Erika Bower, PharmD, BCACP
Erika Bower is the Pharmacy Quality Program Manager at UCare in Minnesota and oversees programs to improve pharmacy quality measures and the Medication Therapy Management (MTM) program. She received her doctorate of pharmacy degree from North Dakota State University and completed two years of residency training at Hennepin County Medical Center in Minneapolis (PGY-1 Pharmacy Practice & PGY-2 Ambulatory Care). She is board certified in ambulatory care pharmacy practice. Prior to working for UCare, Erika practiced MTM in a Family Practice Clinic and a Pain Center. Her primary interests are promoting public health initiatives for safe and effective use of medications, pharmacy quality, and MTM.
Gloria Carbonell, MSHIMS, PCMH-CCE
Gloria Carbonell is Manager of Clinical Metrics and Analytics at Community Care Plan, where she leads the Clinical Analytics department in using data to develop strategic insights, as well as optimizing workflows and business processes in order to improve quality and overall efficiency. She serves as a liaison, bridging the gap between the clinical and IT teams.
Melanie Cavaliere serves as the Chief of Innovative Care Delivery at the Maryland Health Care Commission (MHCC). Melanie has over twenty years of professional experience in health care policy and employee benefits consulting. Current projects include designing and implementing statewide practice transformation efforts in Maryland for primary care and specialty practices. 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.
Joseph Crimando leads a team of analysts and technical experts to deliver systems to aid our clinical teams to care for our patients. His focus on clinical data follows his career in data analytics for many different types industries including Finance, Aerospace, and Government/Defense. For Kaiser Permanente, he's develops actionable, automated and analytic systems for chronic disease and prevention management programs. Joseph is a graduate of the State University of New York, College at Fredonia with a BS in Computer Science with a minor in Physics.
Taib Dedic is a Director with Centene’s Complex Care Development and Innovation team.
Centene Corporation, a Fortune 500 company, is a diversified, multi-national healthcare
enterprise that provides a portfolio of services to government sponsored healthcare programs,
focusing on under-insured and uninsured individuals. Taib is responsible for product
management of Centene’s Aged, Blind, and Disabled (ABD) Plans. Centene operates ABD plans
in 23 states.
Prior to joining Centene, Taib worked for several years at UnitedHealthcare. His work there focused on network contracting and unit cost management activities. Taib has a Bachelor’s degree and an MBA from Lindenwood University.
For over a decade, Lauren Easton, LICSW, has served as a Behavioral Health leader for Commonwealth Care Alliance (CCA). Over the years and in various roles, Lauren has been largely responsible for developing CCA's behavioral health integration across its care models, for creating a responsive network, and for creating many innovative programs, including CCA’s Crisis Stabilization Units.
Lauren embraced the integration of behavioral health and medical care long before the concept became "trendy." She has made behavioral health integration a hallmark of program development throughout her professional life.
In her current role, Lauren is responsible for the oversight of CCA's behavioral health services, delivered through its network of behavioral health providers and internal behavioral health specialists to CCA's 22,000+ members. She is responsible for assisting clinical leadership in improving the level of integration of Primary Care and behavioral health services for CCA members and for guiding network development, cost management, and quality improvement activities. She oversees the Behavioral Health development and expansion of the One Care program and Senior Care Option Program, paying particular attention to the significant mental health needs of this population.
Lauren holds a master's degree from Simmons College School of Social Work. She also attended Boston University and the University of Massachusetts, where she completed a double Major in psychology and education.
Dr. Jerry Frank
Dr. Jerry Frank is a Family Physician with a long history as a physician executive. Most recently he served
as the Senior Vice President for Medical Delivery and Chief Medical Officer at EmblemHealth, where he
led the clinical team in a significant turnaround for the company. Dr. Frank has been in administrative
medicine for almost 30 years and has held leadership positions at WellCare Health Plans,
UnitedHealthcare and Aetna. Prior to joining EmblemHealth, Dr. Frank was the Medical Director for
WellCare of NY. In addition, he served as the Chief Medical Officer for UnitedHealthcare Community
and State Plan of Pennsylvania. He also was the National Medical Director for both Physician
Engagement and Clinical Analytics for UnitedHeatlhcare for over six years.
Dr. Frank is a family physician who practiced in the Bronx for over 14 years. He has been on the staff at St. Joseph Medical Center, The Allen Pavillion of Columbia Presbyterian Medical Center and Yonkers General Hospital. Dr. Frank also held the position of Associate Clinical Professor of Family Medicine at SUNY Stony Brook and has lectured residents and students on health care systems and the importance of high quality and affordable medical care.
