Decision Makers
| Name (plus bio) |
Position |
| J Michael Jernigan |
CEO, Select Health of South Carolina, Inc. |
| Joyce S Hagen |
President |
| ALAN KRIGSTEIN |
Senior Vice President, Finance & Chief Financial Officer |
| Barbara G. Jones |
Vice President, Chief Compliance Officer |
| Betsy Scarcelli |
Chief Information Officer |
| David A Stanley |
Vice President and Chief Financial Officer |
| Jacqueline Roberts Simmons |
Chief Medical Officer |
| JAY FELDSTEIN |
Corporate Chief Medical Officer |
| MICHAEL A RASHID |
Executive Vice President & Chief Operating Officer |
| Michael L. Wright |
Chief Administrative Officer |
| Regina Heffernan |
Senior Vice President, Human Resources & Administration |
| Robert H. Gilman |
Senior Vice President, Legal Affairs & General Counsel |
| THOMAS G LYMAN |
Senior Vice President, Market Expansion & Planning |
| Christopher Drumm |
Vice President, Government & External Affairs |
| Jill Joseph Bell |
Vice President of Public Affairs |
| Karen Michael |
Vice President of Clinical Services |
| Leslie S. Zavodnick |
Vice President, Corporate Initiatives |
| RICK BUCK |
Vice President, Corporate Communications |
| Gale Pearce |
Executive Director & General Manager, Pediatric Associates Health Plan |
| Sherry Knowlton |
Senior Vice President & General Manager |
| Susan Overton |
Executive Director & General Manager, Mdwise Hoosier Alliance |
| Dana Knop |
Manager, Passport Advantage Outreach |
| Sandra Hogue |
Project Coordinator, Public Affairs |
Board of Directors
| Name (plus bio) |
Position |
| Larry N Cook |
Chairman of The Board for University Health Care, Inc. DBA |
| Organization |
Position |
Status |
| Passport Health Plan |
CEO, Select Health of South Carolina, Inc. |
Current |
| The Exchange Club of Charleston |
President |
Current |
| South Carolina Alliance of Health Plans |
Vice President |
Current |
| Organization |
Position |
Status |
| Passport Health Plan |
President |
Current |
| University of Louisville |
Board of Directors |
Current |
| AmeriHealth Mercy |
|
Former |
| Boyscouts.Com |
|
Former |
| Dominican University |
Masters of Business Administration |
Former |
| Valparaiso University |
Bachelor of Science In Nursing Degree |
Former |
| Organization |
Position |
Status |
| Passport Health Plan |
Senior Vice President, Finance & Chief Financial Officer |
Current |
| AmeriHealth Mercy |
Chief Financial Officer |
Current |
| AmeriHealth Mercy |
Treasurer |
Current |
| Keystone Mercy Co |
Senior Vice President, Finance and Chief Financial Officer |
Former |
| AmeriHealth Mercy |
Senior Vice President of Finance |
Former |
| Blue Cross & Blue Shield Association |
|
Former |
| St. Francis Hospital |
|
Former |
| University of Delaware |
Bachelor of Science Degree In Accounting |
Former |
Array
| Organization |
Position |
Status |
| Passport Health Plan |
Vice President, Chief Compliance Officer |
Current |
| AmeriHealth Mercy |
Vice President, Chief Compliance Officer |
Current |
| Temple University |
Juris Doctor degree |
Former |
| Temple University James E. Beasley School of Law |
Juris Doctor Degree |
Former |
Betsy Scarcelli is the Chief Information Officer (CIO) for AmeriHealth Mercy. In this role, she is responsible for strategic planning, oversight and management of the technology infrastructure, software applications and technology services supporting businesses in Philadelphia and affiliated plans in the five-county Philadelphia region; Charleston, South Carolina; and Louisville, Kentucky.
