DIGITAL QUALITY SUMMIT - Key Persons
Dr. Mims has more than 30 years of clinical practice experience, including caring for Medicare beneficiaries in the hospital, office, nursing home, hospice and home care. She is board certified in family medicine and geriatrics, with fellowship status in both specialties. As a clinical epidemiologist, she has more than 20 years of administrative experience in using quality performance metrics to guide changes in clinical processes, clinician and patient education and organizational delivery system redesign in small clinical practices, large disease management, Medicare Advantage and managed care organizations.
Dr. Mims has jointed Rainmakers Strategic Solutions LLC, as Chief Medical Officer (CMO). As such, she collaborates with members of its various teams of professionals to expand Rainmakers' excellent health care industry reputation for thought leadership and involvement in the development and execution of key health care quality improvement initiatives and contracts, on diverse topics such as health equity, patient advocacy, value-based payments, and the Covid pandemic.
Dr. Mims has extensive clinical practice experience in value-based care for adults and seniors through her long tenure with Kaiser Permanente. More recently, she shared her expertise with JenCare Senior Medical Center, a healthcare system focusing on personalized quality care for vulnerable residents of Georgia. She worked collaboratively with multiple healthcare team members in order to provide exceptional care for each patient. She is the founding medical director at the Center for Black Women's Wellness - Safety Net Clinic, where she also worked as a Staff Physician for eight years. Dr. Mims was the founding medical director of the Georgia Medicaid Management Program, overseeing case and disease management services to 500,000 aged, blind, and disabled Medicaid recipients.
Dr. Mims was previously vice president and chief medical officer for Alliant Health Solutions, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO). She is a Trustee for the Retirement Research Foundation, a national endowment that funds projects to improve the quality of care for seniors. She is former president of the American Health Quality Association, the trade association for QIN-QIOs. She was also on the boards of the Georgia Academy of Family Physicians; Georgia Alzheimer's Association; Georgia POLST Collaborative; the PCPI, a national organization that develops quality measures for all specialties; and the American Geriatric Society, where she chaired the audit committee.
Dr. Mims was appointed by the governor to the Georgia Older Adults Cabinet and the Georgia Council on Aging. She is a former member of the NCQA Geriatric Measurement Advisory Panel and the NCQA Committee for Performance Measures.
Job Titles:
- Leader
- Member of the Board of Directors
Dr. Chu is a leader in creating patient-centered, integrated healthcare reforms. He was elected to the National Academy of Medicine. He holds an undergraduate degree from Yale University, an MD from New York University School of Medicine and an MPH from Columbia University.
Chief Health Officer for Wells Fargo and is responsible for developing the company's global health strategy. Previously he held the position of CHO at the Goodyear Tire & Rubber Company. Prior to that, Dr. Pawlecki was Corporate Medical Director for Pitney Bowes Inc., and served as Corporate Medical Consultant and as Chief HIPAA Privacy Officer.
He received the Global Leadership in Corporate Health Award from the American College of Occupational and Environmental Medicine and the National Business Group on Health®.
Dr. Pawlecki holds degrees from St. Louis University and completed his MMM at the University of Southern California's Marshall School of Business.
Dr. Samitt retired as the former President and CEO, Blue Cross and Blue Shield of Minnesota. He was previously Chief Clinical Officer and President of the Diversified Business Group at Anthem, Inc.
He has held a number of senior executive positions, including President and CEO of HealthCare Partners, and president and CEO of Dean Health System Inc. Dr. Samitt was recognized as one of "50 Most Influential Physician Executives and Leaders" by Modern Healthcare in 2018.
Dr. Samitt holds an undergraduate degree from Tufts University, a medical degree from Columbia University and an MBA from the Wharton School of Business. He completed a medical residency at Brigham and Women's Hospital in Boston and is a fellow of the American College of Physicians.
Job Titles:
- Chief Financial Officer
- NCQA 's Chief Financial Officer
Daniel O'Connor became NCQA's Chief Financial Officer in August 2018. He oversees the overall financial, administrative, and accounting practices.