Ann Giazzoni, MSW, LCSW, MBA
Ann Giazzoni is a licensed clinical social worker (LCSW) and Program Manager for Physical and Behavioral Health Integration at UPMC Health Plan. Ann manages programs related to complex co- occurring medical, behavioral health and substance use case management programs that make meaningful improvement in the lives of high-risk populations. She has worked in many clinical settings such as hospitals, outpatient clinics, family therapy centers, substance use treatment centers, schools and managed care organizations. She has presented locally and nationally on the integration of behavioral health and substance use into physical health treatment settings. Ann obtained her MSW degree in 1995 from the University of Pittsburgh and her MBA degree in 1999 from Point Park University in Pittsburgh. She resides in Pittsburgh with her husband and two children.
Mark Gregory, RPH
Mr. Gregory joined Omnicell in July 2014. In his current responsibilities he works with pharmacies and payers to improve their position in the market with their medication management objectives. Most recently Senior Vice President of Store Operations previously Vice President of Pharmacy and Government Relations for Kerr Drug, Inc. based in Raleigh, North Carolina. Responsibilities included all store operations, oversight of pharmacy systems and automation, managed care contracting, store support, pharmacy administration, operational policies and procedures, patient care and compliance programs, university relationships and government affairs activities. He also served as Kerr Drug’s Privacy Officer and Chairman of Kerr Drug’s PAC. Mark Gregory graduated in 1982 from Ohio Northern University and in October 2011 was awarded a Distinguished Alumni Award. Other pharmacy involvement include: Past President of North Carolina Association of Pharmacists, Past Chairman Executive Committee North Carolina Retail Merchants Association and Past Chair of NACDS Policy Council.
As the Senior Director of Operations & Strategy for Geisinger at Home, Andrea Harding is responsible for
the clinical operations including Case Management, Intake, and Triage operations for the Geisinger at
Home program. Geisinger at Home , launched in May 2018, delivers team-based comprehensive and
acute care in the home for Geisinger Health Plan’s most complex members. In addition to Geisinger at
Home, Andrea oversees Geisinger’s Population Health tele-Health and education programs which
includes working with external clients overseeing Geisinger’s educational platform, gLearn, and
Geisinger Content Management Solutions. Ms. Harding joined Geisinger Health System in 2012 as part
of Geisinger’s Administrative Fellowship program, has served as an Operational Performance Innovation
Consultant, and Director of Care Coordination & Integration where she was responsible for overseeing
and developing innovative care models focused on care transitions aimed at improving quality and
reducing total cost of care.
Prior to joining Geisinger, Andrea worked as a research assistant and project manager for the Cutler Institute of Health & Social Policy where she led quality improvement and patient safety initiatives in critical access hospitals and nursing facilities throughout the state of Maine.
Andrea received her Master’s degree in Health Management & Policy from the University of Southern Maine and a dual Bachelor’s degree from the University of Minnesota Twin-Cities in Human Resource Development and Communication Studies. She is also an active member of the American College of Healthcare Executives.
Tab Harris is the senior director of Provider Connectivity Solutions and EDI Operations at Florida Blue. He and his team are accountable for all provider e-capabilities including HIPAA and HL7 electronic transactions and messages in addition to portal-based solutions. Tab has 28 years of commercial and Medicare health payer experience at Florida Blue and has worked the last 20 years in the electronic data interchange space. He also happens to be a member of the State of Florida Health Information Exchange Coordinating Committee and the CAQH EDI Efficiency Index Advisory Council and attends and is a voting member at X12, HIMSS and WEDI.
James Henderson, Chief Innovation Officer, is an integral part of the executive leadership at Independent Living Systems. James leads a team of information technology, clinical and market experts who collaborate around identifying and evaluating new approaches to managing the care of healthcare recipients across the ever-evolving healthcare landscape.
For more than 20 years, James has designed, developed and implemented award winning healthcare solutions that empower healthcare stakeholders across the care continuum. James has spoken nationally on integrating Medicaid and Medicare Information Systems, and the power of integrating Social Determinants into healthcare applications. He also provides strategic guidance to many health plans on finding ways to create “no wrong door” for members navigating their healthcare options.
Melissa Hildebrand, MSW
Melissa Hildebrand serves as Director of Strategic Partnerships with Mom’s Meals. She has worked in the healthcare and managed care industry for over 12 years. Her experience spans across supporting clinical programs, assessing trends and data for program adaptations, and product design. Currently she acts as account director for many of the health care accounts at Mom’s Meals. In this role, she supports current meals programs while also assisting with expansion and design. Melissa has a Master’s degree in Social Work from Eastern Michigan University and a Bachelor’s degree in Dietetics from Western Michigan University.