| Organization |
Position |
Status |
| Passport Health Plan |
Chief Information Officer |
Current |
| Passport Health Plan |
Vice President of Strategic Planning & Execution |
Current |
| AmeriHealth Mercy |
Vice President of Strategic Planning |
Current |
| AmeriHealth Mercy |
Chief Information Officer |
Former |
David Stanley has more than 20 years of financial experience. As Vice President and CFO of Passport Health Plan, his responsibilities include functioning as primary contact for all financial related inquires; working closely with the UHC Board regarding the Plan's financial matters; preparing the annual UHC financial plan; and providing UHC owners and local AmeriHealth Mercy staff with ad hoc financial support as needed. Prior to accepting the position of vice president and CFO with Passport, Mr. Stanley served as vice president and CFO for Acordia Senior of the Southeast, Inc. (d.b.a. Acordia Personal of the Southeast). And from 1988 to 1994, he served in several management positions with Blue Cross and Blue Shield of Kentucky (currently known as Anthem Blue Cross and Blue Shield). Mr. Stanley received his Bachelor of Science degree in accounting from Western Kentucky University. He is a Certified Public Accountant and a Fellow of the Life Management Institute.
| Organization |
Position |
Status |
| Passport Health Plan |
Chief Medical Officer |
Current |
| University of Miami School of Medicine |
Degree |
Former |
Jay Feldstein, DO, is the Senior Vice President of Medical Affairs and Chief Medical Officer. Dr. Feldstein is responsible for the Medical Management division of AmeriHealth Mercy Health Plans including medical management initiatives such as utilization, quality, case management and disease management.
| Organization |
Position |
Status |
| AmeriHealth Mercy Health Plan |
Senior Vice President, Medical Affairs & Chief Medical Officer |
Current |
| Passport Health Plan |
Corporate Chief Medical Officer |
Current |
| Keystone Mercy Co |
Corporate Chief Medical Officer |
Current |
| AmeriHealth Mercy |
|
Former |
| The Pennsylvania State University |
BA |
Former |
| Philadelphia College of Osteopathic Medicine |
DO |
Former |
As Executive Vice President and Chief Operating Officer of AmeriHealth Mercy, Michael A. Rashid is responsible for leading and overseeing business operations for the AmeriHealth Mercy Family of Companies.
| Organization |
Position |
Status |
| AmeriHealth Mercy Health Plan |
Executive Vice President & Chief Operating Officer |
Current |
| AmeriHealth Mercy |
Chief Operating Officer |
Current |
| Philadelphia Industrial Development Corp |
Executive Vice President and Coo, Keystone Mercy Health Plan |
Current |
| Philadelphia Regional Port Authority |
Executive Vice President and Chief Operating Officer |
Current |
| Passport Health Plan |
Executive Vice President & Chief Operating Officer |
Current |
| Urban League of Philadelphia, Inc |
Chairman |
Current |
| Philadelphia Industrial Development Corp |
Board of Directors |
Current |
| Philadelphia Regional Port Authority |
Board of Directors |
Current |
| Total Health Care, Inc. |
Chief Executive Officer |
Former |
| Urban League of Philadelphia, Inc |
President and CEO |
Former |
| Keystone Mercy Co |
Executive Vice President and Chief Operating Officer |
Former |
| AmeriHealth Mercy |
Executive Vice President |
Former |
| Philadelphia Regional Port Authority |
Chairman |
Former |
| Prudential Insurance Company of America |
Director |
Former |
| Harvard Business School |
Masters of Business Administration in Finance |
Former |
| University of Southern California |
Bachelor of Science degree in Marketing |
Former |
| Organization |
Position |
Status |
| Passport Health Plan |
Chief Administrative Officer |
Current |
| AmeriHealth Mercy Health Plan |
Chief Administrative Officer |
Current |
| Keystone Mercy Co |
Chief Administrative Officer |
Current |
| Ohio Casualty Corporation |
Director |
Current |
| AmeriHealth Mercy |
Senior Vice President |
Former |
| Mercer University |
MBA |
Former |
| Morgan State University |
Bachelor of Science In Business Administration |
Former |
Regina Heffernan is the Senior Vice President of Human Resources and Administration for AmeriHealth Mercy. She provides leadership and management of the Company's Human Resources activities in Philadelphia and affiliated plans in the Lehigh/Capital and Northeast regions of Pennsylvania, Charleston, South Carolina, Louisville, Kentucky, Indianapolis, Indiana, and Fort Lauderdale, Florida. As Senior Vice President of Human Resources and Administration, Ms. Heffernan is responsible for strategy development, recruitment and staffing, learning and development, compensation and benefits as well as organizational development and change management for the Company's 1,500 associates. Ms. Heffernan has more than 20 years experience in human resources, benefits management and organizational development as well as change management. Prior to joining AmeriHealth Mercy, she was the Director of Human Resources for CoreTech Consulting Group.