Daniel has more than 20 years of leadership experience in financial and administrative operations. He spent the last 13 years as CFO of ACA Compliance Group, a firm that provides risk management, compliance and technology services. Prior to ACA, Dan held financial leadership roles at Internosis, Global Telesystems Group and Hughes Network Systems.
Dan earned an MBA from University of Baltimore, an MS in Finance from Loyola College and an MS in Information and Telecommunication Systems from Johns Hopkins University. He has also held various certifications, including Certified Public Accountant , Certified Managerial Accountant, Certified Internal Auditor, and Certified Information Systems Auditor.
Job Titles:
- Member of the Board of Directors
Dr. Chin is a Distinguished Scholar at the Johns Hopkins Bloomberg School of Public Health and School of Medicine, where he focuses on preparing health systems for value-based health care. Before joining Hopkins, he was a senior national partner and leader of the Academic Medical Center Practice in PwC's US Healthcare Industries Advisory Practice and leader of PwC's Global Healthcare Research Institute.
Prior to PwC he served as President of the Novalis Corporation and President and Medical Director of the Health Centers Division of the Harvard Community Health Plan.
Dr. Chin holds a BA from Harvard College, an MD from Harvard Medical School and an MBA from Stanford Business School, as a Robert Wood Johnson Clinical Scholar.
David C. Kendrick, MD, MPH, FACP is Chair of the Department of Medical Informatics at OU School of Community Medicine, and founder and CEO of Oklahoma's MyHealth Access Network, which serves more than 3M patients statewide, and provides advanced health information exchange, community-wide care coordination, and a robust decision support platform. MyHealth provides region-wide quality measurement for the Comprehensive Primary Care Initiatives as well as ACOs and value-based payment models in Oklahoma. Dr. Kendrick is a Board member of the (SHIEC) Strategic Health Information Exchange Collaborative. David proposed the Patient Centered Data Home™ model of nationwide interoperability, which enables secure patient record exchange among states and regions where individuals receive care.
Job Titles:
- Chief Product Officer
- First Ever Chief Product Officer
Dr. Brad Ryan is NCQA's first ever Chief Product Officer. His addition to NCQA leadership signals the organization's commitment to build on its existing quality measurement expertise with the promise of new technology, digital measurement and telehealth. He leads NCQA's pioneering work in digital quality transformation and manages growth and evolution of its existing health care measurement, evaluation and improvement programs.
Dr. Ryan's prior work includes numerous assists with NCQA's digital quality initiatives, most recently as co-founder and Chief Solutions & Product Officer at Apervita, a collaborative platform for value-based health care. He also supported NCQA's Natural Language Processing work with UPMC Enterprises. Dr. Ryan's professional background is a "perfect storm" of skills and experience for the newly created position. In addition to Apervita, Brad has held leadership roles at IMS Health and McKinsey & Company.
Dr. Ryan earned his medical degree at John's Hopkins School of Medicine. He studied engineering, computer science and mathematics as an undergraduate at the University of Alabama. To this day, he remains firmly committed to "Roll Tide" and to his family and friends in Alabama.
Job Titles:
- Member of the Board of Directors
Throughout his career, Dr. Jeffrey Kang has been on a mission to change the way care is delivered to older patients with chronic, complex conditions. He is currently the founding CEO of WellBe Senior Medical, a geriatric home care group providing care to the frail, polychronic, elderly patient.
Dr. Kang has worked in medical groups, commercial health insurance, the federal government and retail health care to improve care for senior patients. As the first chief medical officer for the Centers for Medicare & Medicaid Services, Dr. Kang was responsible for national coverage decisions, regulation of the health care industry and health plan and provider quality measurement and improvement. As chief medical officer at Cigna, he led the development of initiatives designed to improve patient care while managing costs. And as senior vice president of Walgreens health and wellness services and solutions, Dr. Kang ran the company's emerging health care businesses, including all retail and worksite health care clinics. Most recently, he was president of ChenMed, a primary care medical group for disadvantaged seniors.
