Lakshmi Dhanvanthari, MD
Betsy Chang Ha, RN, MS, LSSMBB, RYT-500
Stephanie Shushan, MHA
Nancy Wongvipat Kalev, MPH
Michelle Squire, MSN, RN, CCM
Ana I’I Brown-Cohen, MPH
Preeti Nakrani, MPH
Michelle Laws, PhD, MA
Division of Mental Health/Developmental Disabilities and Substance Abuse Services
Suzanne B. Thompson, MBA/MHA
Division of MH/DD/SAS
Tammy J. Whitlock, MSHA
Dorthy K. Young, Ph.D., MHSA
Alexandra (Ali) Fernández
Bureau of Long Term Care, Division of Medicaid
William E. Golden, M.D.
Henry W. Osowski
Leonard J. Kirschner M.D. M.P.H.
Clay has advised CMS administrators, state Medicaid Directors and a wide range of other clients in the healthcare industry. His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His experience includes policy making at both the federal and state levels, management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics. He currently serves as the Director of Operations for Mostly Medicaid, where he leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.
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.
Daniel Weaver is an established leader with extensive experience developing and implementing intervention strategies to improve Medicare Stars performance. With demonstrated success with innovative intervention programs, Daniel's team has consistently delivered market-leading performance and forward-thinking engagement with providers and members.
Stephanie Shushan, MHA
Stephanie Shushan is a healthcare administrator with experience in program and operations management in academic, hospital and healthcare systems settings. In her role current role, she manages the Mental Health Integration Program (MHIP). This program integrates behavioral health in Federally Qualified Health Centers across Washington State through the evidence-based Collaborative Care Model. This program and her work intersects with broader efforts of behavioral health and physical health integration, telehealth and provider education and training.
As the President & Chief Executive Officer for CareFirst BlueCross BlueShield Community Health
Plan District of Columbia, George Aloth is responsible for leading the development and
implementation of the company’s overall strategy, including general oversight of all operations
and resources of the company, to ensure strategic growth. Aloth drives decision-making that
creates medium- and long-term improvement for all company operations. As the leader of the
Executive Team, he ensures that operational priorities and business unit goals are in alignment
with the company’s strategic direction.
Mr. Aloth brings to this role experience and knowledge acquired from his previous positions as Chief Operating Officer and Chief Compliance & Privacy Officer for Trusted Health Plans, Inc., now CareFirst BlueCross BlueShield Community Health Plan District of Columbia.
Sarah Rubin is a Director of Policy & Strategy at UnitedHealthcare Community & State.
UnitedHealthcare Community & State proudly serves nearly 6 million Medicaid members in 31
states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group (NYSE: UNH)
which is a diversified health and well-being company with a mission to help people live healthier
lives and help make the health system work better for everyone.
Sarah focuses on the development of sustainable policy approaches to improve health outcomes and support integration for individuals who are dually eligible for Medicare and Medicaid across the spectrum of program designs and population needs, including long term services and supports (LTSS). Prior to this role, Sarah served as a Research Associate at L&M Policy Research, focusing on improving the usability and content of consumer health plan decision tools like Medicare.gov and Healthcare.gov and conducting qualitative and quantitative evaluations of federal health care delivery and financing demonstrations.
Sarah holds dual Bachelor of Arts degrees in Urban Studies and Medical Anthropology from the University of Pennsylvania. She also holds a Master of Public Health with a concentration in health management and policy from the University of Michigan School of Public Health and a Master of Business Administration from the University of Michigan's Ross School of Business.
Lakshmi Dhanvanthari, MD
Lakshmi Dhanvanthari, MD is a Pediatrician and the Chief Medical Officer for Health Plan of San
Joaquin (HPSJ). She works with the network physicians, health plan members and the community
to ensure delivery of cost-effective, quality health care to the Medi-Cal members in San Joaquin &
She is a fellow of the American Academy of Pediatrics and a Diplomat American Board of Pediatrics.
Dr. Dhanvanthari’s prior experience includes working at Health Net as the Regional Medical Director and as Staff VP Medical Director at WellPoint.
Her clinical experience includes patient care and teaching at the University of California/Irvine, Children’s Hospital of Orange County, and Sinai Medical Center in Chicago.
