Speaker Bios

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Shawn Achor

Shawn Achor

Shawn Achor is the author of the international bestseller, The Happiness Advantage. Shawn is regarded as one of the world's leading experts on the connection between happiness and success. In 2012, Shawn’s research on happiness made the cover of Harvard Business Review, his TED talk has became one of the most popular of all time with over 3 million views, and his new lecture called “The Happiness Advantage” began airing on PBS stations nationwide. Shawn spent over a decade at Harvard University where he served as Head Teaching Fellow for “Positive Psychology”, which eclipsed “Intro Economics” as the most popular course at Harvard. In 2007, Shawn founded Good Think Inc. to share his research with the world. Subsequently, Shawn has lectured or researched in 51 countries, speaking to CEOs in China, school children in South Africa, doctors in Dubai, and farmers in Zimbabwe.

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Gina L. Buccalo, MD

Gina L. Buccalo, MD

Chief Medical Officer
St. John Providence Partners In Care

Gina L. Buccalo, MD is chief medical officer of St John Providence Partners In Care and medical director of the St John Providence Physician Network. She is also chair of the St. John Providence HealthPartners Strategy Committee, an active member of the St. John HealthPartners Board of Directors, and the Chair and Medical Director of the St. John Providence Macomb Physician Hospital Organization. Dr. Buccalo also serves on the St. John Providence Care Experience, Community and Culture Committee. Dr. Buccalo has a special interest in quality and performance improvement for physicians and physician practices in the ambulatory setting and serves on several committees including the St. John Providence Care Design Committee. Dr. Buccalo also participates on the Blue Cross Blue Shield of Michigan Organized Systems of Care Physician Leadership Committee, the Medical Affairs and Pharmacy & Therapeutics Committees of Priority Health, and the Medical Director Advisory Committees of Blue Care Network (BCN) and Health Alliance Plan (HAP). She is also the Medical Director and advisor for the St. John HealthPartner’s Health e Practice Ambulatory Health Information Technology Program. In addition, she participates in research and investigation projects around the use of electronic population registry tools, web-based patient education, and Telehealth remote patient monitoring tools to improve the health and wellness of patients. She is a primary investigator for a University of Michigan project examining the use of a population registry tool. Dr. Buccalo has a thriving Internal Medicine practice. In 2009, she was recognized as one of America’s Top Docs and most recently as one of 20 Ambassador Detroit’s Hot Docs for 2011.

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Gregory S. Buchert, MD, MPH

Gregory S. Buchert, MD, MPH

Principal
Health Management Associates (HMA)

Dr. Greg Buchert is a principal at Health Management Associates (HMA). Examples of recent activities include serving as the Interim CEO of a Safety Net ACO in South Los Angeles, performing due diligence for a multi-billion dollar health plan acquisition, review of State Medicaid Health Information Technology Plans for CMS, expansion activities for Federally Qualified Health Centers (FQHC), strategic planning for a national behavioral health plan and assisting the City of San Francisco develop a managed care infrastructure for its public health delivery system. He has also provided restructuring assistance to multiple Medicaid Managed Care Plans preparing for the challenges of Medicaid Expansion and Health Information Exchanges resulting from the Affordable Care Act. Prior to joining HMA, Dr. Buchert was a founding executive of CalOptima and served as the COO and medical director of that large public managed care health plan serving 420,000 residents in Orange County, California. Before CalOptima, Dr. Buchert was the chief medical officer for Accelerated Performance, the director of ambulatory services for the Children's Hospital of Orange County, administrative director for the La Veta Pediatric Medical Group and the associate director of the Emergency Department at Oakland Children's Hospital.

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Ryan Caplan

Ryan Caplan

Founder and CEO
Coldlight

Ryan Caplan is founder and CEO of ColdLight, inventors of Neuron, the market leading big data learning engine. ColdLight's clients include healthcare providers, payers, pharmaceutical manufacturers, financial services, media/entertainment and retail. A pioneer in the software sector, Mr. Caplan led an international team of software engineers to develop one of the world’s first real-time internet banking platforms for Sanchez Computer Associates and Fidelity National Financial. Well before Big Data had a marketing buzz, he brought consultative analytics leadership to some of the world’s largest companies, including Oppenheimer Funds, Rohm & Haas, Aramark, Wyeth, Shire, Comcast, MBNA and Lincoln Financial. Under his leadership, ColdLight has been named to the Top 100 Fastest Growing Companies by Wharton School of Business for three consecutive years. He is a frequent guest lecturer on the topics of advanced analytics and entrepreneurship for many Fortune 100 businesses and leading universities.

