BNET Industries

Last Fiscal Year Sales:$37.5M
  • Private
  • US
Dow Jones Description

Health Management Systems has always been focused exclusively on the healthcare industry. In 1985, we began providing third party liability identification and recovery services to our first Medicaid agency client. Since then, we've partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars, and save billions more through cost avoidance. In September 2006, HMS merged with the Benefit Solutions Practice Area (BSPA) of the national government consulting firm Public Consulting Group, Inc. The "new" Health Management Systems provides our clients with best-of-breed cost containment strategies to meet their financial and operational goals.

Number of Employees 400
Contact Information

401 Park Ave S

New York, New York 10016-8808

www.hmsy.com

(212) 685-4545

NAICS Code Data Processing, Hosting, and Related Services: 518210

Decision Makers

Name (plus bio) Position
William C Lucia President
Joseph Joy Senior Vice President & Chief Information Officer
Richard M Lang Chief Compliance Officer
Kent Smith Executive Vice President
Christina Dragonetti Senior Vice President, Managed Care Services
Donna Price Senior Vice President, Government Services West
Kimberly Daub Glenn Senior Vice President, Govt Services East
Maria Perrin Senior Vice President, Govt Relations
Sean Curtin Senior Vice President, Military Services
Stephen Vacarro Senior Vice President, Operations
Stephen Vaccaro Senior Vice President, Operations
Carl Borgatti Vice President, Contract Operations
Chuck Anderson Vice President of Eligibility Services
Jon Hutcheson Vice President of Case Management Services
Keith Reinold Vice President of Client Services
Kevin Lee Vice President of Project Implementation
Louis D. Levetown Vice President, HR
Marjorie A Berkley Vice President
Michael Hostetler Vice President, Prod Development
Peter M Demy Vice President of Product Development, Managed Care Services
Thomas A. Baggett Vice President, Overpayment Recovery Services
Diana Pirozzi Program Director
Francesca Marraro Director, Marketing
Heather Caldwell Program Director
Helene Garrick Director, Quality Assurance
Lauren Rosen Account Director, Managed Care
Phyllis Hartstein Senior Director of Client Development, Managed Care
Laura Jo Snyder-Cruz Secretary
Thomas Jeffries Attorney

Board of Directors

Name (plus bio) Position
Ellen A. Rudnick Board of Directors

William C. Lucia , 51, has served as our President and Chief Operating Officer since May 1, 2005, and became our Chief Executive Officer effective March 1, 2009. Since joining us in 1996, Mr. Lucia has held several positions with us including: President, Health Management Systems, Inc. subsidiary, 2002 to present; President, Payor Services Division, 2001 to 2002 and Vice President and General Manager, Payor Services Division, 2000 to 2001. Prior to joining us, Mr. Lucia served in various executive positions including Senior Vice President, Operations and Chief Information Officer for Celtic Life Insurance Company and Senior Vice President, Insurance Operations for North American Company for Life and Health Insurance. Mr. Lucia is a Fellow, Life Management Institute (LOMA).

Organization Position Status
HMS Holdings Corp. CEO Current
HMS Holdings Corp. President Current
Health Management Systems, Inc. President Current
Reimbursement Services Group President Current
HMS Holdings Corp. Board of Directors Current
HMS Holdings Corp. Chief Operating Officer Former
Celtic Group Inc. Senior Vice President, Operations and Information Systems Former
Hms Senior Vice President, Operations and Information Systems Former
North American Company Senior Vice President, Insurance Operations Former

Mr. Joy serves as HMS\'s senior information technology executive, with expertise in healthcare information systems, including claims adjudication systems, healthcare data management, software design, business development, and resource management. Mr. Joy has more than 20 years of experience in the healthcare information systems arena. He started at HMS in 1985 as a Programmer/Analyst in our Managed Care Systems Division (also known as HSA Managed Care Systems). Mr. Joy also served as Managing Director/Senior Project Management Consultant at The Prevision Group, LLC, a healthcare IT consulting organization he helped found. In addition to performing HIPAA-related consulting, he implemented the business model and grew the organization to over $1M in revenue in its first year of operation.', STICKY, CENTER, CENTERPOPUP);" onmouseout="return nd();">