Dr. Dhanvanthari volunteers in various community efforts to invest in the future of healthcare in the local community. She serves on the San Joaquin Continuum of Care Board to tackle homelessness in San Joaquin County. She participates in the San Joaquin and Stanislaus Behavioral Health task force to address the access to care for individuals with behavioral health and substance abuse problems. She is an active participant of the Community Partnership Advisory Council of the Health Careers Academy. She is committed to improving health care and building strategies to increase the health care work force in San Joaquin & Stanislaus Counties and brings this passion to the Board.
About HPSJ Health Plan of San Joaquin, a not-for-profit, public health plan, has been serving members and the community since 1996. Located in the heart of California’s multicultural Central Valley, local HPSJ is the leading Medi-Cal managed care provider, serving over 91% of Medi-Cal recipients in San Joaquin County and over 67% in Stanislaus County. HPSJ offers a broad network of providers and works closely with doctors to develop programs and services to ensure quality health care for 350,000 members who are mostly working families and children, as well as seniors and disabled residents.
During this time of COVID-19 pandemic – Dr. Dhanvanthari: “HPSJ staff are working safely, taking all precautions recommended by local and state public health authorities. In this way, we are still here for our members – providing information, access to health care, and support, for our providers – offering practical assistance as we remain open for business with no interruptions, and for our diverse, vulnerable community – where we continue our long-tradition of collaboration.” At www.hpsj.com/coronavirus/ Health Plan of San Joaquin offers reliable, health-related information and resources for help during this chaotic time.
Betsy Chang Ha, RN, MS, LSSMBB, RYT-500
Betsy is a result-oriented healthcare transformation leader with diverse experience in creating
efficient and effective health care programs and clinical processes leveraging information
technology (IT) to improving health care for the most vulnerable population.
Her experiences include leading healthcare reform for the incarcerated population in California prison system under the Federal Receivership; creating a Lean approach for clinical IT implementation to ensure clinical adaption and sustainability; leading learning collaboratives nationally to improve patient-centered chronic care program leveraging the purchasers' support; directing enterprise-wide IT implementation project driven by business processes redesign for a start-up health plan; creating a safety-net provider network in a for profit practice management organization serving Medicaid and Medicare members. Betsy started her health care career as a pediatric Hematology, Oncology, and Bone Marrow Transplant nurse.
She is currently the Executive Director at CalOptima responsible for Quality Management & Quality Analytics, Population Health Management, and Behavioral Health Integration. Prior to CalOptima, she was with OptumCare as the National Vice President of Clinical Program Management responsible for development and implementation of clinical programs, such as community-based palliative care program and facilitated virtual care, throughout the care delivery organizations in California, Texas, Arizona, Nevada, Utah, New York, and Florida.
Previous employers included Monarch Health Care, AltaMed, California Prison Health Care Receivership, Center for Health Care Strategies, CalOptima, MedParners, and Children’s Hospital Los Angeles. Betsy has a master’s degree in Healthcare Management from California State University of Los Angeles and a bachelor’s degree in Nursing from University of Maryland, School of Nursing. She is a Certified Master Black Belt in Lean Six Sigma and a former Baldrige examiner.
Betsy is passionate about promoting health, wellness, and vitality in her community and the health care workforce. She designed and developed evidence-based Mindfulness Integrative Practice curriculum to promote resiliency and prevent compassion fatigue for the frontline health caregivers as a 500 hour-level certified Yoga Teacher specialized in Trauma Informed teaching instructions. She offers mindfulness yoga and self-care workshops at professional conferences including Californian Health Care Foundation (CHCF) Leadership convenings. Betsy serves on the Technical Advisory Committee for First 5-OC. Her hobbies include teaching yoga, oil painting, and traveling.
Lisa Holden is the Vice President Accountable Care for Independent Health Care Plan (iCare)
located in Milwaukee, Wisconsin. In her role, Holden is responsible for developing and
implementing strategies and programs to obtain measured care management performance levels
and for the ongoing management of the iCare’s Medicaid and Medicare member experience
within its model of care.
Holden has extensive and varied experience in nonprofit management, government affairs, public policy, coalition building and leadership.