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Jonathan Clark

Jonathan Clark

Chief Information Officer
Brevard Physicians Network

Jonathan Clark’s expertise is developing and implementing leading-edge information, technology and delivery systems focused on improving efficiency, satisfaction and quality performance. He has successfully managed major transitional change for private corporations operating in both the commercial and governmental fields. Mr. Clark is currently the chief Information officer for Brevard Physicians Network and their affiliate Accountable Care Organization, Medical Practitioners for Affordable Care (MPAC).

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Kristin Conley

Kristin Conley

Vice President, eSolutions
Health Care Service Corporation

As vice president of eSolutions, Kristin Conley is responsible for the HCSC's digital asset strategy. Kristin oversees the portal and mobile solution development for BlueCross BlueShield’s retail, member, employer and producer sites in HCSC's four markets. Ms. Conley has held various roles in healthcare operations, strategy and technology as a management consultant, project manager and business analyst within the Blues system and a healthcare IT consulting practice, First Consulting Group. Prior to her move to marketing, she led the development of HCSC's project portfolio management process and the creation of their project management office.

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Ellen Donahue-Dalton

Ellen Donahue-Dalton

Executive Vice President and Chief Marketing Officer Medecision

Ellen Donahue-Dalton is a global company and start-up growth driver who thrives on creating actual solutions to challenging market dynamics. She leads Medecision's solution development and strategic marketing initiatives, including product marketing, industry marketing, lead generation and brand experience. A veteran business and marketing executive, Ms. Donahue-Dalton has partnered with global, national and emerging healthcare service and technology organizations to help define, segment and penetrate markets, as well as build and deploy leading products. Her clients have included Magellan Health, Ceridian, Group and Pension Administrators, Inc., Bloodhound Technologies and GTESS Corporation. Prior to joining Medecision, she served as a consultant and coach to high-growth organizations while leading Dalton Marketing Group (DMG), a firm she founded in 1998. Ms. Donahue-Dalton previously served as vice president, worldwide marketing and divisional president of GTECH Corporation, and has participated in Springboard Ventures, Entrepreneur LaunchPad and served on the board of Social Venture Partners—RI. She continues to coach social entrepreneurs who are building world-changing businesses.

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John H. (Hank) Duffy

John H. (Hank) Duffy

President
JHD Group

Hank Duffy, the founder of the JHD Group, has 33 years of experience, with 27 years in management consulting and business management. Before establishing the firm, Mr. Duffy was the National Director and COO of American Practice Management, Inc. (APM, Inc.), and the national managing partner for Coopers & Lybrand’s Healthcare Consulting business. His direct experience includes hospital and physician organization strategic planning, mergers, and operations improvement. Recently he has concentrated on moving provider organizations towards being “Accountable Care Capable” including accelerating Patient Centered Medical Home initiatives, increasing clinical integration and physician engagement, and the introduction of Population Management, Disease Management, and Case Management into the care delivery system.

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Daniel E. Edge, CHIE

Daniel E. Edge, CHIE

Vice President, Medical Affairs and Operations
WPS Health Insurance

Dan Edge joined WPS Health Insurance as vice president of medical affairs in August 2010 after 26 years at Dean Health Plan. In February 2012, he also became vice president of operations. Mr. Edge has extensive operations management experience leading critical functions in the health insurance and managed care industry. He is a Certified Health Insurance Executive (CHIE), earning that distinction from AHIP in 2006. He serves on the Board of Breast Cancer Recovery (BCR) and as a member of the Madison College Insurance Advisory Board.

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Jonathan M. Fuchs, FACHE

Jonathan M. Fuchs, FACHE

COO, Arkansas Foundation for Medical Care

Jonathan Fuchs is the chief operating officer for the Arkansas Foundation for Medical Care, as well as the AFMC executive responsible for HITArkansas, the Regional Extension Center for Arkansas. He is also the president of ARCH-IT, the Association of Regional Centers for Health Information Technology. Mr. Fuchs is a veteran health care executive whose significant experience in health care management includes specific expertise in insurance and health plan operations, organizational development, Quality Improvement Organization operations, provider negotiations and contracting, and hospital and facility management. He has worked in a variety of health care settings, including hospitals, health plans, educational and community institutions, and as an independent consultant. His past positions include serving as CEO of the University MSO, an affiliate of the New York University Hospital Center, and as an executive in a number of HMO and PPO organizations. Mr. Fuchs is a fellow in the American College of Healthcare Executives.