Dr. Kang holds a BA from Harvard, an MD from UC San Francisco and an MPH from UC Berkeley. He completed his clinical training at Beth Israel Hospital in Boston, Massachusetts, and remained on the clinical faculty at Harvard Medical School. Dr. Kang also currently serves on the board of directors of ChenMed and Blue Cross/BlueShield of Minnesota and on the Advisory Board of the Center for Health Incentives and Behavioral Economics.
Job Titles:
- Vice President, Performance Measurement
Dr. Mary Barton, MD oversees the development, use and maintenance of techniques NCQA uses to evaluate health care quality. She ensures the scientific integrity of NCQA measurement and research. She also leads NCQA in winning and executing health care quality measurement contracts for federal and state governments.
Prior to NCQA, Barton worked for the Agency for Healthcare Research and Quality (AHRQ), where she was the scientific director of the U.S. Preventive Services Task Force (USPSTF). She supported and provided oversight for the methodological, evidence review and recommendation-making work of the USPSTF.
Before joining AHRQ, Barton was an assistant professor at Harvard Medical School, where she performed clinical epidemiology and health services research related to cancer screening and prevention in terms of access, test performance and outcomes.
Barton trained in primary care internal medicine at Brigham and Women's Hospital in Boston and completed a general medicine research fellowship at Harvard. She has a clinical interest in and has presented widely about the performance of the clinical breast examination. She is a member of the American College of Physicians and the Society of General Internal Medicine.
Edward Yurcisin leads NCQA's technology strategy and execution, helping advance continued digital innovation. As Chief Technology Officer, he is responsible for providing organization-wide leadership and direction across products and services, enterprise operations, IT infrastructure, and security.
Ed is a proven technology leader with significant experience implementing technology and data solutions for health care payer and provider customers. Ed joined NCQA in 2022, after serving in C-level positions across leading health care and technology organizations, including Chief Technology Officer at Embedded Healthcare, Chief Product Officer at Onyx Technologies, Chief Data Officer at CareJourney, and Chief Information Officer at PeraHealth. Ed also led several initiatives to improve diversity, including developing a technical recruiting pipeline in Latin America.
Ed holds a BA in Economics with a focus on Econometrics and Quantitative Economics from Duke University.
Job Titles:
- Executive Vice President, Quality Measurement and Research Group
Eric Schneider, MD, M.Sc. leads NCQA's measurement, research and contracting agenda as Executive Vice President of the Quality Measurement and Research Group. In this role, he helps drive NCQA's efforts to create a more equitable health care system and to advance the move to digital quality measurement.
Dr. Schneider came to NCQA from The Commonwealth Fund, where he was Senior Vice President for Policy and Research and a member of its executive management team. He has a long history with NCQA, most recently as Co-Chair of its Committee on Performance Measurement. He served on that committee for more than 10 years, including nine as Co-Chair.
Prior to his tenure at The Commonwealth Fund, Dr. Schneider was principal researcher at the RAND Corporation and held the RAND Distinguished Chair in Health Care Quality. As the first director of Rand's Boston office, Schneider built its highly regarded multidisciplinary team of health services researchers. As a professor at the T.H. Chan Harvard School of Public Health and Harvard Medical School Eric taught health policy and practiced primary care internal medicine for 25 years.
Widely regarded as one of the nation's preeminent health services researchers, Dr. Schneider has authored more than 125 published peer-reviewed research investigations and dozens of other scientific or medical research publications, reviews, chapters, editorials, and more. His work has focused on four aspects of health care quality - performance measurement methods; evaluation of quality and safety measurement in public reporting and financial incentive programs; use of health care quality measures to assess racial, ethnic, and socioeconomic disparities in health care quality; and evaluation of innovative approaches in health insurance, organization and financing of health care, and the organization of health care delivery.