Prior to joining iCare in 2014, Holden was the Senior Director of Organizational Development and Education at Visiting Nurse and Hospice Care of Santa Barbara. Holden’s public policy and government affairs experience includes eight years serving as the Executive Director of the Connecticut Coalition Against Domestic Violence (CCADV) and Board Member for the National Network to End Domestic Violence. Under her leadership CCADV became a state and national leader on addressing the needs of domestic violence victims within the criminal justice system.
Holden’s nursing leadership career included serving as the Regional Manager for Ambulatory and Community Women’s Health Services for Aurora Health Care in Milwaukee, WI. In that position Holden led efforts to improve health care services for women and children and foster reform and improvements in government agencies and community organizations to reduce infant mortality. From 1983 to 2000, Holden was extensively involved in both the March of Dimes and the Wisconsin Association of Perinatal Care (WAPC) Board of Directors, chairing the joint Public Policy committee.
Holden is a graduate of Marquette University and has a Certificate in Integral Leadership by the University of Notre Dame, Mendoza School of Business. Holden is a legacy member of the Refiner’s Playground and a graduate of Kathy Pike’s Academy for Coaching with Horses.
Merrill Friedman leads the Disability Policy Engagement team and advocacy strategy for Anthem, a leading health benefits company serving nearly 74 million people nationwide through its affiliates. She works collaboratively with consumers, advocates and stakeholders to ensure the diverse interests and preferences of older adults, individuals with disabilities, and children involved in child welfare programs inform Anthem’s health benefits approaches and related initiatives. Ms. Friedman also leads the National Advisory Board (NAB) on Improving Health Care Services for Older Adults and People with Disabilities and advances the integration of the NAB's six foundational principles, the independent living philosophy, and principles of self-determination throughout these programs, as well as Anthem’s member interactions and business practices. In addition, she leads strategic partnerships with national and local organizations to advance the development of inclusive public policy. Previously, Ms. Friedman was interim director at a nonprofit foster care agency serving children and adolescents who experienced severe neglect and physical abuse. She also served as president and chief executive officer of a private organization that owned and operated residential treatment facilities, group homes and home and community based services in several states for adolescents with mental health conditions, substance use disorders, and intellectual disabilities. Ms. Friedman is a nationally recognized leader in Medicaid, LTSS and health services that reflect the needs and interests of older adults, people with disabilities and children and adolescents. Health program expertise includes disability, aging, drivers of health (SDoH), foster care, mental health and substance use, intellectual and developmental disabilities, and justice involvement. Her extensive experience in program development, strategy, new business growth and operations management informs the innovation and development of home and community-based services and capacity building. Ms. Friedman has served on numerous national boards and commissions. She was appointed by President Barack Obama to the President’s Committee for People with Intellectual Disabilities and by Governor Jennifer Granholm to the MI Statewide Independent Living Council where she also served as Board Chair. Currently, Ms. Friedman serves on the board of directors for Family Voices, Rebuilding Together, and is a member of the National Academy of Social Insurance (NASI) and the NASUAD MLTSS Institute Advisory Board.
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.
Nancy Wongvipat Kalev, MPH
Nancy Wongvipat Kalev is Director of Health Education and Cultural and Linguistic Services at Health Net for the past 17 years. In her current position, Ms. Kalev is responsible for programs and services for the California business related to health education, prevention and wellness, language services, health literacy, cultural competency, and health equity. Ms. Kalev holds a Master of Public Health degree in community health sciences with an emphasis on socio-cultural aspects of health, and a bachelor's degree in psychobiology from the University of California, Los Angeles (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 federal Housing and Urban Development (HUD) funded Healthy Homes Initiative and public health fellow responsible for disaster planning and HIV program evaluation, research associate with UCLA School of Public Health responsible for community research projects involved with women’s health and socio-cultural aspects of health, and research associate with UCLA School of Medicine responsible for breast and ovarian cancer research. Ms. Kalev is currently a board member with ETR, a behavioral health non-profit devoted to providing science-based programs and services, driven by its mission to improve health and increase opportunities for youth, families and communities.
