January 2023 ALL-STAR SPEAKERS

Blue Shield of California

Dr. Douglas Allen, MD., MMM

Senior Medical Director Government Programs
ATRIO Health Plans

Jessica Assefa

Chief Quality Officer
Priority Health

Charles Baker

Chief Compliance Officer
Network Health

Elizabeth Benz

Vice President Government Relations and Product Development
Providence Health Plan

Wynda Clayton, MS, RHIT

Director Risk Adjustment
Commonwealth Care Alliance

Lauren Easton

Vice President of Innovations
Clover Health

Julianne Eckert, RN BSN, CCM, CMCN, ACMP

Director of Quality Improvement
SCAN

Mark Fleming

Vice President, Service Innovations
healthAlign

Andy Friedell

Founder and CEO
Capital District Physicians’ Health Plan

Colleen Gianatasio

Director, Clinical Documentation Integrity and Coding Compliance
Prominence Health Plan

Bryan Gregory

Sr. Manager of Practice Performance
UCare

Gregory A. Hanley, FACHE, CPHQ

Vice President, Quality Management & Population Health
Geisinger

Allison Hess

Vice President, Health Innovation
Allymar Health Solutions

Kevin M. Healy

Chief Executive Officer
MVP Health Care

Nikki Hungate, MS, MHA

Senior Leader, Medicare Government Programs Product Strategy
Healthy People

Katharine Iskrant

President
ArchWell Health

Angi Jennings

VP of Operations
Cigna

Christine Leo

Vice President, Senior Products
BeneLynk

Sean Libby

President
Strategic Health Group

Henry W. Osowski

Managing Partner
Horizon Blue Cross Blue Shield of New Jersey

Steven R. Peskin, MD, MBA, MACP

Executive Medical Director, Population Health
Papa

Ellen Rudy, PhD

Vice President of Health and Social Impact
Ceresti Health

Dirk Soenksen

CEO & Co-founder
Vida

Jordan Taggart

Vice President, Market Access
UPMC Enterprises

Adele Towers, MD MPH FACP CRC

Director, Risk Adjustment
NationsBenefits

Daniel Weaver

Executive Vice President of Product Operations and Stars Strategy,
AdventHealth

Michael Zeli

Director of Risk Adjustment and Quality
Speakers Biographies


Dr. Douglas Allen, MD., MMM

Senior Medical Director Government Programs
Blue Shield of California
Dr Allen leads the Medicare clinical team for Blue Shield of California’s 140,000 MAPD members. In this role, he is accountable for STAR member experience measures, and works with other departments to improve STAR overall, risk adjustment, utilization and the portion of P&L that is related to clinical activity.

Beginning is career as an internist, after five years of clinical work he transitioned to administration. He now has over 24 years experience in healthcare administration. He has held CMO, VP and SVP positions with medical groups and IPAs as well as four health plans. Some of the organizations he has work with include CareMore, HealthCare Partners, Heritage Provider Network, Greater Newport Physicians and as the first national CMO for Optum’s medical group. He has also work with the health plans, including Molina, PacifiCare and Blue Shield of California.

Dr. Allen has developed a broad skillset over his career, but has particularly deep subject matter expertise in the areas of the California delegated model, Medicare Advantage, risk adjustment, STAR quality improvement, utilization management and information technology.

Jessica Assefa

Chief Quality Officer
ATRIO Health Plans
Jessica Assefa is the Chief Quality Officer at ATRIO Health Plans where she leads efforts to maximize outcomes for government regulated, Quality focused programs including Star Ratings, HEDIS, CAHPS , HOS, Rewards & Incentives and Quality focused payor-provider relationships for ATRIO Health Plan's multiple Medicare Advantage contracts in collaboration with key internal and external stakeholders.

Prior to joining ATRIO Health Plans, Jessica served as the Senior Director over the Star Ratings consulting divisions for Gorman Health Group and HealthScape Advisors. Jessica is an accomplished nurse with over twenty years of diverse experience and achievement in managed care, quality improvement and clinical operations. She has strong Medicare, Medicaid, Marketplace, and dual eligible programs knowledge. Jessica is also an experienced national conference presenter on the topics of heath care quality improvement and Medicare Star Ratings. She brings over ten years of managed care experience including delegated case management oversight and quality ratings program leadership, in addition to her years of nursing experience in the states of MN, IN and NY, primarily focused on geriatric, disabled and dual-eligible populations.