Organization Position Status
Health Management Systems, Inc. Senior Vice President & Chief Information Officer Current
Hms Most Senior Information Technology Executive Current
The Prevision Group, LLC Managing Director Former
The Prevision Group, LLC Senior Project Management Consultant Former

Dick Lang serves as Chief Compliance Officer of Health Management Systems and Reimbursement Services Group, wholly owned subsidiaries of HMS Holdings Corp. (NASDAQ: HMSY). Mr. Lang has responsibility for operating and monitoring the Company's Corporate Compliance Program. Specifically, Mr. Lang oversees employee training, policy development, and compliance reporting and tracking procedures for HMS and RSG. Mr. Lang joined the Company more than 25 years ago and currently supervises all final compliance resolutions, regularly reporting to the Audit and Compliance Committees of the Board of Directors on the status of all compliance-related issues. As part of his responsibilities, Mr. Lang also serves as the Company's Chief Privacy Officer, and oversees the Company's compliance with regulations mandated in the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Prior to joining the Company, Mr. Lang worked at Touche Ross and Company, where he conducted, managed, and supervised auditing assignments for public and private companies as well as government entities. Mr. Lang received his M.B.A. from the University of Pennsylvania and his A.B. in Mathematics from Cornell University.

Organization Position Status
Health Management Systems, Inc. Chief Compliance Officer Current
Reimbursement Services Group Chief Compliance Officer Current
HMS Holdings Corp. Chief Compliance Officer Current
Touche Ross & Co. Former
Accordis Inc. Former
Reimbursement Services Group Board of Directors Former
University of Pennsylvania M.B.A. Former
Cornell University A.B. In Mathematics Former

Kent Smith is the co-director for the Dental Organization for Sleep Apnea. Having built a very successful and well-known dental practice (21st Century Dental), Dr. Smith has mentored many dentists for the last 10 years in building their dream. His efforts have led to profiles in the Wall Street Journal, The Early Show with Bryant Gumbel, local television and many dental and non-dental publications. Frequently published, he is often asked to speak on topics such as web site development, snoring/sleep apnea and inter-office communication. He is also the creator and babysitter for www.FindCE.com as well as www.Find-Speaker.com. An active member of the American Academy of Dental Practice Administration, he is also the Executive Vice President for Health Management Systems, a dental consulting firm. Married to Diana for 23 years, they have 4 beautiful daughters, and enjoy scuba diving as a family. His other passion is Dallas Mavericks basketball.

Organization Position Status
Health Management Systems, Inc. Executive Vice President Current
Dallas Dental Services Inc. Board of Directors Current

Ms. Dragonetti oversees all areas of the managed care services function of HMS including the development and application of systems that support revenue recovery. She also leads business development efforts and ensures that service delivery fulfills exacting requirements for quality. Ms. Dragonetti applies her more than 17 years of experience within the HMS family of companies in order to meet the evolving needs of clients. In her most recent role as Senior Vice President of HMS's sister company, Reimbursement Services Group Inc., Ms. Dragonetti supervised the development and delivery of services that enabled clients to achieve accurate reimbursement through data control, analytic expertise, and program understanding. Ms. Dragonetti's background includes healthcare strategic planning and operational process improvement. She has been recognized as an expert speaker on Medicare reimbursement issues and has addressed audiences at healthcare trade association meetings across the U.S.

Organization Position Status
Hms Senior Vice President Current
Health Management Systems, Inc. Senior Vice President, Managed Care Services Current

Ms. Price oversees HMS\'s government services engagements. Previously, she served as Vice President of Program Management and as a Senior Program Director at HMS. She has decades of experience in project management, Medicaid programs, and revenue enhancement. Before joining HMS, Ms. Price was Director of Third Party Liability for Anthem, Inc./Acordia Healthcare Solutions. Responsible for managing and directing all of Acordia\'s third party liability contract business, she gained experience with various revenue recovery systems and program operations projects. In addition, she has worked within state government, including previous service as Third Party Liability Director for South Carolina\'s Medicaid program.', STICKY, CENTER, CENTERPOPUP);" onmouseout="return nd();">

Organization Position Status
Health Management Systems, Inc. Senior Vice President, Government Services West Current
Hms Senior Program Director Former

