ms. Weintraub was the Senior Manager of SIU Services at GDIT and the Supervisor of Investigations for Health Net, Inc. and managed all northeast healthcare investigations for all commercial, Medicaid and Medicare business and claims of fraudulent activity. Ms. Weintraub received a BA in Criminal Justice from the University of Delaware and an MA in Criminal Justice from Rutgers University. Ms. Weintraub is a Certified Professional Coder for Payers (CPC-P), a Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders and the founder a NJ AAPC chapter. She is also an Accredited Healthcare Fraud Investigator (AHFI) from the National Healthcare Anti-Fraud Association (NHCAA). Ms. Weintraub Taught CPT Coding, Fraud & Audits, and Medical Billing, Laws and Ethics at the local community college. Ms. Weintraub is also a well-known speaker and is asked to speak regularly by NHCAA. Other speaking engagements include, but is not limited to NJSIA, IFPA, HPA, ACAP, RISE, FBI and more.
Amir Wodajo is currently a Director of Medical Management at Western Sky Community Care, a Centene Health Plan serving Medicaid, Medicare, and Marketplace members in the state of New Mexico. She is a Certified Case Manager and lives in Albuquerque, New Mexico, with her husband and 3 year old daughter. Amir has almost 20 years of experience managing government-funded programs for TANF, SNAP, Medicaid, and Medicare. She enjoys gardening and going for long runs with family and friends.
Nancy Wongvipat Kalev, MPH
Nancy Wongvipat Kalev is the Senior Director of Systems of Care at Health Net responsible for
organizational strategy and program design for adult and children’s systems of care, CalAIM’s
community support programs, workforce development, and addressing social drivers of health and
health equity. She was formerly the Director of Health Education and Cultural and Linguistic Services
at Health Net for 18 years prior, responsible for programs addressing community health, language
services, health literacy, cultural competency, social determinants of health and health equity. Ms.
Kalev holds a Master of Public Health degree in community health sciences, and a bachelor's degree
in psychobiology from UCLA. Ms. Kalev has over 20 years of experience in health care management,
program development, implementation and evaluation. Prior to Health Net, Ms. Kalev was manager
for prevention programs at AIDS Project Los Angeles; evaluation consultant for the Long Beach
health department’s Housing and Urban Development-funded Healthy Homes Initiative; research
associate with UCLA Fielding School of Public Health focused on community research projects in
women’s health; and research associate with UCLA School of Medicine in breast and ovarian cancer
Ms. Kalev is a board member with ETR, a behavioral health non-profit devoted to providing science-based programs and services, driven by its mission toward health equity for youth and families. Nancy was born in Thailand, moved to Los Angeles at the age of six, and currently lives with her spouse, three children and dog in Agoura Hills, CA.
Dorthy K. Young, PhD, MHSA
Dorthy Young, PhD, MHSA, CCSA, CHP serves as the Chief Health Data, Operations, and Research
Officer for the Mississippi State Department of Health. Dr. Young is responsible for data,
information technology, research, non-communicable epidemiology, data and technology security,
revenue cycle, electronic health record, database, and vital statistics functions of the agency. Dr.
Young is a graduate of Furman University in Greenville, South Carolina, and holds a Master of Health
Services Administration degree from Mississippi College in Clinton, Mississippi. She earned her Ph.D.
in Clinical Health Sciences from the University of Mississippi Medical Center in Jackson, MS. In
addition to her role with the Mississippi Division of Medicaid, Dr. Young is an adjunct faculty
member for the School of Health Related Professions at the University of Mississippi Medical Center.
She has experience in hospital administration, health information and informatics, life sciences research, healthcare reimbursement, analytics and policy development. Before joining the Mississippi State Department of Health, Dr. Young served as the Deputy of Health Services, the Director of Innovation Initiatives, and the Medical Services Director in the Mississippi Division of Medicaid. She has also been a Director in University of Mississippi Medical Center Hospital Administration and for UMMC University Heart.
Jamie Zajac, DC
Jamie Zajac, DC is a Manager of Care Management at Colorado Access, a non-profit health plan specializing in the integrated management of populations enrolled in Medicaid and CHP+. In her role, Jamie supports the care management department in a variety of ways including, but not limited to developing and implementing clinical care management interventions/programs to ensure that contract deliverables and company strategic goals are met, supporting care management staff, and working closely with both internal and external partners to identify and mitigate system barriers to ensure members have access to quality and equitable services. Jamie received her Bachelor of Science degree from Colorado State University in Health and Exercise Science, and her Doctor of Chiropractic from Logan University in Missouri. Jamie has over 17 years of experience in healthcare and has worked in a variety of settings including: corporate fitness/health promotion, hospital-based education, and outreach programs at the St. Louis Children’s Hospital, and disease management programs in the private health insurance sector. Jamie enjoys reviewing clinical data of large populations and creating programs to look at the whole person, to ensure the right intervention is provided to our members at the right time.