Joanne Scillia is the Vice President of Medical Management for Affinity Health Plan in New York City. In this role she is responsible for the operations, quality and compliance of utilization management and case management. Ms. Scillia has over 25 years of executive level clinical operations experience performing change management for established organizations and new implementation within start up organizations. Her background includes conception and design of clinical programming and operations including clinical product development, quality outcomes and compliance. Prior to working with Affinity Health Plan Joanne was the Vice President of Population Health at Renown Health in Reno Nevada, a not for profit, fully integrated health care system. In this role Ms. Scillia was responsible for the implementation of this program and led a team of over 500 employees responsible for system level clinical integration including utilization management, clinical informatics, community health, member engagement, discharge planning and care management. Prior to Renown, Ms. Scillia was the Vice President of Clinical Operations for Complex Care Solutions a National Care Management organization contracted with over 25 insurance plans including Managed Medicaid and Medicare. In this role her responsibilities included care management operations, implementation of new contracts, new program development and the design of a proprietary EMR. Ms. Scillia has spoken at national forums in regard to population health and holds her BSN from Florida International University.
Michelle Squire, MSN, RN, CCM
Michelle Squire currently oversees Case Management at Affinity Health Plan. She has more than 20 years of experience in the healthcare industry, starting with caring for critically ill pediatric and neonatal patients. Her current area of expertise lies in the insurance sector, working with private health insurance and managed-care companies on care management and population health. Michelle is a published author about Integrated Case Management with her most recent publication focusing on an evidence-based and holistic approach to population health and the necessity for an integrated method in care coordination. She is excited to have the incredible opportunity to bring her clinical and teaching expertise to organizations nationwide, engaging providers and assisting them with integrating care in hospital and insurance-based settings. Michelle earned her Associate of Applied Science in Nursing degree in 1998. In 2016, she earned her Bachelor of Science in Nursing degree, Summa Cum Laude, from Walden University. In 2018, Michelle completed her graduate studies, earning her Master of Science in Nursing degree from Walden University.
Marty Janssen is the Senior Director of RAE Communication and Programs for Colorado Access, a
non-profit health plan that administers Medicaid programs for the State of Colorado. In his
current role, Marty is responsible for directing the development and implementation of
programming aimed at increasing access to care and improving health outcomes for underserved
populations and helping to drive commitment and connection to those programs among Colorado
Access’s provider network and the community at large. Marty works across all levels of
government, with health systems and independent providers, and among various member
channels to help ensure the success of Colorado Access in meeting its mission and in fulfilling its
obligations to the State.
Marty brings to this role in-depth experience with public policy and publicly funded health care platforms, acquired through years of working in various capacities in local and state government and the private health care sector. He holds a Master of Public Administration from the University of Colorado.
Ana I’I Brown-Cohen, MPH
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.
Cynthia is the Administrative Director of Pain Management & Palliative Medicine at Englewood
Hospital and Medical Center where she has successfully implemented pain management
initiatives that have enhanced the quality of care, improved patient satisfaction while reducing
cost of care and length of stay for Medicare patients. Cynthia is recognized nationally for her
contributions to pain management and the development of multi-modal integrative medicine
programs, she opened one of the first private nurse practitioner pain management practices in
New Jersey, which focused on the therapeutic relationship, self-care, stress management and
health promotion for patients with acute and chronic pain.
As lecturer and keynote speaker, she has given many national presentations on pain management and integrative medicine including the annual PAINWeek Conferences. 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 healthcare helps to reduce the overall cost of healthcare, improve patient’s function and overall quality of life.
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. Cynthia’s goal is to continue to implement innovative initiatives in pain management that meet the needs of the Medicare, Medicaid and underserved population by providing high quality care in a cost- effective environment. She believes that the success of healthcare in the future will be achieved by integrating research-based medicine within a caring humanistic therapeutic model that engages patients and promote self-care.
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.
Preeti Nakrani, MPH
Preeti D. Nakrani, MPH, is the Medicaid Program Manager for the BeHealthy Partnership Medicaid ACO at Health New England. Preeti received her undergraduate degree in Health: Science Society and Policy from Brandeis University, and earned an MPH from the University of Massachusetts School of Public Health. She has been supporting the Medicaid ACO since its inception in 2018 and has experience launching care management programs, managing clinical operations, and overseeing various reporting requirements under the program.
Tiffany Stone is the Deputy Director, Medicaid Policy for the Michigan Association of Health Plans
(MAHP), a Lansing based organization that represents 12 health plans in Michigan.