| Organization |
Position |
Status |
| Passport Health Plan |
Senior Vice President, Human Resources & Administration |
Current |
| AmeriHealth Mercy |
Senior Vice President of Human Resources and Administration |
Current |
Robert H. Gilman is Senior Vice President of Legal Affairs, and General Counsel for AmeriHealth Mercy. His primary responsibility is to oversee the Legal Affairs Department and its lawyers and staff, and to provide legal advice and representation for AmeriHealth Mercy and its affiliates. Mr. Gilman and the legal staff are involved in advising all aspects of the company's operations including medical management, provider contracting, information technology and acquisitions and divestitures. Prior to joining AmeriHealth Mercy, Mr. Gilman was with the firm of Reed, Smith, Shaw and McClay in Philadelphia where he practiced in the healthcare, insurance and commercial areas. Before practicing law, he worked in healthcare administration at the Hospital of the University of Pennsylvania and Pennsylvania Hospital. Mr. Gilman received JD, MBA and BA degrees from the University of Pennsylvania.
| Organization |
Position |
Status |
| Legal Affairs |
Senior Vice President |
Current |
| Passport Health Plan |
Senior Vice President, Legal Affairs & General Counsel |
Current |
| AmeriHealth Mercy |
Senior Vice President of Legal Affairs |
Current |
| AmeriHealth Mercy |
General Counsel |
Current |
| University of Pennsylvania |
Jd, Mba and Ba Degrees |
Former |
Thomas G. Lyman is Senior Vice President of Market Expansion and Planning for Keystone Mercy Health Plan. He is responsible for the investigation of new markets, development of business plans and feasibility studies, development and marketing of new products including the PerforMED care management product, responses to requests for proposal and support of marketing for the HMO and provider sponsored network administrative service product lines. He assists in the development of strategic alliances, health plan acquisitions and shaping the organization's national strategy. In his 14 years at Keystone Mercy, Mr. Lyman has been instrumental in developing successful Medicaid Managed Care organizations in Pittsburgh, Pennsylvania; New Jersey (statewide); St. Louis, Missouri; Houston, Texas; Louisville, Kentucky; Delaware (statewide) and South Carolina (statewide/acquisition). He also served as Acting Executive Director at Mercy Health Plan of New Jersey in 1994 and Co-acting Executive Director of Passport Health Plan in Louisville, Kentucky. He also was responsible for initial sales and marketing efforts (2002 to 2005) for Keystone Mercy's nationally recognized affiliate PBM, PerformRx. Prior to joining Keystone Mercy, Mr. Lyman was a health care manager in Ernst & Young's Physician/Hospital Mid-Atlantic consulting practice serving clients throughout the East Coast. He was also the Director of Medical Billing for the Mercy Health System Faculty Practice in Southeastern Pennsylvania. He also worked as a Vice President at Berwick Hospital Corporation in Berwick Pennsylvania.
| Organization |
Position |
Status |
| Keystone Mercy Co |
Senior Vice President, Market Expansion & Planning |
Current |
| AmeriHealth Mercy |
Senior Vice President of Market Expansion and Planning |
Current |
| Passport Health Plan |
Senior Vice President, Market Expansion & Planning |
Current |
| Passport Health Plan |
Executive Director |
Former |
Christopher Drumm is Vice President for Government and External Affairs. In this capacity he is responsible for the organization's interactions with government nationally. A lifelong Philadelphian, Mr. Drumm has over two decades of experience in government and external relations. He has served as a legislative aide to Philadelphia City Council, a legislative aide to a Member of the United States House of Representatives, as Assistant to the Chairman of the Delaware River Port Authority, and as Associate Vice President for Government Affairs at Saint Joseph's University. Mr. Drumm has also worked as a campaign manager for several candidates for public office. Mr. Drumm holds a Bachelor of Science in Business Administration degree from LaSalle University and a Master of Governmental Administration from the University of Pennsylvania, where he was recognized for academic excellence by being granted the designation of Fels Scholar.