Charles Baker

Chief Compliance Officer
Priority Health

Elizabeth Benz

Vice President Government Relations and Product Development
Network Health
Elizabeth Benz leads Network Health’s Government Relations and Product Management team, spearheading product strategy, benefit design and the organization’s interactions with government partners. Elizabeth has more than 15 years of insurance industry experience, including over 10 years of executive leadership. Her experience includes Medicare, Medicaid, the Health Insurance Marketplace and traditional insurance products. Prior to joining Network Health, Elizabeth worked for multiple Fortune 500 insurers and held roles in compliance, government relations, business development, community engagement, sales and marketing.

Founded in 1982, Network Health offers customized commercial and Medicare health insurance services to employers, individuals and families in more than 23 counties throughout Wisconsin. Through its strong reputation for quality health care coverage and superior customer service, Network Health has grown to serve more than 120,000 members. Learn more at networkhealth.com.

Wynda Clayton, MS, RHIT

Director Risk Adjustment
Providence Health Plan

Wynda Clayton is a Risk Adjustment Manager at Providence Health Plans in Beaverton, OR. She received her Health Information Degree from College of Saint Mary’s, her BS in Health Care Management from Bellevue University and her MS from Clarkson College. Wynda has been in the health care field for over 25 years with experience on all phases from compliance to billing and reimbursement to coding to Quality Assurance to being a RADV Auditor to risk adjustment and providing physician education. Wynda is very enthusiastic and loves basketball, traveling and helping those unfortunate. To help is not always meaning to give, but it also means to teach others how to make a difference in their lives. Currently Wynda resides in Portland, OR with her husband Kevin. She can be contacted at [email protected]

Lauren Easton

Vice President of Innovations
Commonwealth Care Alliance

For over a decade, Lauren Easton, LICSW, has served as a Behavioral Health leader for Commonwealth Care Alliance (CCA). Over the years and in various roles, Lauren has been largely responsible for developing CCA's behavioral health integration across its care models, for creating a responsive network, and for creating many innovative programs, including CCA’s Crisis Stabilization Units. Lauren embraced the integration of behavioral health and medical care long before the concept became "trendy." She has made behavioral health integration a hallmark of program development throughout her professional life.

In her current role, Lauren is responsible for the oversight of CCA's behavioral health services, delivered through its network of behavioral health providers and internal behavioral health specialists to CCA's 22,000+ members. She is responsible for assisting clinical leadership in improving the level of integration of Primary Care and behavioral health services for CCA members and for guiding network development, cost management, and quality improvement activities. She oversees the Behavioral Health development and expansion of the One Care program and Senior Care Option Program, paying particular attention to the significant mental health needs of this population.

Lauren holds a master's degree from Simmons College School of Social Work. She also attended Boston University and the University of Massachusetts, where she completed a double Major in psychology and education.

Julianne Eckert, RN BSN, CCM, CMCN, ACMP,

Director of Quality Improvement
Clover Health

Julianne Eckert is the Director of Quality Improvement at Clover Health, a healthcare company using technology to improve health outcomes, where she is responsible for creating an organizational data driven innovative strategy that breaks the traditional model of healthcare to make it easier for providers and patients to deliver and receive healthcare.

She has spent her life using her personal and career experiences to help drive her mission as a patient advocate by driving health plan quality improvement strategy to prevent vulnerable populations from falling through the cracks by designing data and forward thinking programs that enable patients to easily navigate the complex matrices of healthcare and insurance. As a Registered Nurse (RN), daughter, mother and friend, she has seen first hand how people find it difficult in understanding how to care for themselves in a way that helps optimize their health outcomes or understanding their insurance benefits. She understands and has worked closely in designing strategies that bring care to patients in an easy and consumable format which breaks the traditional model of the patient seeking out the doctor for care. While her focus is on preventative care and ensuring safe and successful transitions through the care continuum, she also heavily focuses on improving patient experience with their health plan, providers and the services that they receive.

She understands that there is no single strategy that works for everyone and may even look different from one county to the next, so she continues to drive herself and her teams using root causal analysis and data driven insights to better understand populations and their unique needs to provide the most comprehensive program that touches every patient, not just “most” patients. She has sweeping subject matter experience in CMS innovation models, Stars program, NCQA HEDIS/CAHPS, health equity, as well as, national and international leadership in driving laser focused strategies to improve health plan performance and member outcomes/experience.

