2019 Speakers

SelectHealth

Kim Barrus, MSN, BSCIS, RN, PMP

Medical Home Manager
NovuHealth

Cory Busse

Sr. Director, Health Care Engagement Strategist
Blue Cross Blue Shield Massachusetts

Michael Cipullo

Director of Stars
Priority Health

Jennifer Cobb

Manager 5-Star Quality
Wolters Kluwer

Shara Cohen

Vice President, Customer Experience
Health Sun Health Plans

Karen W. Connolly, RN

Senior VP/QI and Accreditation
Tufts Health Plan

Debra A Corbett

Program Director, Senior Products Clinical Services Strategy
Johns Hopkins HealthCare

Damien Doyle, MD/CMD/FAAFP

Medical Director, Medicare Advantage MD / USFHP
Commonwealth Care Alliance

Lauren Easton

Senior Director, Behavioral Health
CarePlus HealthPlans / Humana Inc.

Ana Luisa Esquivel

Stars Improvement Lead
Highmark

Jennifer Hayes, DNP, CPC, CPCO, CDEO, CRC, AAPC Fellow

Manager, Quality, HEDIS & Coding Revenue Program Management
Harvard Pilgrim Health Care

Noreen Hurley

Program Manager, Star Quality & Performance
Florida Blue

Aldiana Krizanovic, MPH, CPH

Senior Health Policy Consultant for Federal Government Relations
CareOregon

Anna Lynch

Stars Manager
Martin’s Point Health Care

KAREN MANNING

Director Strategic Quality Programs
Cigna-HealthSpring of Florida

Tamara Matos

Business Project Manager, Stars Operations Director-Miami
CipherHealth

Friso van Reesema, M.P.H. M.B.A.

VP of Managed Care
Insightin Health

Enam Noor

CEO & Founder
RxAnte

Kerri Petrin

Vice President, Client Services
Priority Health

Reva Sheehan

Sr. Improvement Specialist – Medicare Quality
CareOregon

Toc Soneoulay-Gillespie, MSW

Social Services Manager, Population Health Partnerships
UCare

Rachel Sterner

Stars Program Manager
SCAN Health Plan

Donna Sutton

Healthcare Informatics, Director of Medicare Star Quality Programs
Hyperlift, Inc.

Mick Twomey

President and Chief Operating Officer
Gateway Health, Highmark

Dan Weaver

Vice President, Stars Quality, Formerly Director of Program Management, Government Business, Quality Improvement
Geisinger

Maria Welch

Sr. Wellness Specialist
CareSource

Karin VanZant, MPA, VP

Integrated Community Partnerships
Network Health

Andy Wheaton

Medicare Pharmacist
Speakers Biographies


Saeed Aminzadeh

CEO
Decision Point Healthcare Solutions

Saeed founded Decision Point with the mission of improving health plan clinical, financial and operational performance through informed, data-driven predictions on strategic decisions. He has more than 25 years of health information technology experience, with a track record of developing innovative approaches to solve complex business problems. He has held key senior management positions at Eliza Corporation, Ingenix (currently Optum), IHCIS and ProVentive, where led high-performing teams focused creative uses of technology for practical problem-solving. Saeed is a graduate of The Johns Hopkins University with a BA in Economics.

Kim Barrus, MSN, BSCIS, RN, PMP

Medical Home Manager
SelectHealth

Kim is a registered nurse who received her Bachelor of Science in Computer Information Systems from Columbia College of Missouri, and her Bachelor of Science in Nursing and Master of Science in Nursing from Western Governors University. She also maintains a Project Management Professional (PMP) certification from the Project Management Institute (PMI).
Kim Barrus began her career with SelectHealth 23 years ago and has worked in a variety of capacities in that time. Her current focus has been on the development and management of the SelectHealth Advanced Primary Care (a.k.a., patient centered medical home) program and supporting department. Kim facilitated the initial pilots of the program in 2010. Today the program has 1,085 participating providers at 200 participating clinics.