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Deborah M. Gage

Deborah M. Gage

CEO and President
Medecision

Deborah Gage is a proven business transformer. She has built her career on assessing, reorganizing, and re-energizing companies and leading them to the next stage of growth. Ms. Gage joined Medecision after observing the investments the company had made to expand its broad platform of applications, the breadth and depth of the company's talent, and its sizeable, growing and increasingly diverse customer base—she knew Medecision could significantly help the industry flourish. She oversees our mission to improve the relationship between health plans, providers and consumers and transform healthcare while directing the company's continued growth and innovation. Earlier in her career, Ms. Gage was president and CEO of GTESS Corporation, president and CEO of RosettaMed Houston, and vice president and general manager of The MEDSTAT Group (now Thomson MEDSTAT).

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Paul B. Handel, M.D.

Paul B. Handel, M.D.

Senior Vice President and Chief Medical Officer
Health Care Service Corporation

Dr. Handel develops, manages and directs HCSC's medical strategies and policies. He also leads its comprehensive wellness efforts and works to improve the company's health care management capabilities. In his previous role as vice president and chief medical officer for Blue Cross and Blue Shield of Texas, Dr. Handel supervised the office of physician advocacy and the division’s medical policies and an overall commitment to quality. He also enhanced medical care management and helped strengthen BCBSTX’s relationships with physicians and providers. Dr. Handel has run a successful medical practice in Houston and has gained national recognition for his long, distinguished career. He is a board certified urologist, fellow of the American College of Surgeons, former member of HCSC's Texas Affiliate Board and a former clinical professor at the University of Texas Health Science Center Medical School in Houston. In addition, Dr. Handel is a past president of the Harris County Medical Society, past member of the Texas Medical Association's (TMA) Board of Trustees and has served in numerous other capacities within the TMA and the Harris County Medical Society. He is also a Charter member of the Texas Coalition for Worksite Wellness Board of Directors.

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Gideon D. Hill, III, MD

Gideon D. Hill, III, MD

Vice President and Chief Medical Officer, Medical Affairs
Independence Administrators

Dr. Gideon Hill oversees patient care management and network contracting services for Independence Administrators and AmeriHealth Administrators. He has been with AmeriHealth since 2004. Prior to that, he was a senior medical director with Independence Blue Cross of Philadelphia.An alumnus of the University of Delaware, Dr. Hill graduated from Jefferson Medical College in Philadelphia, PA, in 1983 and completed a Family Medicine Residency at Underwood Memorial Hospital in Woodbury, NJ. Dr. Hill served as a Major in the U.S. Air Force Medical Corps from 1988 through 1991 in (what was then) West Germany. He was in clinical practice with Philadelphia Health Associates and HealthSpring Medical Group prior to joining IBC.

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Terri Kline

Terri Kline

Senior Vice President and Chief Health Care Management Officer

Terri Kline is responsible for HCSC's corporate strategy for managing medical costs and alignment of the company's network provider contracting, pharmacy, health care management, medical (including policy and wellness strategy), behavioral health and health information technology. She is a successful 28-year veteran of the health care and health insurance industries. Prior to joining HCSC in 2010, Terri served as a consultant at Sterling Life Insurance Company, a provider of health care solutions to Medicare beneficiaries. She has also held high-level positions with companies such as United Healthcare of Georgia, Aetna Health Plans and HealthSouth, Inc. She began her career with Blue Cross and Blue Shield of Florida. Terri holds a master’s degree in public health from the University of Michigan and a bachelor’s degree in biology from Kalamazoo College in Michigan.