She received her Bachelor’s in Nursing at Barnes Jewish Goldfarb College of Nursing and is currently completing her MBA at University of Texas. She holds multiple certifications in Organizational Change Management, Case Management and also Managed Care. She is an avid mentor and career coach believing it is her mission to develop our next generation of leaders.

Julianne is currently in Austin, Texas where she lives with her husband raising their two young daughters.

Mark Fleming

Vice President, Service Innovations
SCAN

Andy Friedell

Founder and CEO
healthAlign

Andy provides strategic focus to healthAlign, ensuring that the work of the team is properly aligned with the goals of payers, patients and caregivers. He brings over 20 years of healthcare experience to the job. As Senior Vice President of Strategic Solutions at Maxim Healthcare Services, Andy oversaw the company’s nationwide Business Development across strategic accounts as well as program implementation and management for large-scale strategic engagements. His work driving the Product Development function there brought about a Community Based Care Management offering that has been shown to reduce readmissions by over 65% while also driving a 35% reduction in in-patient spending.

Andy came to Maxim from Medco Health Solutions where he worked on the development of the Medicare Part D drug benefit, the early launch of the internet pharmacy marketplace and the regulatory environment for mail service pharmacies. Andy began his career as an aide to former New Jersey Governor Christine Todd Whitman.

Colleen Gianatasio

Director, Clinical Documentation Integrity and Coding Compliance
Capital District Physicians’ Health Plan

Colleen Gianatasio CPC, CPCO, CRC, CDEO, CPC-P, CPMA, CPPM, CCS, CCDS-O, and AAPC Approved Instructor has over 20 years of experience in the health insurance field. She has experience in customer service, claims, quality, and coding. As Director, Clinical Documentation Integrity and Coding Compliance, Colleen’s primary responsibilities are provider engagement and clinical documentation improvement for accurate coding and reimbursement. Colleen specializes in developing innovative coding curriculum and instruction to support compliance with federal guidelines and appropriate reimbursement processes. She is a certified AAPC instructor and enjoys teaching a variety of coding, documentation, and auditing classes. Colleen serves as President of the AAPC National Advisory Board.

Bryan Gregory

Sr. Manager of Practice Performance
Prominence Health Plan

Bryan Gregory currently serves as the Senior Manager of Practice Performance for Prominence Health Plan. Prior to Prominence, he was at Vera Whole Health, and has served as Clinical Director for over 12 years across multiple organizations. Bryan’s deep experience in practice management as well as leadership in optimizing and implementing new systems and strategies have resulted in greater operational efficiencies and superior quality patient care for his plan’s members.

Gregory A. Hanley, FACHE, CPHQ

Vice President, Quality Management & Population Health
UCare

Greg has nearly 20 years of health plan experience in quality, population health and operations. In his current role, he provides strategic direction and leadership for Quality Management and Population Health including Star Ratings, NCQA Accreditation, Appeals & Grievances, Provider Credentialing, Disease Management and Health Services Analytics.
Prior to joining UCare, he was the Midwest Regional Director of Quality Improvement at Coventry Health Care in Kansas City, MO. As such, he oversaw Coventry’s credentialing, NCQA Accreditation, CAHPS and quality of care program, as well as its quality Committees and all quality improvement projects.
Greg retired from the Army in 2005 after a 21-year career as a Medical Service Corps Officer and in Psychological Operations.
Greg serves on the board for Minnesota Community Measurement (MNCM) and the MNCM Measurement and Reporting Committee. Greg is board certified by the American College of Healthcare Executives (ACHE) as a Fellow (FACHE) in health care management and previously served as the President for the Minnesota Chapter of ACHE. He is a Certified Professional in Healthcare Quality (CPHQ) and earned a Bachelor of Arts degree from St. Cloud State University, and Master of Business Administration from Portland State University.

Allison Hess

Vice President, Health Innovation
Geisinger

Allison Hess is the Associate Vice President of Health and Wellness Programs for Geisinger. In this role, she is responsible for the oversight of health and wellness programs for commercial, Medicare and Medicaid populations, community based programming and programming for the Geisinger employee population. Ms. Hess earned her bachelor of science in Health Education with a concentration in Psychology from Bloomsburg University and is currently pursuing her MBA. She is a Certified Wellness Practitioner (CWP) and has additional certifications in the wellness and health education field. Ms. Hess has worked for over 15 years in the specialty of community health and worksite wellness. Her most recent work involves community based strategies impacting food insecurity and focusing on social determinants of health and the impact on condition management.