Cory Busse

Sr. Director, Health Care Engagement Strategist
NovuHealth

Cory Busse is a Senior Director, Health Care Engagement Strategist at NovuHealth. With 20 years of healthcare industry experience, Cory helps health plans optimize (and maximize) engagement with hard-to-reach member populations to improve quality, enhance member satisfaction and manage costs.

Prior to NovuHealth, Cory was a senior leader at health tech firm DrFirst, where he helped make patient health data more available and actionable for practitioners. He has also held senior leadership positions at Prime Therapeutics, Blue Cross Blue Shield of Minnesota, ARKRAY and MGI Pharma.

Michael Cipullo

Director of Stars
Blue Cross Blue Shield Massachusetts

Damien Doyle, MD/CMD/FAAFP

Medical Director, Medicare Advantage MD / USFHP
Johns Hopkins HealthCare

Dr. Doyle is a board certified Family Practice and Geriatrics physician. He completed his undergraduate and medical school training at the University of Wisconsin – Madison before pursuing a Family Medicine residency at the University of North Carolina Chapel Hill program in Greensboro and a Geriatrics Fellowship at Wake Forest University in Winston-Salem, North Carolina. After moving to the Washington DC area in 2001, he was in private practice in Northern Virginia for several years before moving to the Hebrew Home of Greater Washington in 2003. He directed the outpatient clinics and assisted living facility at Hebrew Home until 2008 when he assumed the role of Medical Director of the Hebrew Home campus. In 2011 he became Medical Director of Evercare MidAtlantic (now Optum Health) overseeing care of enrollees in over 65 facilities in Maryland, Washington DC and Virginia in addition to a large and growing community based program. In September of 2015 he moved to Johns Hopkins HealthCare LLC to help implement and oversee the new Medicare Advantage MD program. He continues to see geriatrics patients at the Landow House Assisted Living Facility of Hebrew Home.

Dr. Doyle has been involved in numerous advanced care protocols and has served on the regional boards of the American Geriatrics Society and the American Medical Directors Association. He has been involved in numerous state-wide initiatives including the Governor’s task force on Health Information Exchange, the Maryland Medical Orders for Life Sustaining Treatments and the Transitions in Care Initiative. He was a clinical professor of Geriatrics at both Georgetown University and the George Washington School of Medicine and actively involved in the training of Geriatrics professionals. His main areas of interest include Geriatric Psychiatry issues, quality of life measures and improvement in transitions of care outcomes.

Noreen Hurley

Program Manager, Star Quality & Performance
Harvard Pilgrim Health Care

Noreen has spent her career in the healthcare arena. She blends operational, strategic and technology perspectives as well as payer and provider expertise to lead major initiatives and strategies. She started in hospital operations and was Director of the Admitting & Registration department in the New England Deaconess Hospital, a Harvard teaching hospital in Boston. Transitioning to IT, she implemented the EMPI (Enterprise Master Patient Index) when the Deaconess merged with the Beth Israel Hospital to form what is now the Beth Israel Deaconess Medical Center. From there she moved to the vendor world and ran implementations of EMPI's, HL7 integrations and HIPAA EDI transactions for SeeBeyond Technologies.
Most recently, she has focused on the payer space. She started and oversaw the Star program at Tufts Health Plan, as well as working in IT, developing a senior products PMO and managing the member call center. Moving back to technology, she developed data driven solutions in the healthcare space while working at Informatica. Her current role is developing the Star program at Harvard Pilgrim Health Care, which has recently re-entered the Medicare Advantage market. As a leader in the Clinical Informatics Division, the program focuses on leveraging non-traditional data and analytics to craft targeted initiatives to improve performance in the Star program and the Harvard Pilgrim Stride product

Reva Sheehan

Sr. Improvement Specialist – Medicare Quality
Priority Health

Reva Sheehan, Sr. Improvement Specialist in Medicare Quality at Priority Health. With over 10 years in healthcare, Reva has overseen operations of several long term care pharmacies and compound labs prior to joining the Senior Markets team at Priority Health where she transitioned from Part D Pharmacy Operations to Medicare Quality.