Dr. Schneider trained in health services research, public health and primary care general internal medicine. He holds a Bachelor of Science, cum laude, in biology from Columbia University and a Master of Science from the University of California, Berkeley. He earned his medical degree from the University of California, San Francisco. He is a member of the AcademyHealth Board of Directors and a fellow of both the American College of Physicians and the National Academy of Social Insurance.
Job Titles:
- NCQA 's Vice President of Public Policy and External Relations
- Vice President, Public Policy and External Relations
Frank Micciche is NCQA's vice president of Public Policy and External Relations. In this position, he directs NCQA's relations with Congress, federal agencies and the states, as well as NCQA's work with employers, associations, corporate sponsors and the media.
Micciche was formerly the Vice President for Partnerships and Coalitions at the Campaign to Fix the Debt, a nonpartisan collaboration of prominent public and private sector leaders and more than 350,000 grassroots supporters working to address the nation's fiscal imbalance. Prior to this position, he was a Senior Advisor on health reform at McKenna, Long & Aldridge, LLP and worked for the New America Foundation think tank.
Micciche's service in the public sector includes his time as a legislative director for the House Minority Leader in Massachusetts and as a federal liaison for Governor John Engler of Michigan. He served for four years as the Director of State-Federal Relations for Governor Mitt Romney (R-MA), where he led the Commonwealth's Washington, DC, office and advised the governor on federal policy issues, with a focus on health care reform.
Micciche holds a master's degree in public policy from the John F. Kennedy School of Government at Harvard University, and a bachelor's degree in political science from Tufts University.
Job Titles:
- Chief Medical Officer of 180 Health Partners
Dr. Wrenn is the Chief Medical Officer of 180 Health Partners, where she provides executive clinical leadership for its programs that address substance use disorders and the Social Determinants of Health. She is also an Associate Professor of Clinical Psychiatry at Morehouse School of Medicine in Atlanta, GA where she served as founding Director of the Kennedy-Satcher Center for Mental Health Equity in the Satcher Health Leadership Institute until 2018. Dr. Wrenn's passion is to help create environments where individuals adversely impacted by trauma will face a path forward that makes it easier for them to recover and build a good life. She is a sought-after speaker and mental health policy advisor, nationally recognized for her behavioral health leadership.
Job Titles:
- Member of the Board of Directors
John retired as the Executive-in-Residence at the Harvard Medical School Executive Education. Previously he was chief executive officer of Siemens Health Services. Prior to Siemens, John was chief information officer at Partners HealthCare.
John was the founding chair of the College of Healthcare Information Management Executives and the past-president of the Healthcare Information and Management Systems Society. He is the former Chair of the Global Agenda Council on Digital Health, World Economic Forum. He is former Senior Advisor to the Office of the National Coordinator for Health Information Technology.
He has authored many articles and books on the strategic application of IT in health care. He is on the faculty of the Wharton School at the University of Pennsylvania, the UTHealth School of Biomedical Informatics and the Harvard School of Public Health.
Job Titles:
- Founding Editor of the Journal of Health Economics
Dr. Newhouse is the John D. MacArthur Professor of Health Policy and Management at Harvard University, Director of the Division of Health Policy Research and Education, and Director of the Interfaculty Initiative in Health Policy. He spent the first 20 years of his career at RAND, where he designed and directed the RAND Health Insurance Experiment and was Head of the RAND Economics Department.
In 1981, Dr. Newhouse became founding editor of the Journal of Health Economics. He has won the Victor R. Fuchs Lifetime Achievement Award from the American Society of Health Economists and was the first recipient of the David N. Kershaw Award and Prize of the Association for Public Policy and Management.
He received his BA and PhD in economics from Harvard University and has received an honorary doctoral degree from the Pardee RAND Graduate School.