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Robert Mayer

Robert Mayer

Chief Information Officer
ABQ Health Partners

Robert Mayer brings over 20 years of experience in information technology management with a strong background in strategic planning, organizational development and business innovation to ABQ Health Partners, which he joined in 2011. His experience includes advising large healthcare networks and governmental agencies as well as closely held private businesses in the areas of technology management, strategic planning, and business practice. Mr. Mayer has served on a variety of national advisory and policy groups such as Health Tech Council as well as on the editorial board for Health Management Technology magazine. He has held a variety of positions in his career including chief information officer for the State of Maine, chief information officer for Bowdoin College, and chief information officer for the New Mexico Department of Health and special expert in health information technology for the US Department of Health and Human Services.

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John McGahey

John McGahey

Executive Vice President and Chief Revenue Officer
Medecision

John McGahey has built his reputation on growing healthcare organizations and is often drawn to experiences where he can help shape a vision, a company and an industry for the better. John brings more than 20 years of experience in Fortune 300, midsize and startup healthcare technology companies to his role of driving Medecision's sales strategy to best serve the U.S. health plan and provider markets. Earlier in his career Mr. McGahey served as the chief revenue officer at Click4Care and chief revenue officer at GTESS Corporation. He has also held various sales and sales management positions at Automatic Data Processing (NYSE: ADP), Allscripts Healthcare Solutions (NASDAQ: MDRX), and Air Liquide Medical (Paris: AI.PA).

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David Merritt

David Merritt

Partner
Leavitt Partners

David Merritt is a nationally recognized expert in health policy and health transformation and a sought-after speaker, author and policy adviser. He is currently a partner at Leavitt Partners, the healthcare intelligence firm led by former HHS Secretary and Utah Governor Mike Leavitt. He advises clients on national policy and key industry trends and leads the firm’s collaborative initiative, Health Intelligence Partners. Mr. Merritt was the leading fundraiser and a presidential campaign adviser to former Speaker of the House Newt Gingrich. He worked closely with Speaker Gingrich for more than seven years, including as CEO of the Gingrich Group and the Center for Health Transformation, on a wide range of healthcare issues. He was also a health policy adviser to the 2008 presidential campaign of Senator John McCain, after serving the same role with former Senator Fred Thompson. In 2009 and 2010 he was deeply involved in the debate over national health reform, working closely with Members of Congress, congressional staff, and key players in the national media. In addition to being widely quoted and published in the national media, he is an award-winning editor of two books on health information technology, Paper Kills and the sequel Paper Kills 2.0.

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Mark W. Owen

Mark W. Owen

President, Government Programs
HCSC

Mark Owen is responsible for developing and implementing the business strategy for the growth and development of HCSC's Government Programs division including Medicare and Medicaid-related products. Before joining HCSC, he served as vice president of Federal and Individual Business Divisions for Blue Cross Blue Shield of Michigan where his responsibilities included developing and implementing a business strategy for growth and development of the company's federal and individual business.Mr. Owen came to the Blues from Medica Health Plans in Minnetonka, Minn., where he was vice president and general manager of two business segments – Medicare products and the Commercial Individual products. From 1994 to 2000, he held executive positions with Humana in Louisville, Ky. .

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Philip Paul

Philip Paul

Executive Vice President
Medecision

From Internet startups to Fortune 500 Companies, Philip Paul has spent nearly 20 years providing management, consulting and strategic technology services to organizations of all shapes and sizes. He brings that expertise to Medecision in his role as executive vice president after the company’s acquisition of Cerecons, an innovative health IT solutions firm. Before joining Medecision, Philip was a founder and president / CEO of Cerecons, providing the firm’s strategic vision and playing an active role in executing on this vision to ensure success. Since its inception in 2003, Cerecons enjoyed steady growth and exceptional customer retention by staying focused on client priorities and their dynamic business needs. Previously, Mr. Paul was in senior management and technical roles at SHL Systemhouse, a Canadian systems integration and consulting firm that has since merged with EDS.

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Cynthia Porter

Cynthia Porter

President
Porter Research

In 1989, Cynthia Porter founded Porter Research, a custom market research firm, to address market intelligence needs she perceived within the healthcare IT industry. She is an experienced healthcare technology executive with extensive knowledge in all sectors of the healthcare market—payers, providers and suppliers. Under her direction, Porter Research has worked with over 300 companies. Ms. Porter offers great insight and expertise, bringing years of experience in advising the healthcare industry on matters of thought leadership, market opportunity, product launch, innovation, sales decision processes, competitive positioning, messaging, and customer loyalty.

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James O. Prochaska, Ph.D.