Kevin M. Healy

Chief Executive Officer
Allymar Health Solutions

Kevin M. Healy is the CEO for Allymar Health Solutions and has held the position since the company’s inception in 2021. Kevin has been in the healthcare business for more than 22 years. Prior to joining Allymar Kevin was the Senior Vice President for Optum for 12+ years. At Optum Kevin was one of very few leaders that worked within the Optum Insight, Optum Health and Optum Rx lines of business. Kevin was brought into Optum when they acquired Inspiris, an in-home assessment care/care management and Hospice organization, where he was Chief Development Officer. Kevin also served as the SVP of Sales for Warm Health (sold to Altegra, now Change Health), the Managing Director of Social Service Coordinators (Sold to Altegra, now Change Health) and the VP of Sales for Healthcare Dimensions (SilverSneakers Fitness Program) which was acquired by Axia Healthcare and then Healthways (Now Tivity). Prior to healthcare, Kevin spent 14 years in the sports marketing/communications and golf business in various sales, product and marketing roles.

Nikki Hungate, MS, MHA

Senior Leader, Medicare Government Programs Product Strategy
MVP Health Care

Nikki Hungate, a long-time resident of the Western New York region, currently serves as the Senior Leader of Medicare & Government Programs Product Strategy at MVP Health Care. Utilizing the 17 years of experience in the health plan industry she is accountable for leading a team of product innovators that create and deliver a suite of high-quality government products that address the needs of the community in a customer-centric fashion, placing emphasis on those populations that are most vulnerable and underserved.

Nikki holds a Bachelor and Master of Science in Health Administration from Roberts Wesleyan College. She is currently a doctoral candidate at the University of Charleston in the Executive Leadership program. Nikki has a passion for sharing knowledge, and also serves as an adjunct professor in the health sciences degree programs at Monroe Community College and Roberts Wesleyan College. In her free time, she volunteers as fundraising coordinator for the local Vietnam Veterans of America chapter in Rochester, NY

Katharine Iskrant

President
Healthy People

Katharine is the President of Healthy People, an NCQA-licensed HEDIS audit firm and CMS Data Validation firm. She is a member of NCQA’s Audit Methodology Panel and NCQA’s HEDIS Data Collection Advisory Panel. Katharine has been a Certified HEDIS® Compliance Auditor since 1998 and has directed more than two thousand HEDIS audits.

Previously, as CEO of the company Acumetrics, Katharine provided consultancy services to NCQA which helped their initial development and eventual launch of the NCQA Measure Certification Program.

Katharine is a frequent speaker at HEDIS conferences, including NCQA’s Healthcare Quality Congress and RISE HEDIS conferences. She is featured on an NCQA podcast, discussing the HEDIS Electronic Clinical Data System Measures: https://blog.ncqa.org/inside-h...

She received her BA from Columbia University and her MPH from UC Berkeley School of Public Health. She is a member of the National Association for Healthcare Quality and is published in the fields of healthcare and public health.

Angi Jennings

VP of Operations
ArchWell Health

Angi is the VP of Operations at ArchWell Health, a venture-backed value-based care provider. At ArchWell, she is responsible for developing a best-in-class senior-based primary care delivery model with their physician leadership, driving achievements in both member experience and clinical outcomes. Prior to ArchWell, Angi was Associate Director of Clinical Strategy and Operations at Humana, managing operations for Conviva Care Solutions, Humana's wholly owned primary care solution. Angi has more than 20 years of hospital and primary care experience, and has developed deep expertise in strategic planning, project management, cost reduction, revenue optimization, and turnaround management

Christine Leo

Vice President, Senior Products
Cigna

Ms. Leo oversees the overall performance, strategic direction and product development for Cigna Healthspring's Medicare products. Prior to joining Cigna, she worked for Aetna, where she was most recently was the National Head for Medicare Advantage product and strategy.

Previously, Ms. Leo held leadership roles at Aetna in national contracting, network contracting, operations and dental. She has an MBA from St. Joseph's University and lives in Philadelphia with her husband and daughter.

Sean Libby

President
BeneLynk

Sean has worked at the intersection of managed care and government benefit programs for the past 19 years. He is responsible for BeneLynk’s product development, new business acquisition, and strategic growth initiatives. Prior to BeneLynk, Sean served as the President of Freedom Disability and Alpha Disability, one of the nation’s largest Social Security Disability and Veterans Advocacy companies. Before that, Sean served as Vice President, Sales for SSC Disability, providing government program benefit services for Managed Care Organizations.