Prior to joining, MAHP, Tiffany worked in the Medicaid Health Plan space focusing on operations and program implementation. She also served as a Quality Analyst for the Michigan Department of Health and Human Services.
Currently, Tiffany volunteers her time by serving as Vice President on the Board of the National Alliance of Mental Illness (NAMI) of Genesee County and on the Board of Honor Community Health.
Tiffany earned her Bachelor’s Degree in Elementary Education from the University of Michigan- Flint and her Master’s Degree in General Administration from Central Michigan University.
Michelle Laws, PhD, MA
Division of Mental Health/Developmental Disabilities and Substance Abuse Services
Dr. Michelle Laws is the Director of Community Engagement and Empowerment at the NC
Department of Health and Human Services, Division of Mental Health, Developmental Disabilities,
and Substance Abuse Services (MH/DD/SAS). Prior to returning to work for the NC Division of
MH/DD/SAS, Dr. Laws served as the Director of Policy and Public Advocacy for the NC National
Alliance on Mental Illness (NAMI-NC).
Dr. Laws’ distinguished professional career also includes serving as the Assistant Director of the Community Health Coalition, Inc, a nonprofit organization working to eliminate health disparities and improve health outcomes for poor and medically marginalized communities in North Carolina; serving as the former Executive Director of the North Carolina State Conference of the NAACP; serving as an adjunct professor, teaching undergraduate courses in sociology, research methods, and statistics for North Carolina Central University, North Carolina State University, and college-transfer courses in federal and state prisons.
Dr. Laws also served as the legislative liaison for NC DHHS’s Division of MH/DD/SAS (where currently serves), during a time when the state was undergoing major reform (in early 2000) of its public MH/DD/SAS system including the dismantling and restructuring of area MH/DD/SAS authorities. Dr. Laws has been widely recognized both nationally and internationally as a dynamic speaker and passionate advocate for underserved populations, including impoverished women and children, the homeless, justice involved youth and youth aging out of foster care, and persons with lived MH and SUD experience. She has earned the respect from diverse communities of peers, colleagues, and policy makers for being a politically astute and diplomatic leader, operating in various capacities, including policy, public affairs, advocacy, and health and human services program development and evaluation.
Dr. Laws is a native of Chapel Hill, NC and holds a Bachelor of Arts degree in Communications from the University of North Carolina at Chapel Hill, a Master of Arts Degree in Sociology from North Carolina Central (Magna Cum Laude graduate), and a Ph.D. in Social and Behavioral Sciences from Virginia Commonwealth University School of Medicine’s Department of Health Policy and Behavior.
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.
Tammy J. Whitlock, MSHA
Tammy received her Bachelor’s from Longwood University and her Master’s in Health Administration from Virginia Commonwealth University. Prior to coming to the Department of Medical Assistance Services (DMAS) Tammy worked in the areas of physical rehabilitation, mental health, and juvenile justice. Tammy started working with DMAS in 1994 as a Rehabilitation Analyst and has held various positions in Long Term Care, Maternal & Child Health and Managed Care. Tammy currently serves as the Deputy of Complex Care overseeing behavioral health services, Commonwealth Coordinated Care Plus, and all long term care programs.
Dorthy K. Young, Ph.D., MHSA
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's University Heart Center. 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.
Bill Clark is the Medicaid Compliance Officer at the Department of Vermont Health Access (DVHA,
the department responsible for Vermont's publicly administered health insurance programs). Mr.
Clark is responsible for maintaining the department’s compliance with federal and state managed
care regulations and policies and he coordinates all programmatic audits and compliance
corrective action plans.
Prior to working in Compliance and Provider and Member Relations, Mr. Clark was a Financial Director at DVHA where he managed audits, accounting practices, grants/contracts and other fiscal management duties. Before entering the Medicaid world, Mr. Clark served in various roles within the Vermont Department of Health, including: terrorism preparedness, death investigation and emergency medical services.