James O. Prochaska, Ph.D.

Director, Cancer Prevention Research Center
Professor of Clinical and Health Psychology
University of Rhode Island

James O. Prochaska is the author of over 350 publications, including three books, Changing for Good, Systems of Psychotherapy and The Transtheoretical Approach. He is internationally recognized for his work as a developer of the stage model of behavior change. He is the principal investigator on over $70 million dollars in research grants for the prevention of cancer and other chronic diseases. He is the founder of Pro-Change Behavior Systems. Dr. Prochaska has won numerous awards including the Top Five Most Cited Authors in Psychology from the American Psychology Society, an Innovator's Award from the Robert Wood Johnson Foundation and is the first psychologist to win a Medal of Honor for Clinical Research from the American Cancer Society.

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Katherine Schneider

Katherine Schneider, MD, M.Phil, FAAFP

Executive Vice President and Chief Medical Officer
Medecision

Nationally known for her work in the field of accountable health and patient engagement, Dr. Katherine Schneider is a trailblazer and thought leader in transforming how healthcare is accessed, consumed and purchased. Today, she leads Medecision in its quest to become the gold-standard pioneer in care management solutions that support the accountable care organization (ACO) model and help U.S. providers and health plans put the focus where it belongs—on the 'C' rather than the 'O'. Prior to joining Medecision, Dr. Schneider served as the senior vice president for health engagement at AtlantiCare, where she led the system's strategic transformational work toward accountable care and engaging individuals in their own health. In her previous position at Middlesex Health System in Connecticut, she taught and practiced family medicine, and led several major initiatives in care coordination and transformation. She is a former member of the National Advisory Council to the Agency for Healthcare Research and Quality (AHRQ) and a board-certified family physician.

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Brenda Radke

Brenda Radke

Chief Executive Officer, Brevard Physicians Network, Inc.
& Executive Director, Medical Practitioners for Affordable Care, LLC
Melbourne, Florida

A high-performing executive with 23 years of healthcare experience, Brenda Radke brings in-depth knowledge of coordinated care operations to her dual role as chief executive officer of Brevard Physicians Network (BPN) and executive director of Medical Practitioners for Affordable Care, LLC, both based in Melbourne, Florida. Ms. Radke has demonstrated proficiency in staffing, training and development, budgeting and program management, as well as expertise in technology implementation to streamline financial performance and outcome for physicians and other medical providers serving diverse patient populations. Throughout her career, she has cultivated strong professional relationships between hospitals, physician groups and payers to work collaboratively on behalf of patients to deliver the highest quality of evidence-based medicine, while also taking into consideration the economics of care delivery. Before joining Brevard Physicians Network in July 2008, Ms. Radke served as director of provider operations and expansion for Humana/Careplus Health Plans in Orlando and as a director of wholly owned physician clinics for Humana in Miami.

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Mary Robb

Mary Robb

Vice President, Health Management
Blue Cross Blue Shield Minnesota

Mary Robb leads Blue Cross Blue Shield Minnesota’s clinical program operations units that provide health and wellness solutions to 2.7 million covered lives across commercial and government program populations. These clinical programs encompass care management including behavioral and medical case management, disease management, utilization management, maternity, employee assistance, and wellness programs. She leads pilots focusing on integration of care management approaches with provider organizations, including care management delivery design with large integrated systems and focused utilization management activities at high-volume hospitals performing concurrent review, discharge planning and connections to care management post discharge. She leads Blue Cross’s Clinical Innovation Office aimed at increasing consumer engagement in health and wellness solutions, investing in technology to provide new and relevant solutions and improving clinical outcomes. Ms. Robb joined Blue Cross in 2001, initially accountable for population health improvement, quality, accreditation and compliance activities before moving to operations leadership. Prior to Blue Cross, Ms. Robb held various nursing leadership positions in clinical health care strategy, operations, risk management and quality improvement.

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Terri Steinberg, M.D., M.B.A.

Terri Steinberg, M.D., M.B.A.