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.
Meredith Hughes Marsh, CHC
Meredith Marsh serves as the Quality Improvement Officer for Health Choice Network (HCN) in which she provides oversight and management of the Network’s Quality & Value Based Services. She has also served in the role of Executive Director for HCN’s Accountable Care Organization, Health Choice Care, a Medicare Shared Savings Program formed in 2014 by HCN’s member centers and partners. In this capacity, was and continues to be responsible the implementation of cost saving initiatives that promote delivery of high-quality, patient-centered care while lowering growth in health care costs for more than 16,000 Medicare patients across four states. Since 2014, Health Choice Care earned $9 million in shared savings and has consistently achieved a 90 percent quality performance rating.
Pamela King, MBA, CPM, PMP
Pamela King, MBA, CPM, PMP is the Health Information Technology (HIT) Outreach
Coordinator with the Agency for Health Care Administration (AHCA). Pam has over 20 years of
experience in areas of health care administration and health information exchange. Her current
focus is predominantly on strategic planning and adoption of technology within healthcare.
Prior to joining AHCA, Pamela worked for the Florida Department of Health, in several executive positions, including Chief of the Bureau of Management Services and Executive Director for the Board of Osteopathic Medicine and several other regulatory boards.
Kersten Burns Lausch, MPP
Kersten Burns Lausch is Director for Policy & Strategy at UnitedHealthcare Community & State (UHCCS). UnitedHealthcare is a division of UnitedHealth Group 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. In her role, Kersten is responsible for developing strategic positions to improve access to care and inform the direction of programs that serve Medicaid populations. Prior to joining UHCCS, Kersten was with the National Association of Community Health Centers where she directed the organizations engagement with federal agencies and efforts to equip health centers with resources to inform state policy to improve access and quality for their more 29 million patients. She also previously worked for the Center for Health Research & Transformation and the American Academy of Dermatology, and served as a case manager and patient navigator at a health center in rural Michigan.
Gary Melis is a Clinical Pharmacist for the past six years at Network Health, a local health insurance provider in Northeast and Southeast Wisconsin. He is currently one of two pharmacists involved making MTM calls in-house. His responsibilities also involve NCQA, pharmacy appeals, P&T Committee, Member and Provider relations. Gary's also has experience as pharmacy manager for a national long term care company, pharmacy manager for retail pharmacy chain, and Pharmacy Director for a National Health Care provider. He has also been a pharmacy instructor at local medical college family practice clinic.
Jeremy J. Menninger, PharmD, BCACP
Jeremy is a Pharmacy Supervisor at Cigna Medical Group in Arizona. He works closely with providers in clinic that predominately serves the senior population in addition to his pharmacy duties. Jeremy also helps the pharmacy department meet Medicare goals. He earned a Bachelor’s of Science from Arizona State University, Doctor of Pharmacy from Midwestern University, and is currently an MBA candidate enrolled at the University of Hartford.
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.
Kari Nimlos Ehm, PharmD
Kari is a Clinical Pharmacist at Cigna Medical Group where she manages 60-80 diabetes patients’ medications on a regular basis under a collaborative practice agreement. She also works with the clinical pharmacy team to provide the most updated medication information to Cigna physicians combined with reviewing at-risk patient medications post discharge. She earned her Doctorate of Pharmacy from the University of California, San Francisco and completed her residency, focused on inpatient care and managing patient’s warfarin and diabetes medications outpatient, at Banner Baywood Medical Center in Mesa, AZ.
Hilda Perea, Vice President of Care Management for Independent Living Systems, currently oversees the care management of Dual Special Needs members. She has led the NCQA accreditation of ILS’ current Health Risk Assessment and Long-Term Support Services Care Management programs, and supports corporate and state audits, as well as other ILS departments.
Hilda previously served as the Director of Care Management, overseeing several CMS and commercial contracts. She has also assisted IT with enhancements to eCare, the award-winning Care Management Platform, improving and updating the web-based application to meet different state requirements.
A Registered Nurse by training, she worked at Mercy Hospital for 13 years as a telemetry nurse, patient educator. During the tenure there, she established in-house post-discharge Cardiac Rehabilitation and Patient education programs in conjunction with cardiologists and cardio thoracic surgeons
Dr. Rich Petrucci
Dr. Petrucci has served as the Chief Medical Officer for the NY Market at WellCare and was the
Corporate Chief Medical Director, Quality at WellCare where he led the corporate quality data
analytics, quality clinical improvement and quality accreditation teams resulting in improved
STAR score performance across the company.