Toc Soneoulay-Gillespie, MSW

Social Services Manager, Population Health Partnerships
CareOregon

Toc Soneoulay-Gillespie has over 20 years of experience working with and advocating for refugees and immigrants. As a 1.5 generation refugee, she brings a unique perspective for understanding the strengths and complexities of this community. She holds a bachelor’s degree in Anthropology/Sociology from Eastern Oregon University and a Master of Social Work from the University of Alaska Anchorage. As an interpreter, consultant, trainer, and community organizer, she believes strongly in raising awareness about meaningful language access and when introduced with humility, can reshape the narratives of historically under-served limited English proficient communities and ultimately transform systems. Ms. Soneoulay-Gillespie serves as a commissioner on the Oregon Commission on Asian Pacific Islander Affairs and in her current role as the Social Services Manager at CareOregon, she continues to be a fierce advocate, promoting health equity across the healthcare network.

Rachel Sterner

Stars Program Manager
UCare

Rachel Sterner, MPH has almost 10 years of extensive knowledge and experience working in Minnesota’s quality landscape, both on the government and payer side. She has experience improving health outcomes for individuals in a variety of insurance types including Medicare, Medicaid, Dual- Eligible, and Special Needs. As the Stars Program Manager at UCare, Rachel has responsibility for the facilitation and coordination of the Star Ratings program for UCare’s five Medicare Advantage and Dual Eligible products.

In addition, she plays a significant role in working with UCare’s provider network on joint ventures aimed towards increasing ratings. UCare’s Medicare offerings include: UCare Medicare (Medicare Advantage), Minnesota Senior Health Options (MSHO) which is a D-SNP plan combining Medicare and Medical Assistance benefits/services to low income seniors, EssentiaCare (Medicare Advantage) between Essentia Health (local care system) and UCare, Connect + Medicare (Special Needs Basic Care) combines benefits /services of Medicare and Medical Assistance for individuals with certified disabilities aged 18 to 64, and UCare Medicare with Fairview and North Memorial (Medicare Advantage) between UCare and two local care systems. Rachel has been a key contributor in increasing UCare’s MSHO Star Rating to 4 Stars and maintaining 4.5 for UCare Medicare.

Lauren Easton

Senior Director, Behavioral Health
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.

Ana Luisa Esquivel

Stars Improvement Lead
CarePlus HealthPlans / Humana Inc.

Ana Luisa Esquivel is a Stars Improvement Lead for CarePlus HealthPlans in Orlando, FL. CarePlus is a subsidiary Medicare Advantage plan of Humana Inc. which achieved a 5-Star Rating from CMS for the 2019 plan year. Ana Luisa has worked in the healthcare space for over 9 years holding various positions in pharmacy and stars. As a Stars Improvement Lead, Ana Luisa is responsible for the oversight of CAHPS & HOS measures and the development of campaigns to increase these ratings.

Jennifer Hayes, DNP, CPC, CPCO, CDEO, CRC, AAPC Fellow

Manager, Quality, HEDIS & Coding Revenue Program Management
Highmark

Dr. Hayes works at Highmark, Inc. in Revenue Program Management as the Manger for Quality, HEDIS and Coding. She has over 27 years’ experience in the healthcare industry spanning roles as both a provider and manager. She has extensive knowledge in the areas of clinical quality, healthcare leadership, risk revenue, HEDIS and documentation improvement.

Donna Sutton

Healthcare Informatics, Director of Medicare Star Quality Programs
SCAN Health Plan

Donna received her MBA from the University of Southern California (USC) and is a Certified Master Black Belt in Six Sigma. She has over 14 years of experience managing and conducting process improvement projects. Her most recent experience prior to SCAN includes various process improvement roles at OptumInsight and OptumRx. Her responsibilities at SCAN include managing the deployment of and providing oversight over SCAN's 5 Star programs and interventions.

Mick Twomey

President and Chief Operating Officer
Hyperlift, Inc.