Chief Medical Officer
Christina Care Health System

Terri Steinberg has lectured and consulted extensively on methods to ensure successful technology adoption by physicians and nurses, and on the positive impact of technology on safe medication practice. As a clinician as well as a software developer, Dr. Steinberg has used her experience to guide the optimal implementation of clinical systems in a manner that is well-accepted by doctors and nurses.Dr. Steinberg is actively involved in the Delaware Health Information Network, the first state-wide health information exchange, and serves as a member of itsboard of directors. Her experience includes a tenure at Siemens Medical Solution where she participated in the early development of the Soarian clinical suite of applications, and as an applications manager at the Alfred I. duPont for Children. She has consulted on technology matters for the Institute for Safe Medical Practice and has worked with many hospitals and healthcare organizations as they endeavor to implement CPOE and advanced clinical systems. On behalf of Christiana Care Health System, she has been awarded a Health Care Innovation grant to implement a novel IT integration architecture to support a predictive analytic model based on a comprehensive patient data set, regardless of the location for the data generation.Dr. Steinberg is a practicing internist and geriatrician who devotes time each week to home visits for housebound patients who would not otherwise be able to see a doctor.

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Russ Thomas

Russ Thomas

Chief Executive Officer
Availity

Russ Thomas leads Availity in its mission to empower health care professionals to make meaningful business improvements and build thriving organizations, by continuously extending the value of Availity’s health information network with tools, technology and insights. Mr. Thomas oversaw the 2010 acquisition of RealMed and the combined enterprise now delivers health care business solutions to a growing network that connects more than 350,000 physicians and allied care providers, some 2,700 hospitals, and more than 500 technology partners with health plans nationwide.Prior to his appointment as CEO in March 2012, Mr. Thomas had been Availity’s president and chief operating officer since 2008. Before Availity, Mr. Thomas was CEO of Gold Standard where he grew that company from a small start-up to a multi-sector leader in the health care market before selling the business to Reed Elsevier in 2006. He remained with Reed Elsevier as a senior executive in their clinical information business until 2008. Mr. Thomas is also active in industry and philanthropic organizations, including Hillsborough Kids, Inc., which provides oversight and resources for more than 4,000 disadvantaged children in Hillsborough County, Florida, and the United Way of Northeast Florida.

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Qiana Thomason, MSW, LCSW

Qiana Thomason, MSW, LCSW

Department Vice President, Clinical Operations
Blue Cross and Blue Shield of Kansas City

Impassioned with a divine gift of helping others, Qiana Thomason is navigating through an enjoyable career in health care leadership. Qiana, a licensed clinical social worker has served her hometown of Kansas City in the civic and health care services network since 2001. Her professional journey includes deputy director & health and human services liaison to former U.S. Senator Carnahan and clinical director of Swope Health Services, a federally qualified health center. Today, she leads the efforts of Blue KC’s medical management division professionals who are charged with navigating members through the complexities of the health care system at a time of need or proactively when warning signs arise. Through her diverse team, Ms. Thomason's efforts make a real difference in containing health care costs and improving the health and wellness of members and the community at large..

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John T. Tighe III

John T. Tighe III

Founder, President and CEO
TMG Health, Inc.

John T. Tighe III is the founder, president and CEO of TMG Health, Inc., the leading national provider of expert solutions for government-sponsored healthcare plans. Founded in 1998, today TMG Health employs more than 1,300 employees across Pennsylvania and Texas, and provides administrative support for more than 3.6 million Medicare, Medicaid, and Dual Eligible members, generating the equivalent of $8.6B in annual premium revenue on behalf of its clients. Prior to starting TMG Health, Tighe was the senior vice president of government programs for Independence Blue Cross, where he was responsible for growing their Medicare and Medicaid businesses. He also served as Secretary of Administration and Deputy Chief of Staff to former PA Governor Robert P. Casey, where he spearheaded one of the Governor’s signature initiatives: Pennsylvania's Children’s Health Insurance Program (CHIP), which later served as the model for the popular Federal program.

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Ruth Watson

Ruth Watson

Executive Director, Operations
CalOptima

Ruth Watson is responsible for oversight and day-to-day operations of several CalOptima departments, including claims administration, customer service, grievance and appeals resolution services, coding initiatives, eBusiness, business continuity, and the project management office. Among her major accomplishments, Ms. Watson led the development of CalOptima’s eBusiness strategy, enhanced claims recovery programs, and implemented a web-based compliance, risk and governance system. Currently, she is responsible for the implementation of CalOptima's new provider portal. She has more than 25 years of health care operations experience. Prior to joining CalOptima, she served as vice president of membership accounting services for PacifiCare.

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