Ms. Glenn oversees HMS\'s government client engagements, primarily in the southern region of the US. Additionally, she is the senior executive overseeing HMS\'s two federal CMS recovery audit contracts in Florida and New York. She has nearly 20 years of experience directly managing 20 third-party liability recovery projects for Medicaid agencies and health maintenance organizations. Prior to joining HMS, Ms. Glenn was a Senior Manager in Public Consulting Group\'s Benefit Solutions Practice Area for nine years, where she applied a wide range of project expertise including insurance identification, verification, and recovery; medical support enforcement; credit balance audits; HIPP (Health Insurance Premium Payment); casualty recovery; and estate recovery. Ms. Glenn also served as a Senior Manager in the Revenue Maximization division of Deloitte & Touche from 1990 through 1998.', STICKY, CENTER, CENTERPOPUP);" onmouseout="return nd();">

Organization Position Status
Health Management Systems, Inc. Senior Vice President, Govt Services East Current
Deloitte & Touche LLP Senior Manager Former

Organization Position Status
Health Management Systems, Inc. Senior Vice President, Govt Relations Current
US General Services Administration Current
Diversified Collection Services, Inc. Current
Performant Financial Corporation Senior Vice President of Sales Former
George Weston Limited Director of Strategic Planning Former
University of Miami Adjunct Professor Former
University of Miami M.B.A. Former
University of California, Los Angeles Ba In Economics Former
University of California B.A. In Economics Former

Mr. Curtin oversees HMS's government client engagements, including services we provide to the US Department of Veterans Affairs as well as those related to the medical support enforcement needs of our clients. Mr. Curtin's experience includes responsibility for all phases of third-party identification and recovery, including for casualty and estate recovery. Prior to joining HMS, Mr. Curtin was a Manager at Public Consulting Group for nine years. During his tenure at PCG, he oversaw the design, development, and implementation of the company's online application for identifying health insurance and tracking all aspects of the retroactive recovery process.

Organization Position Status
Health Management Systems, Inc. Senior Vice President, Military Services Current
Public Consulting Group, Inc. Manager Former

Organization Position Status
Health Management Systems, Inc. Senior Vice President, Operations Current

With the HMS family since 1990, Mr. Vaccaro is responsible for for all key development and operations functions, including carrier operations, contract development, project management, provider relations, and yield management. Mr. Vaccaro also oversees quality assurance for HMS\'s recovery and cost avoidance services.', STICKY, CENTER, CENTERPOPUP);" onmouseout="return nd();">

Organization Position Status
Health Management Systems, Inc. Senior Vice President, Operations Current
Hms Former

Organization Position Status
Health Management Systems, Inc. Vice President, Contract Operations Current

Mr. Anderson directs HMS's Eligibility Services function. In this capacity he is responsible for the acquisition, verification and reporting of commercial eligibility. This information is used in HMS's recovery and disallowance processes, as well directly by our clients, to enhance cost avoidance savings. Mr. Anderson serves as HMS's subject matter expert in pharmacy product management. He has more than 22 years of experience in pharmacy information technology and operations. While Vice President of Operations at First Data Bank, Mr. Anderson led the development of a number of new products, including those involving pharmacy rebates, formulary design, and Average Wholesale Prices (AWP). Mr. Anderson also held executive positions at Medical Economics Data, National Prescription Administrators (PBM), and The Pharmacy Fund. In addition, he has worked with several PBMs as an independent consultant. Mr. Anderson directs the development of HMS's pharmacy real-time savings and cost avoidance product, COBManager.

Organization Position Status
Health Management Systems, Inc. Vice President of Eligibility Services Current
First Databank, Inc. Vice President of Operations Current
National Prescription Administrators, Inc. Former

Mr. Hutcheson is an attorney with nine years of broad-based project management and legal experience, including experience with Medicaid programs, subrogation recovery, child and medical support programs, systems design and integration, Web site development, commercial files, wage and earning files, and data processing and manipulation. As Vice President of Case Management Services, Mr. Hutcheson oversees HMS operations in Tallahassee, Columbus and Sacramento as well as specific case management functions in our Raleigh and Des Moines offices. In addition, he manages the development and maintenance agenda of our case management system and has financial responsibility for the growth of our casualty and estates products. Mr. Hutcheson previously managed revenue recovery projects in Ohio, Iowa and the District of Columbia. He remains HMS's resident expert for establishing and ensuring the ongoing success of new tort/casualty projects.