Julie V. Murchinson is a Partner with Transformation Capital, a growth equity fund focused exclusively on digital health. She built and led Health Evolution, the industry's premier convening company that connects the health care industry's most influential leaders to inspire forward-thinking strategies and scalable solutions that drive health. Ms. Murchinson was also Managing Director at Manatt Health Solutions, the policy and strategy advisory division of Manatt, Phelps and Phillips. She holds a BA from Franklin & Marshall College and an MBA from The Wharton School at the University of Pennsylvania.
Job Titles:
- Leader With Significant Experience Working With NCQA
- Senior Vice President, Product and Customer Operations
Lori Ferguson joined NCQA in May 2022 as Senior Vice President, Product and Customer Operations. In her role, she leads the organization's strategy and execution to implement, deliver and service our products. Her addition signals the organization's commitment to our stakeholders with a focus on innovation, continuous improvement and the customer experience.
Lori is a proven operational leader with significant experience working with NCQA products during her 20 year career in Medicaid and Medicare managed care. As a change agent, she has led a number of successful turn-arounds, a start-up and has extensive M&A experience. With a focus in Managed Long-Term Care, Dual-Eligibles, and Special Needs Plans, she understands the importance of high quality healthcare. In her most recent roles, Lori has served as Chief Managing Director for VNS Health and Chief Operations Officer at Magellan Health, both servicing the most complex members in New York City.
Lori is a certified Six Sigma Black Belt and earned a Master's in Applied/Organizational Psychology at Christopher Newport University and a Bachelor's in Psychology from Radford University.
Job Titles:
- Founder
- Member of the Leadership Team
- President
- Founder and President of the National Committee for Quality Assurance
- Kane, President
Margaret E. O'Kane is the founder and president of the National Committee for Quality Assurance (NCQA).
She is a member of the National Academy of Medicine, and has received the Picker Institute Individual Award for Excellence in the Advancement of Patient-Centered Care, as well as the Gail L. Warden Leadership Excellence Award from the National Center for Healthcare Leadership.
Modern Healthcare magazine has named O'Kane one of the "100 Most Influential People in Healthcare" 12 times, most recently in 2017, and one of the "Top 25 Women in Healthcare" 3 times.
She is a board member of the Milbank Memorial Fund and is Chairman of the Board of Healthwise, a nonprofit organization that helps people make better health decisions.
O'Kane holds a master's degree in health administration and planning from Johns Hopkins University, where she received the Distinguished Alumnus Award.
Margaret E. O'Kane is founder and president of the National Committee for Quality Assurance (NCQA).
Job Titles:
- Executive Chairman of Seminal Health Care
Mr. Muller serves as the Executive Chairman of Seminal Health Care, National Advisor to Manatt, Phelps, a Senior Fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania, and the former CEO of the University of Pennsylvania Health System (2003 - 2019). He was previously President of The University of Chicago Hospitals and Health System (1985 - 2001), a Visiting Fellow at the Kings Fund in London, UK (2001-2), and was Deputy Dean of the Division of Biological Sciences at the Pritzker School of Medicine at the University of Chicago (1985-86) and Budget Director of the University of Chicago (1980-84).
Mr. Muller held senior positions with the Commonwealth of Massachusetts, serving as Deputy Commissioner of the Massachusetts Department of Public Welfare.
He was a Commissioner of MedPac and The Joint Commission, and Chaired the Association of American Medical Colleges (AAMC), the Council of Teaching Hospitals (COTH) , the University HealthSystem Consortium (UHC) and the National Opinion Research Center (NORC) at The University of Chicago.
He is an elected Member of the National Academies of Medicine (NAM), and a Fellow of the American Association for the Advancement of Science (AAAS).
Mr. Muller received his BA in economics from Syracuse University and his MA in government from Harvard University..
Job Titles:
- Chief Digital Officer for Providence
Sara Vaezy is Chief Digital Officer for Providence. She is a nationally regarded health care strategist and a champion for the use of technology to improve care delivery and transform the patient experience. Her portfolio at Providence, where she has served in several executive roles since 2016, encompasses digital strategy, digital partnerships and business development, commercialization, technology evaluation and pilots, and digital thought leadership. She has been instrumental in the formation of the Providence Digital Innovation Group, a team of strategists, software engineers, marketers and investors embedded within Providence who envision, evaluate, incubate and spin out new health system-focused digital solutions.