Jackie Prokop, PhD, MHA, RN, is the Director of the Medicaid Program Policy Division, which is located within the Michigan Department of Health and Human Services. She has worked for the State of Michigan for over 27 years, with most of the years working in the Medical Services Administration, the agency responsible for the administration of the Medicaid program. In her current role, she oversees health policy related to Medicaid, the Healthy Michigan Plan, Maternal Outpatient Medical Services (MOMS), The Flint Waiver and the MI Child program. She has a bachelor’s degree in Nursing, a master’s degree in Health Care Administration, and PhD in Nursing with an emphasis on health policy. In addition, she has over 10 years of clinical experience in a variety of health care settings.
Alexandra (Ali) Fernández
Alexandra (Ali) Fernández is the Bureau Chief for the Bureau of Long Term Care with the Idaho Division of Medicaid. She has spent her career in the public sector working with, and for, people with disabilities – from direct services to policy development and program administration. Ali’s current focus is maximizing the quality of services administered by the Bureau of Long Term Care by promoting consistent, efficient performance of the Bureau and fostering a collaborative partnership with vendors and service providers.
Chris Barrott has worked in contract management and program development for more than twenty years in the private and public sector. She has worked with Idaho Medicaid for ten years and is currently serving as the Quality Assurance Manager for the Bureau of Long Term Care as well as the Contract Manager for the Duals programs. Chris loves to find efficiencies, dream up solutions and then work to implement them to ensure the best outcomes possible.
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.
William E. Golden, M.D.
University of Arkansas for Medical Sciences
William E. Golden, M.D. is Professor of Medicine and Public Health at the University of Arkansas for Medical Sciences and the Medical Director for the Arkansas Office of Health Information Technology, the state HIE, as well as the state’s Medicaid program. He has served as the clinical lead for Medicaid’s nationally recognized multipayer payment reform initiative. Previously, he served as the Vice President for Clinical Quality Improvement of the Arkansas QIO and designed numerous statewide quality improvement projects. A past Chair the Board of Regents of the American College of Physicians, Dr. Golden served 4 years on the Board of Directors of the National Quality Forum and is a past President of the American Health Quality Association. He is a past member of the Guiding Committee of the CMS Health Care Payment Learning Action Network (HCP-LAN) and co-chaired of its Primary Care workgroup. Dr. Golden received an AB from Brown University, an MD from Baylor College of Medicine, and internal medicine training at Rush Medical Center in Chicago.
Elena Nicolella is the Executive Director of the New England States Consortium Systems Organization, a private, non-profit committed to supporting State Government Health and Human Service agencies. Elena previously worked for the State of Rhode Island’s Executive Office of Health and Human Services as the Director of Policy and Innovation and prior to that, as Medicaid Director. Elena also worked for the Centers for Medicare and Medicaid Services for in the Boston Regional Office. She received her Master’s in Public Health from Boston University.
Anne Santifer is Director of the Office of Health Information Technology as of August 2018. Anne has nearly 10 years of experience in the operations, development, and policy supporting Medicaid quality improvement programs. She is experienced in program management, Value based programs and data and information technologies supporting health care and social service programs. Prior to joining OHIT, Anne served as the assistant director of health care innovations at Medicaid which included the successful Patient Centered Medical Home program.
Henry W. Osowski
Hank Osowski, a Founding Member of Strategic Health Group, is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than 30 years. He currently is the Managing Director of Strategic Health Group, a new boutique strategic and financial advisory firm dedicated to bringing seasoned leadership to enable health care organizations to succeed in a challenging and changing environment. He is an expert in Medicare Advantage and Medicaid long-term care strategies. Formerly, as Senior Vice President Corporate Development, he was a key member of the senior leadership team that the company from a near death experience to an exceptionally strong financial position. He led SCAN Group's efforts to expand into seven additional California counties. Hank also led SCAN's entry into Arizona and served as the initial President of SCAN Health Plan Arizona and SCAN Long Term Care. The service area expansions represent approximately a quarter of SCAN's membership and added nearly $450 million to SCAN's revenue. He also led the organization's strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols. Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He began his California career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial turnaround of the Individual and Small Group Division and provided leadership to the organization's strategic planning efforts. Earlier he served as Vice President International Operations for American Family Life Assurance Corporation where he directed the activities of the company's Canadian and European operations. In this role he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company's Canadian operations. Earlier, Hank also served as Director of Insurance Consulting Services for Coopers and Lybrand, a predecessor to PriceWaterhouse Coopers. Throughout his career, he has been a frequent speaker on critical issues and challenges facing the Medicare and Medicaid programs. In 2011, Hank spoke to the Managed Medicaid Congress about principles for structuring effective long term care programs, to the Medicare Market Innovations conference about opportunities for strengthening a plan's five star quality rating and offered his strategic projections for the future of Medicare. He also spoke to a diverse health care and technology audience at the Healthcare Unbound conference about leveraging the power of technology to improve the quality of health outcomes and care interventions.