As Hyperlift’s Chief Operating Officer, Mick oversees all aspects of product design and customer experience. His background includes a mix of leadership roles in global management consulting firms and founder roles in entrepreneurial digital ventures. Since Hyperlift’s inception, Mick has been a regular speaker at Medicare Advantage conferences with a focus on Stars improvement. Mick has worked with Stars teams at organizations of all sizes and performance levels. From single contact plans with less than 5,000 members to large multi-state plans with millions of members – Mick’s focus is to collaboratively work with Stars teams to gain a deep understanding of their unique situation and help create an operating model that drives sustainable results.

Hyperlift’s position on driving sustainable results in a Stars environment is combining the right internal resources and infrastructure, with the right approach for year-round management, and the tools and technology to support it.
Hyperlift offers a technology-enabled approach designed to reduce risk and improve results by combining a sophisticated suite of Stars technology solutions, with leading intervention identification expertise, and the knowledge and expertise of the internal Stars team. The approach is tailored to each plan and facilitated by Hyperlift’s experienced team to enable transparency across the organization and limit the time required for Stars leaders.

Jennifer Cobb

Manager 5-Star Quality
Priority Health

Masters-level professional working in managed care for over 10 years. I’m a motivated, annoyingly positive, loyal and hardworking collaborator at heart. I’m passionate about building business acumen and helping my peers learn while continuing my own education. Bringing out the best in others is what brings out the best in me!

Shara Cohen

Vice President, Customer Experience
Wolters Kluwer

Shara is Vice President, Customer Experience at Wolters Kluwer. Her primary responsibility is to ensure the company has a deep understanding of customer needs and challenges. Shara and her team foster a company-wide culture that is focused on ensuring maximum customer success with Clinical Effectiveness solutions. Before joining Wolters Kluwer, she held senior management positions in marketing, sales and customer care with a range of small to Fortune 100 companies. She earned her Bachelor of Arts from University of California, Berkeley and obtained her Juris Doctor degree from Fordham University School of Law.

Karen W. Connolly, RN

Senior VP/QI and Accreditation
Health Sun Health Plans

Karen Connolly, RN, a health care professional, has over 40 years of extensive experiences in operational leadership in health care quality delivery and management including quality management and improvement in health care. She has been involved in nursing and hospital administration and in operational leadership with the health plan industry to include QI, accreditation attainment, HEDIS, health information, contract administration, risk management and strategic planning. Her expertise and experiences in quality improvement activities have included activities in both the hospital and ambulatory settings and interfacing with a number of external agencies in the promotion of quality and in the use of data to increase access to care and to increase the quality of health care delivery systems. She has worked consultatively in the health plan community with Medicaid Advantage, Medicaid, and Commercial health plans in the areas of compliance, QI, operational leadership, accreditation achievement, key metrics, and HEDIS with emphasis with the CMS Medicare Advantage Stars Program for over 14 years. She has facilitated strategic planning sessions and performed analytical evaluation, database management, and quality improvement of key performance indicators that have resulted in statistically significant improvements impacting health outcomes particularly focused in the health plan that has resulted in impacting star ratings including the achievement of a 5 Star Rating from CMS. Ms. Connolly has worked with organizations throughout the country in the achievement and continued compliance with accreditation with NCQA, AAAHC, and The Joint Commission.

Ms. Connolly has been an accreditation surveyor with the Accreditation Association for Health Care Administration (AAAHC) since 1998 and serves as faculty for AAAHC educational programs. Ms. Connolly serves as the Chair of AAAHC's Health Plan Advisory Committee and is a member of AAAHC's Standards and Survey Process Committee. She has served on a number of other committees, workgroups and task forces for AAAHC that have included the Medical Home Advisory Committee, the Task Force on Quality Improvement, the Task Force for Primary Care, and workgroups for Patient Center Medical Home and Scoring Methodology. She currently serves on 2 CMS national technical expert panels on Quality Improvement Strategies and the Quality Reporting System in conjunction with the Affordance Care Act. She is an under-graduate of DePauw University School of Nursing in Indiana and did her graduate studies at Oakland University and University of Michigan in Michigan.