Dr. Petrucci began his career and spent 6 years as a practicing primary care physician (PCP) and physician leader in the Kaiser Permanente Medical Group. He then joined Oxford Health Plans as a physician executive leading the development of quality and care management programs. He has subject matter expertise in all facets of managed care, including disease management, quality management, physician profiling, NCQA accreditation and chronic care management for Medicaid, Medicare and commercial lines of business.
Before returning to the managed care industry, Dr. Petrucci spent 8 years in the pharmaceutical industry developing insulin products for diabetics. He spent 3 years with Sanofi US where he was the clinical lead for the insulin product Lantus and subsequently spent 5 years with MannKind Corp. where he was responsible for the development and FDA approval of the inhaled insulin product Afrezza.
Dr. Petrucci earned a bachelor’s degree from Williams College in Williamstown, Massachusetts and a doctor of medicine degree from the New York Medical College in Valhalla, New York. Richard is board certified in internal medicine. He remains interested in diabetes care and is an active supporter of the American Diabetes Association.
Amy Riegel is the Director
of Housing at
CareSource. She plays
an integral role in
designing a new division
of CareSource, Life
addresses the Social
Determinants of Health.
In this position she is focused on creating innovative and sustainable approaches to integrating health and housing. She is focused on building collaborative partnerships to address affordable housing through development, financing, and policy with an emphasis on improving health outcomes. Previously she was the Director of JobConnect Ohio at CareSource, leading the effort to assist Medicaid members in removing barriers to high quality employment opportunities.
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 and nationally that are focused on poverty elimination, affordable housing, and neighborhood revitalization.
Amy is a graduate of Wright State University. She is proud to live in Dayton, Ohio with her husband and three young daughters.
Renee Sabin-Haggerty is the Director of Medicare Part D Strategy and Operations at Excellus BlueCross Blue Shield in Rochester, NY. In this role, Renee is responsible for maintaining the clinical, regulatory, and operational integrity of the Medicare Part D drug benefit. She focuses on tailored approaches to empower and educate members to the vast resources that are available under the Medicare Advantage program. While her expertise is in the Part D space, she collaborates with partners across the organization, such as care management, customer care, marketing, sales, and product, to develop cohesive strategies for member-centric care. Renee received her B.A. in Economics from Colgate University and obtained her B.S. in Pharmacy at SUNY Buffalo. Prior to her work at Excellus, she spent many years in community pharmacy practice, where she became certified in diabetes management, pharmacy-based immunization, and Medication Therapy Management. Renee lives in the beautiful Finger Lakes Region of New York State with her husband and daughter.
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.
Michelle Squire currently oversees Case Management at Affinity Health Plan. She has more than 20 years of expertise in the healthcare industry; beginning her career caring for critically ill pediatric and neonatal patients. Michelle’s expertise lies in the insurance sector, working with private health insurance and managed-care companies to implement care management and population health programs.
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.
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.
Dr. Gabriel Uribe serves as the Director of Community Health and has previously
served as the Independent Living and Diversity Services Manager and Disability
Community Representative at the Inland Empire Health Plan (IEHP). Dr. Uribe’s
contributions in the areas of community health, program design, diversity and
inclusion, policy development and social innovation have been key to the
development of robust community collaboration initiatives in IEHP’s catchment
area. IEHP is a not-for-profit public entity, rapidly growing Medi-Cal and
Medicare health plan in California. With a network of more than 6,400 Providers
and 2,000 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).
In addition to his role at IEHP, Dr. Uribe is a Professor of Social Work Policy at La Sierra University. His passion for social justice and disability rights have afforded him the opportunity to volunteer on several community agency boards including 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 and culturally responsive health care for low-income and underrepresented communities.
Saeed founded Decision Point with the mission of improving health plan clinical, financial and operational performance through informed, data-driven predictions on strategic decisions. He has more than 25 years of health information technology experience, with a track record of developing innovative approaches to solve complex business problems. He has held key senior management positions at Eliza Corporation, Ingenix (currently Optum), IHCIS and ProVentive, where led high-performing teams focused creative uses of technology for practical problem- solving. Saeed is a graduate of The Johns Hopkins University with a BA in Economics.
Dirk Wales, MD
An experienced physician and healthcare executive, Dirk Wales, MD serves as the Chief Medical Officer at axialHealthcare. He worked as a physician in private practice for over a decade in both general practice and with dual diagnosed patients. He previously worked with North American Medical Management, a practice management company enabling physicians to improve their practices, and has owned and operated multiple healthcare businesses. Most recently, he was the Chief Medical Officer for Cigna Healthspring, a large Medicare Advantage company. Dr. Wales is a graduate of Wright State University, where he received both his medical degree and doctorate in psychology.