Job Titles:
- Vice President of Research & Analysis
Sarah Hudson Scholle (Dr.P.H. The Johns Hopkins University) is Vice President, Research and Analysis, at the National Committee for Quality Assurance. Dr. Scholle is an expert in health services and quality measurement in multiple settings and has a demonstrated record of moving innovative measurement concepts into implementation, particularly through NCQA's Healthcare Effectiveness Data and Information Set (HEDIS).
Current measurement projects focus on cross-cutting areas where new health information technology is critical, including behavioral health care, patient reported outcomes, care coordination, and goal setting and improvement. Her experience also includes projects to test and assess the process of transformation to different models of care, including an initiative to test a patient-centered approach to oncology care. She leads NCQA efforts work to expand measures for vulnerable populations; this includes leading health equity innovation efforts for the CMS Office on Minority Health. She led an AHRQ/CMS funded Center of Excellence in Pediatric Quality Measurement, where the priorities focused on developing and testing outcome measures for adolescent depression using data from electronic health records, and currently leads a subsequent project to implement and demonstrate improvement on these measures. A number of measures developed in these projects have been included in HEDIS health plan reporting. She has also led activities in measurement related to patient-centered care and the patient-centered medical home (PCMH) and contributed to the development and implementation of surveys (such as the PCMH version of the CAHPS survey).
Job Titles:
- General Counsel
- General Counsel, Compliance Officer, and Chief Privacy Officer for NCQA
Sharon King Donohue is general counsel, compliance officer, and chief privacy officer for NCQA. In that capacity, she is responsible for the general oversight and coordination of all legal matters for the organization. She plays an active role in the development of policy related to NCQA's quality measurement and assessment programs and is involved with strategic planning. Sharon is a member of the leadership team and an officer of the company.
Prior to joining NCQA in 1996, King Donohue spent more than 10 years in private practice and was most recently affiliated with the firm of Climaco, Climaco, Seminatore Lefkowitz & Garofoli Co., LPA., in Cleveland, Ohio. During her tenure at Climaco, she specialized in the development of integrated delivery systems, mergers and acquisitions and other transactional and regulatory matters for health insurers, managed care organizations, hospitals and physician organizations.
Mrs. King Donohue received her JD from Case Western Reserve University School of Law in Cleveland.
Job Titles:
- Chief People & Diversity Officer
- NCQA 's First Chief People & Diversity Officer
Shawn Talley is NCQA's first Chief People & Diversity Officer. His addition signals the organization's commitment to its staff to be an employer of choice and promote diversity of representation at all levels while fostering an inclusive culture. Talley will also drive diversity efforts in external community engagement and NCQA's products and services. He is responsible for all aspects of human capital planning & execution (talent acquisition, talent development, talent management), employee engagement, change enablement and DEI. Talley also supports NCQA's Great Place to Work committee, DEI Council and various employee resource groups.
For more than 25 years, Talley has provided award-winning, best-in-class strategic expertise in Human Resources, organizational development, management consulting and diversity, and has spent the last 15 years in the health care industry. Talley is adjunct faculty at Towson University where he co-designed and instructs its Human Resources Master's Degree Program: Introduction to HR Course. Talley is also on the Board of Directors for Baltimore Health Care for the Homeless, serving as co-chair of its HR Committee, and as an Advisor at the Tahirih Justice Center. Prior to NCQA, he was Chief Human Resources Officer & Chief Compliance Officer at Integra ServiceConnect where HEDIS measures were leveraged to provide community-based engagement and support services to underserved individuals with complex health needs. Previously, he led HR teams and functions at Baxter Healthcare, Citigroup, The Home Depot and Verizon. Talley started his career at Business Support Training as one of the first instructors to provide diversity training to the US Department of Commerce under the late Secretary Ronald Brown. A social justice advocate, Talley is passionate about development and committed to helping all staff reach their potential.