He is recognized by the Social Security Administration as a non-attorney representative (EDPNA) and has personally represented claimants in hearings for Social Security Disability Insurance and Supplemental Security Income throughout the country.

Sean is an expert on a wide variety of government benefit programs and has been quoted in Bloomberg, Business Week, and other national publications. He regularly publishes articles on managed care and government benefits for BeneLynk’s blog.

Sean is a graduate of Middlebury College and has a master’s degree from Yale University.

Henry W. Osowski

Managing Partner
Strategic Health Group

Hank Osowski, a Founding Member of Strategic Health Group, is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than 30 years. He currently is the Managing Director of Strategic Health Group, a new boutique strategic and financial advisory firm dedicated to bringing seasoned leadership to enable health care organizations to succeed in a challenging and changing environment. He is an expert in Medicare Advantage and Medicaid long-term care strategies.

Formerly, as Senior Vice President Corporate Development, he was a key member of the senior leadership team that the company from a near death experience to an exceptionally strong financial position. He led SCAN Group's efforts to expand into seven additional California counties. Hank also led SCAN's entry into Arizona and served as the initial President of SCAN Health Plan Arizona and SCAN Long Term Care. The service area expansions represent approximately a quarter of SCAN's membership and added nearly $450 million to SCAN's revenue. He also led the organization's strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols.

Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He began his California career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial turnaround of the Individual and Small Group Division and provided leadership to the organization's strategic planning efforts.

Earlier he served as Vice President International Operations for American Family Life Assurance Corporation where he directed the activities of the company's Canadian and European operations. In this role he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company's Canadian operations. Earlier, Hank also served as Director of Insurance Consulting Services for Coopers and Lybrand, a predecessor to PriceWaterhouse Coopers.

Throughout his career, he has been a frequent speaker on critical issues and challenges facing the Medicare and Medicaid programs. In 2011, Hank spoke to the Managed Medicaid Congress about principles for structuring effective long term care programs, to the Medicare Market Innovations conference about opportunities for strengthening a plan's five star quality rating and offered his strategic projections for the future of Medicare. He also spoke to a diverse health care and technology audience at the Healthcare Unbound conference about leveraging the power of technology to improve the quality of health outcomes and care interventions.

Steven R. Peskin, MD, MBA, MACP

Executive Medical Director, Population Health
Horizon Blue Cross Blue Shield of New Jersey

Steven R. Peskin, MD, MBA, MACP is the Executive Medical Director, Population Health at Horizon Blue Cross Blue Shield of New Jersey. His expertise encompasses physician leadership, population health management, clinical and operational performance improvement in health care, medical education and scientific communications. He has been one of the driving forces for the creation of and successful maturation of value based models in New Jersey.

Dr. Peskin is an Associate Clinical Professor in the Department of Medicine at Rutgers Robert Wood Johnson Medical School. He is a clinical preceptor at The Eric B. Chandler Clinic for interns and residents in Internal Medicine. Dr. Peskin assists with the Population Health and business of medicine training for the Rutgers RWJ Internal Medicine physicians in training. Dr. Peskin was advanced to Master of the American College of Physicians in 2020.

Dr. Peskin received his bachelor’s degree from The University of North Carolina Chapel Hill and medical degree from Emory University School of Medicine. He completed residency at Saint Elizabeth’s Medical Center in Boston and holds an MBA from the Sloan School of Management at Massachusetts Institute of Technology.

Ellen Rudy, PhD

Vice President of Health and Social Impact
Papa

Dr. Ellen Rudy serves as the Vice President of Health and Social Impact at Papa with the responsibility to evaluate Papa’s impact on members’ quality of life, health outcomes and total cost of care. Dr. Rudy earned her Ph.D. in Epidemiology from University of California, Los Angeles and completed a postdoctoral fellowship in Health Policy and Research at RAND/UCLA. She most recently worked at Molina Healthcare, a managed care organization providing Medicaid and Medicare health care services with leadership responsibility across Population Health Management, Health Policy and Research, Quality and Healthcare Operations.

She currently serves as an expert faculty member at University of Southern California Sol Price School of Public Policy. She is an avid hiker, skier, and mom of two kids and two rescue dogs.

Dirk Soenksen

CEO & Co-founder
Ceresti Health

Dirk Soenksen is a strategic results-oriented healthcare executive with a demonstrated track record of building winning teams to commercialize novel technologies and services.