Organization Position Status
Health Management Systems, Inc. Vice President of Case Management Services Current
Health Management Systems, Inc. Program Director Former
Hms Former

Mr. Reinold has been with HMS for more than 11 years, and has 22 years of project management experience. As Vice President of Client Services, his responsibilities include management of HMS's strategic partner relationships and the identification and development of products that will best meet current and prospective client needs. He also leads business development efforts within the medical support enforcement arena and new contract implementation efforts. Mr. Reinold previously served as Senior Program Director for HMS's Medicaid revenue enhancement projects in Connecticut, Maine, Massachusetts, and Michigan. He has experience in virtually every aspect of revenue enhancement operations for Medicaid and state healthcare programs including TPL identification and recovery, revenue maximization, overpayment recovery, provider audits, and cost savings initiatives.

Organization Position Status
Health Management Systems, Inc. Vice President of Client Services Current
Hms Vice President of Client Services Current
Health Management Systems, Inc. Senior Director, Program Former
Hms Senior Program Director Former

Mr. Lee has successfully led HMS's Medicaid third party liability project implementations in New Jersey, Ohio, and Delaware. He has 15 years of revenue enhancement and project management experience, including 11 years of TPL project management at HMS. Mr. Lee also has extensive experience with virtually every aspect of revenue recovery operations in Medicare, commercial insurance, Blue Cross/Blue Shield, TRICARE, and other third party resources. In addition, he has a detailed understanding of and ability to coordinate revenue recovery and cost avoidance efforts that support other medical assistance programs, such as state-sponsored pharmacy assistance plans, CHIP, General Assistance, and indigent care programs.

Organization Position Status
Health Management Systems, Inc. Vice President of Project Implementation Current
Health Management Systems, Inc. Senior Director, Program Former
Hms Former

Organization Position Status
Health Management Systems, Inc. Vice President, HR Current

Marjorie A. Berkley - a professional health care executive with special expertise in education, management, and medical group organization and operations. Post graduate education in educational management and supervision and business management. Current Vice President of Health Management Systems.

Organization Position Status
Health Management Systems, Inc. Vice President Current
Echartplus Professional Health Care Executive Current

Organization Position Status
Health Management Systems, Inc. Vice President, Prod Development Current
Hms Director of Business Development Former
Hms Director of TPL Operations Former

Organization Position Status
Reimbursement Services Group Vice President Current
Health Management Systems, Inc. Vice President of Product Development, Managed Care Services Current
Reimbursement Services Group Leader Current

Organization Position Status
Health Management Systems, Inc. Vice President, Overpayment Recovery Services Current

Ms. Pirozzi serves as Program Director for HMS's third party liability recovery project in North Carolina. Her expertise includes timely management of project deliverables, maintaining compliance with state and federal agency regulations, and ensuring client satisfaction. Ms. Pirozzi brings a range of experience to her work at HMS, including the implementation and management of business initiatives that best meet clients' fiscal and programmatic needs. She applies a comprehensive understanding of healthcare payment and delivery systems to the Program Director role. Ms. Pirozzi has assisted states in realizing total revenues of more than $50 million.

Organization Position Status
Health Management Systems, Inc. Program Director Current
Hms Program Director Current

Organization Position Status
Health Management Systems, Inc. Director, Marketing Current

Ms. Caldwell is a specialist at both maximizing federal revenue for state government clients and decreasing their Medicaid expenditures. She participates in the management of HMS's outsourced Medicaid revenue enhancement project in Florida. She oversees the quality of all contract deliverables as well as the service contributions of subcontractors. Additionally, Ms. Caldwell manages HMS's third party liability recovery project in Arkansas. In this capacity, she facilitates the efficient implementation of specific recovery projects that best meet the client's fiscal and programmatic needs. Prior to joining HMS, Ms. Caldwell managed large-scale revenue recovery projects for Public Consulting Group, Inc. While at PCG, she led a project team that generated $60 million on behalf of North Carolina over a three-year period. Ms. Caldwell earned her MBA with a specialization in management information systems from the State University of New York at Albany in 2001.