Anna Lynch

Stars Manager
CareOregon

Anna Lynch is the Member Engagement Manager at CareOregon. She leads member engagement activities by integrating and aligning efforts across all CareOregon departments and CCOs to meet organizational performance excellence. Anna Lynch has been with CareOregon since 2014 and prior to that worked as Operations Director for The Wallace Medical Concern where she led the transition from a small volunteer based clinic into a Federally Qualified Health Center. She has over twenty years’ experience in healthcare with a background in health promotion and health education, organizational development and member engagement. She holds a Master’s of Public Health from the University of Portland and a Bachelor of Arts in Philosophy from Mount Holyoke College.

Tamara Matos

Business Project Manager, Stars Operations Director-Miami
Cigna-HealthSpring of Florida

Having a Bachelor Degree in Biology and a Master Degree in Business Administration guided me to start working in the health care industry since 2005. I have had exposure to numerous operational and administrative positions. These prior experiences was a great preparation that leads me to focus on my passion that is Star Ratings, HEDIS and Quality Improvement. I have been lucky enough to work in this field since 2011. My mission is to support and lead operational activities to reflect the excellent quality of care we provide. The past few years I have been dedicated to increase Cigna HealthSpring of Florida overall Star Ratings to the Medicare’s highest rating: 5 Stars on 2019.

Friso van Reesema, M.P.H. M.B.A.

VP of Managed Care
CipherHealth

Friso van Reesema, M.P.H. M.B.A. is the VP of Managed Care for CipherHealth, supporting health plans with member engagement. Prior to Cipher, Friso helped over 15 health plans with member engagement through member education programs and empowered plans, providers and patients with shared decision making. Through his academic background in business, cultural anthropology and public health, Friso aims to build partnerships to encourage social, behavioral and community change through the right balance of member, community and provider engagement. Friso is a co-Chair for the Connecticut Hospital Association Patient Family Advisory Committee (PFAC), as well as the co-Chair for the Stamford Hospital’s PFAC, where patient-centered care is achieved through patient and family engagement and co-design. Friso is a Board Member of Health Equity Initiative reducing health disparities and a local Boys and Girls Club. To support social determinants of health, Friso is on the NY Advisory Committee for FEAST, a non-profit engaging vulnerable women with diabetes to shop, prepare, cook and serve nutritious meals.

Enam Noor

CEO & Founder
Insightin Health

Enam Noor is the founder and CEO of Insightin Health. Enam has spent the last 20 years in marketing analytics and consumer engagement and the last decade in healthcare member engagement optimization. He was the founder of Desme, a cloud-based strategic marketing consultancy that utilizes big data and machine learning to provide Business Intelligence automation. The company was named Top 10 Search Engine Marketing Firms by INC. Magazine. Enam was the key strategist for a Gartner CRM Excellence Award for healthcare member engagement and was honored by DCA Live as an Entrepreneur to Watch in 2018 for DC’s tech community.

Debra A Corbett

Program Director, Senior Products Clinical Services Strategy
Tufts Health Plan

Debra A Corbett is the Program Director for Senior Products Clinical Services Strategy for Tufts Health Plan, a multi-year 5 CMS Star Plan. In that capacity, she manages a number of Clinical Stars Quality Improvement Campaigns as well as the Chronic Care Improvement Program (CCIP), Performance Improvement Projects (PIP) and Quality Improvement Projects (QIP) and the Dual Special Needs Program (SNP) Model of Care. Ms. Corbett has more than 20 years of experience in the managed care industry; serving predominately as senior administrator for quality and/or care management in several Health Plans. She has also provided consultation services for more than 10 years.

Dan Weaver

Vice President, Stars Quality,
Gateway Health,
Formerly Director of Program Management, Government Business, Quality Improvement,
Highmark

Daniel Weaver is an established leader with extensive experience developing and implementing intervention strategies to improve Medicare Stars performance. With demonstrated success with innovative intervention programs, Daniel's team has consistently delivered market-leading performance and forward-thinking engagement with providers and members.