Dirk Soenksen is co-founder and CEO of Ceresti Health, the leader in virtual care for patients with conditions that require high levels of family caregiver support, starting with dementia (i.e., Alzheimer’s Disease and related dementias), the most expensive disease in the America. Ceresti offers a digital caregiver empowerment program that increases caregivers’ knowledge, skills and confidence, and has demonstrate, with statistical significance, that more knowledgeable and confident family caregivers can reduce patients’ medical costs.

Prior to co-founding Ceresti, Mr. Soenksen was founder and CEO of venture-backed Aperio which he built into the recognized global leader in digital pathology. Aperio was acquired by Danaher/Leica Biosystems in October 2012. In 2006, Mr. Soenksen founded the Digital Pathology Association (DPA), a non-profit organization comprising major vendors and leading pathologists, with the goal of establishing best practices and increasing awareness of digital pathology. Dirk served as President of the DPA from its inception until 2012, and as a board member of the DPA through the end of 2014. He has an undergraduate degree in Chemistry from Bowdoin College, and a graduate degree in electrical engineering from the University of Pennsylvania. He also earned his MBA from Pepperdine University.

Jordan Taggart

Vice President, Market Access
Vida

Jordan is Vida’s SVP of Market Access. Jordan has a diverse background working with both payers and providers nationwide and has spent much of his career forging new partnerships and bringing value-based models to market. Most recently, Jordan was the VP of Health Plan Accounts at Lumeris, where he led the launch of a start-up Medicare Advantage plan and was responsible for strategy, growth, and account management. Prior to Lumeris, Jordan was a consultant to health systems and health plans at both The Chartis Group and HealthScape Advisors and spent a number of years in the Blues at Health Care Service Corporation.

Adele Towers, MD MPH FACP CRC

Director, Risk Adjustment
UPMC Enterprises

Dr. Towers is the Director of Risk Adjustment for UPMC Enterprises, and is also a geriatrician on the faculty at the University of Pittsburgh. At UPMC Enterprises, she is directly involved in the development of healthcare related technology, with emphasis on use of Natural Language Processing (NLP) for Risk Adjustment coding and use of Clinical Analytics to optimize clinical performance. Prior to this role, she has served as the Medical Director for Health Information Management at UPMC with responsibility for Clinical Documentation Improvement as well as inpatient coding denials and appeals. She has been on the faculty in the Division of Geriatric Medicine at the University of Pittsburgh for over 25 years and continues to see patients at the Benedum Geriatric Center in UPMC. She is the former Medical Staff President at UPMC Presbyterian, and her prior positions have been as Vice Chair for Quality Improvement and Patient Safety for the Department of Medicine, Medical Director of UPMC Home Health, Medical Director of the Benedum Geriatric Center and Medical Director of Primary Care at the Western Psychiatric Institute and Clinic. Dr. Towers has presented the experience at UPMC with use of NLP and Clinical Analytics at multiple regional and national conferences.

Daniel Weaver

Executive Vice President of Product Operations and Stars Strategy
NationsBenefits,

Daniel Weaver is the Executive Vice President of Product Operations and Stars Strategy at NationsBenefits, with nearly 25 years of experience in Operations and Star Ratings strategy. Daniel most recently served as VP, Government Quality Programs at Gateway Health, where he led the company to its first 4.5 Star Rating and an improved Medicaid NCQA Accreditation rating. In his career, Dan has overseen the development and implementation of many analytics-driven and customer-focused programs, and he advocates for continuous improvement and operational excellence philosophies for sustained success. In his new role with NationsBenefits, Daniel will drive strategic planning, facilitate execution, oversee product financial performance, manage operational performance across all products, and ensure strong internal controls are in place to enable efficiency in the growth of the business. Daniel will also help drive prospective and retrospective investigation into quality outcomes and customer engagement across the company’s distinct benefit management programs while continuing to innovate new solutions for health plan partners focused on growth and strong quality performance.

Michael Zeli

Director of Risk Adjustment and Quality
AdventHealth

Have had over 20 years of Healthcare experience w/ 10+ years in risk adjustment with an emphasis on Medicare Advantage. Experience has ranged from managing RAF coding production, estimating risk adjusted financial accruals, managing vendor relationships, RAPs and EDS processes, In home assessments, and other prospective CDI programs. Have spent the past four years as the Director of Risk Adjustment and Quality for AdventHealth. Current role leverages prior health plan experience to educate AdventHealth providers on the importance of risk adjustment and coding to the highest level of specificity.