Organization Position Status
Health Management Systems, Inc. Program Director Current
State University of New York at Albany Mba Former

Organization Position Status
Health Management Systems, Inc. Director, Quality Assurance Current

Ms. Rosen works to facilitate the efficient implementation of specific recovery projects that will best meet clients' fiscal and programmatic needs. She has extensive project management experience within the healthcare industry, having served as Network Ancillary Manager for Empire BlueCross BlueShield, and as Project Manager for UnitedHealthcare. At Empire, Ms. Rosen managed the success of her unit's contracting initiatives including the fulfillment of exacting compliance requirements. Her insight into the business and operations of insurance providers enables her to develop innovative cost containment solutions for HMS's managed care clients. Ms. Rosen earned a Masters of Public Administration degree from New York University, Robert F. Wagner School of Public Administration in 1997.

Organization Position Status
Health Management Systems, Inc. Account Director, Managed Care Current
Empire Blue Cross & Blue Shield Manager Former
New York University Masters of Public Administration Degree Former

Ms. Hartstein oversees the development and implementation of cost savings solutions for HMS's managed care clients. She has more than 20 years of experience with the development and operation of third party liability operations, which includes serving as HMS's Director of TPL Operations from 1987 through 1993. Before returning to HMS, Ms. Hartstein was Senior Manager for Public Consulting Group, Inc., where she managed the cost containment service delivery to the company's Medicaid/Medicare MCO clients. In this role she identified and determined the process for the profitable implementation and operation of cost containment services including COB, cost containment, overpayment identification and recovery and others. Additionally, Ms. Hartstein established the Research & Development division in order to better identify and develop new and expanded service lines.

Organization Position Status
Health Management Systems, Inc. Senior Director of Client Development, Managed Care Current
Hms Director of TPL Operations Former
Public Consulting Group, Inc. Senior Manager Former

Organization Position Status
Health Management Systems, Inc. Secretary Current

Ms. Thomas Jeffries, who is an attorney, has managed HMS's estate recovery program in Colorado since 1998. Under her leadership, estate recoveries doubled between State Fiscal Years 1998-1999 and 2000-2001. Beginning in 2001, Ms. Thomas Jeffries' responsibilities expanded to include project management for additional revenue enhancement projects in Colorado (Medicaid TPL, casualty/tort recovery, and provider credit balance recovery) for which she coordinates all aspects of contract performance, data submission, reporting and management liaison, and general customer service. Ms. Thomas Jeffries is also HMS's resident technical expert for establishing and ensuring the ongoing success of new estate recovery projects. At the time she joined HMS, Ms. Thomas Jeffries had more than ten years of legal experience in Colorado within private practice, Arapahoe County District Court, and United States District Court in Denver. She is a member of the Colorado and Denver Bar associations.

Organization Position Status
Health Management Systems, Inc. Attorney Current

Organization Position Status
Patterson Companies, Inc. Executive Director Current
University of Chicago Graduate School of Business Executive Director Current
Liberty Mutual Insurance Company Executive Director and Clinical Professor Current
Hyde Park Angels Board of Directors Current
Liberty Mutual Insurance Company Board of Directors Current
Liberty Mutual Group, Inc. Board of Directors Current
Health Management Systems, Inc. Board of Directors Current
Ceres Venture Fund Board of Directors Current
Plexys Board Advisor Current
Ophthal Jobs, Inc. Board of Directors Current
Patterson Companies, Inc. Board of Directors Current
HMS Holdings Corp. Board of Directors Current
Hcia President Former
CEO Advisors Founder Former
University of Chicago Clinical Professor Former
University of Chicago Graduate School of Business Clinical Professor Former
Evanston Northwestern Healthcare Former
CEO Advisors Chairman Former
Pacific Biometrics, Inc. Chairman Former
Hcia Chairman Former
Nephrx Board of Directors Former
NCCI Inc Board of Directors Former
Oxford Health Plans Board of Directors Former
University of Chicago MBA Former
Vassar College B.A. Former

Executive News

  • HMS Holdings Corp. Hosts Second Quarter 2009 Financial Teleconference and Presentation

    Reuters - 7/15/09 - View Story

  • HMS Holdings Corp. Hosts Second Quarter 2009 Financial Teleconference and Presentation

    PR Newswire - 7/15/09 - View Story

  • HMS Urges Healthcare Reform Measures to Manage Costs, Target Resources, Fight Fraud

    Reuters - 6/24/09 - View Story

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