| Organization |
Position |
Status |
| Passport Health Plan |
Vice President, Government & External Affairs |
Current |
| Keystone Mercy Co |
Vice President, Government and External Affairs |
Current |
| La Salle University |
Bachelor of Science In Business Administration Degree |
Former |
| Organization |
Position |
Status |
| Passport Health Plan |
Vice President of Public Affairs |
Current |
| Blue Shield LLC |
Regional Director of Marketing |
Former |
| Rivercity Company |
|
Former |
| University of Louisville |
Bachelor's Degree In Business Administration |
Former |
| Organization |
Position |
Status |
| AmeriHealth Mercy |
Vice President for Corporate Initiatives |
Current |
| Passport Health Plan |
Vice President, Corporate Initiatives |
Current |
| Temple University |
MBA |
Former |
| St. Joseph's University |
Bachelor of Science In Psychology |
Former |
| Organization |
Position |
Status |
| Keystone Mercy Co |
Vice President, Corporate Communications |
Current |
| Passport Health Plan |
Vice President, Corporate Communications |
Current |
| Please Touch Museum |
Board of Directors |
Current |
| Public Relations Society of America |
Member |
Current |
| NovaCare, Inc. |
Public Relations Manager |
Former |
| Rowan University |
Degree In Communications |
Former |
Gale Pearce is Executive Director and General Manager of Pediatric Associates Health Plan. Pediatric Associates Health Plan is a provider-sponsored network located in Broward County, Florida that is owned by pediatricians and serves children exclusively. The Plan is provider-owned, managed by AmeriHealth Mercy through a management services contract. As Executive Director and General Manager, Ms. Pearce was initially responsible for the Plan's implementation and charged with the oversight and operations of the Health Plan, including managing the marketing, outreach, medical management, provider contracting services and growth strategies. Prior to her position at Pediatric Associates, Ms. Pearce was Chief of Staff at sister company Passport Health Plan in Louisville, Kentucky. In this role she provided legal services, managed the human resources and the compliance departments, and developed and implemented a Medicare Advantage Special Needs Plan for the Plan's dual eligible members. Ms. Pearce brings extensive experience and knowledge with her to the AmeriHealth Mercy Family of Companies. Before joining Passport Health Plan she provide legal counsel to a variety of insurance agencies including the Commonwealth of Kentucky's Department of Insurance, Acordia of Louisville, Humana, Inc., and Kentucky Blue Cross and Blue Shield. Ms. Pearce earned a JD degree from the University of Louisville, and a BA in Sociology from the University of South Florida.
| Organization |
Position |
Status |
| Passport Health Plan |
Executive Director & General Manager, Pediatric Associates Health Plan |
Current |
| Mdwise Hoosier Alliance |
General Manager |
Current |
| Pediatric Associates Health Plan Shall Not |
Executive Director & General Manager |
Current |
| Mdwise Hoosier Alliance |
Executive Director |
Current |
| Passport Health Plan |
Chief of Staff |
Former |
| AmeriHealth HMO, Inc. |
Chief of Staff |
Former |
| University of Louisville |
Jd Degree |
Former |
| University of South Florida |
BA In Sociology |
Former |
Sherry Knowlton is Senior Vice President and General Manager for AmeriHealth Mercy Health Plan. In this role, Ms. Knowlton is responsible for the oversight and operations of AmeriHealth Mercy Health Plan, including managing the marketing, outreach, medical management and provider contracting services.
| Organization |
Position |
Status |
| AmeriHealth Mercy Health Plan |
Senior Vice President |
Current |
| Passport Health Plan |
Senior Vice President & General Manager |
Current |
| AmeriHealth Mercy Health Plan |
General Manager |
Current |
| AmeriHealth Mercy |
|
Current |
| Government Programs |
Senior Director |
Former |
| Organization |
Position |
Status |
| Mdwise Hoosier Alliance |
Vice President of Finance |
Current |
| Passport Health Plan |
Executive Director & General Manager, Mdwise Hoosier Alliance |
Current |
| Mdwise Hoosier Alliance |
Executive Director and General Manager |
Current |
| Mdwise, Inc |
Chief Financial Officer |
Former |
| Mdwise Hoosier Alliance |
Chief Financial Officer |
Former |
| Indiana University |
Bachelor of Science Degree |
Former |
| Organization |
Position |
Status |
| Passport Health Plan |
Chairman of The Board for University Health Care, Inc. DBA |
Current |