Talley holds BS degrees in political science and mass communications and an MS in Human Resource Development from Towson University. In addition, Talley is a certified Professional in Human Resources (PHR), Leadership Architect Certified, holds a yellow belt in Six Sigma and is Certified in Diversity & Inclusion through Cornell University.
Ms. Stuard is an independent consultant who advises clients on issues related state health policy and payment. She serves as the New York region's payer convener for the Centers for Medicare & Medicaid Services Comprehensive Primary Care and Primary Care First Initiatives. Ms. Stuard directs state technical assistance at Center for Evidenced-based Policy (Center) at Oregon Health & Science University and, since 2016, has directed the State Medicaid Alternative Reimbursement and Purchasing Test for High-cost Drugs (SMART-D) initiative at the Center. Ms. Stuard serves on the Community Advisory Board for the New York State Health Foundation.
She led THINC, a nonprofit convening organization that established research-based criteria to enhance health care quality and value. She was also Director for Technology Policy Development at the New York-Presbyterian Hospital and Vice President at the Greater New York Hospital Association.
Ms. Stuard holds a BA from Hamilton College and an MBA from the Yale School of Management.
Job Titles:
- Member of the Board of Directors
- Partner
Tom Betlach joined Speire as a partner to advise government and private sector clients on complex health policy and strategic initiatives. He is a nationally-recognized thought leader on Medicaid and health care policy, known for his expertise in serving complex populations, delivery system transformation, value-based purchasing, managed care and cost containment. Prior to joining Speire, Tom spent 27 years serving in a variety of leadership roles for the state of Arizona. He served five different governors in three different cabinet positions.
Most recently, Tom served as director of the Arizona Health Care Cost Containment System (AHCCCS), Arizona's state Medicaid agency, where he reported directly to the governor. AHCCCS provided health care coverage to 1.9 million Arizonans at an annual cost of $13 billion.
Mr. Betlach is former President of the National Association of Medicaid Directors. He is also a board member for Circle the City and Equality Health.
Mr. Betlach earned his BA degree in Political Science from the University of Wisconsin and his MPA from the University of Arizona
Job Titles:
- Chief Operating Officer
- NCQA 's Chief Operating Officer
Tom Fluegel became NCQA's chief operating officer in December 2012. He is responsible for all aspects of business planning and operations in support of the organization's strategic plan.
Fluegel has more than 25 years of leadership experience in the health care industry. Prior to NCQA, he was COO of Dental Insurance at Coventry Health Care. From 1999-2008, he held diverse leadership positions within divisions of UnitedHealth Group, including two vice president posts, chief information officer and senior vice president for Client Operations.
Previously, he directed group administration and sales activities at CIGNA, as well as acquisitions, integration and operations at the California-based SafeGuard Health Enterprises.
Fluegel holds a BS in business administration from Washington University in St. Louis, and an MBA from the University of Miami.
Job Titles:
- Member of the Georgia Medicaid Credentialing Committee
- Member of the Infant Mortality Task Force of the Georgia Department of Public Health
Dr. Alexander is a member of the Georgia Medicaid Credentialing Committee, the Georgia Department of Community Health's Medical Care Advisory Committee and the American College of Physician Executives.
Job Titles:
- Humana Chief Medical & Corporate Affairs Officer
Humana Chief Medical & Corporate Affairs Officer William Shrank, MD, leads and implements the company's integrated care delivery strategy affecting 16 million Humana plan members. He also oversees the companies' government affairs activity and guides the external advocacy as the company expands its clinical role. Previously, Dr. Shrank held leadership positions at UPMC Health Plan, CVS Health, and Center for Medicare & Medicaid Innovation at CMS. He began as a practicing physician with Brigham Internal Medicine Associates at Brigham and Women's Hospital in Boston and as an assistant professor at Harvard Medical School, researching medication prescribing and adherence.