Leonard J. Kirschner M.D. M.P.H.,
Dr. Kirschner is Immediate Past President of AARP Arizona. He is a member of the AHA Committee
on Research and was a member of the 2010 Long Range Policy Committee. He is on the Board of
Directors of Wickenburg Community Hospital. He is a member of the National Advisory Board on
Improving Health Care Services for Seniors and People with Disabilities. He is a Trustee of the
Arizona Perinatal Trust, a member of the Arizona State Medicaid Advisory Committee, the State
Trauma Advisory Board, and Fighter Country Partnership. He was a member of the Harvard School
of Public Health Leadership Council, 2003 to 2006, and the 2003 Citizens' Task Force on the
Maricopa County Health Care System. He is a past President of the Veterans Medical Leadership
Council of the Carl T. Hayden VA Medical Center, and he served on the Board of the AzHHA from
1998 to 2005. He was a member of the AHA Regional Policy Board from 2000-2003 and 2007-2009
and was on the Board of the PMH Health Systems Strategy Group, 1994-2001; Del E. Webb
Hospital, 2002-2008; and Sun Health, 2004-2008. He retired as a Principal with William M. Mercer
Inc., a global consulting firm, in 2001. During his tenure with the company, he provided consulting
services to such diverse Medicaid programs as TennCare, MediCal and AHCCCS.
Dr. Kirschner was Vice President, Health Care Initiatives, State Health Care, EDS, 1993 to 1999. During his 6 years with EDS, he provided consulting services to Medicaid programs across the United States, including business trips to all 50 states. Dr. Kirschner was Director of the Arizona Health Care Cost Containment System (AHCCCS) from February, 1987 until July, 1993. This program provides health care to over 1 million residents of the state. The prepaid model pioneered by Arizona is considered to be the most cost effective means of providing quality health care to Medicaid beneficiaries. During his 6 years as AHCCCS Director, he represented the western states and Pacific territories on the Executive Committee of the State Medicaid Directors Association and chaired the Medicaid Managed Care Technical Advisory Group.
During the past 40 years, he has been an invited speaker at numerous conferences across the country speaking on the subjects of Medicaid, Medicare, managed care, behavioral health and health care reform. He was on the Advisory Committee of the National Managed Health Care Congress, a featured speaker of the Medical Leadership Forum and co-author of "Medicaid Managed Care" in the Managed Health Care Handbook. He was the recipient of the 1994 Arizona Hospital and Healthcare Association's Salisbury Award and the 1997 Arizona Department of Health Services and Arizona Medical Association's Public Health Service Award. In 2006, he was awarded the Healthcare Lifetime Achievement Award by the Phoenix Business Journal and the Individual Leadership Award by WESTMARC. Dr. Kirschner is a graduate of Williams College, Albany Medical College, and the Harvard University School of Public Health. He is board certified by the American Board of Preventive Medicine and is a Fellow of the American College of Preventive Medicine and the Aerospace Medical Association.
Dr. Kirschner served on active duty in the United States Air Force for 22 years commanding five Air Force hospitals before retiring in 1985 as Commanding Officer of the USAF Hospital, Luke Air Force Base with the rank of Colonel. He spent ten years at military medical facilities outside the United States, including assignments in Turkey, Japan, Vietnam, Thailand and Spain, and served four years as Director, Cadet Health Services at the USAF Academy. His military awards include the Legion of Merit, Bronze Star, Air Medal and Vietnam Service.
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.
Mohammed is a technology industry veteran with extensive experience of delivering innovative technology solutions. He has driven more than 50 different application and product development initiatives with 45,000+ hours of solution design and technical oversight. Under his leadership, Simplify Healthcare established itself as a market leader in its space.