Maria Welch

Sr. Wellness Specialist
Geisinger

Maria Welch is a Senior Wellness Specialist at the Geisinger Steele Institute for Innovation. Maria specializes in the coordination and management of programs addressing social determinants of health across the Geisinger clinical enterprise and community partners. Maria’s role also includes a strong focus on food insecurity, housing and the use of technology applications to address SDOH. Prior to this role, Maria managed chronic disease programs and developed, implemented and evaluated wellness programs for Medicare, Medicaid and community populations within Geisinger's service area. She is also a Master Trainer and instructor for many of the chronic disease programs offered by Geisinger. A native of Pennsylvania, Maria earned her B.S. in Biology from Juniata College and her M.P.H. from West Chester University of Pennsylvania

Karen Manning

Director Strategic Quality Programs
Martin’s Point Health Care

Karen Manning is the Director Strategic Quality Programs and Medicare Revenue Operations for Martin’s Point Health Care in Portland Maine. She is a Registered Nurse with 20 years of healthcare experience, spending the last 8 years working in managed care. Her responsibilities include Quality Improvement, HEDIS, Stars, Accreditation, Quality of Care and Delegation Oversight. She is also responsible for Medicare Revenue work, including Retrospective, Prospective, Quality and Compliance. This has presented an opportunity to create strategic integration between quality and revenue functions in the organization.

Karen has experience with Medicare, USFHP, Medicaid, SNP and Commercial lines of business. Her interest is in developing high performing teams and implementing quality improvement initiatives for key performance indicators. This work has resulted in the achievement of a 5 Star Rating from CMS and Excellent Accreditation from NCQA.

Kerri Petrin

Vice President, Client Services
RxAnte

Ms. Petrin handles the strategic management of RxAnte’s portfolio of client accounts, serving as an expert on client issues; she leads a team focused on the development and deployment of RxAnte’s products and services.

Ms. Petrin previously worked as a Project Officer for the Beacon Community Program at the Office of the National Coordinator for Health IT, leading a data and performance measurement program. She also held roles at The Brookings Institution and the Puget Sound Health Alliance.

Ms. Petrin holds a Master of Public Health degree from the University of Washington and a Bachelor of Science from Duke University.

Aldiana Krizanovic, MPH, CPH

Senior Health Policy Consultant for Federal Government Relations
Florida Blue

Aldiana Krizanovic is the Senior Health Policy Consultant for Federal Government Relations at Florida Blue. In her prior role she served as a Health Policy Analyst for the Florida Blue Center for Health Policy. She holds a Master's in Public Health with a concentration in Health Policy from the University of North Florida. She specializes in Medicare regulation, with a focus on Medicare Advantage and Part D. In her role she monitors and analyzes Medicare regulatory changes and their impact to the business. Aldiana is passionate about advancing development of health policy that improves access to care for vulnerable populations, decreases cost of care, and improves individual's quality of life. She serves as an advisor to the Age-Friendly Public Health System Advisory Committee led by Trust for America's Health and the John A. Hartford Foundation.

Karin VanZant, MPA, VP

Integrated Community Partnerships
CareSource

Karin VanZant is the Vice President of Integrated Community Partnerships at CareSource. Since 2015, Mrs. VanZant oversees the work of Social Determinants of Health at CareSource and the full integration into the Population Health Model. Specifically, Mrs. VanZant has built the JobConnect Program - a workforce development program that assists CareSource members to enter into full-time, permanent employment. In 2015, JobConnect started in Ohio and has expanded to Indiana and Georgia as of 2017. Karin is currently working on food access and food insecurity pilots; in addition to establishing housing partnerships as a part of the SDOH integration into Population Health.

Prior to joining CareSource, Karin was the co-founder and Executive Director of Think Tank, Inc. For ten years as this organization’s leader, Karin assisted the team to live out the mission of equipping and facilitating collaboration among people and organizations seeking ways to promote greater connectedness and a more thriving community.

Karin VanZant has a MPA in Public Administration (2008) and a BA in Social Work (1998) from Wright State University. Karin is certified in various curriculums that address comprehensive poverty issues in the United States. She has helped author presentations and curriculum for use within nonprofit, business and faith based organizations seeking to become relevant and holistic in their approach to poverty alleviation.

Mrs. VanZant is an Adjunct Professor at Antioch Midwest University and Wright State University on a variety of subjects including US Hunger and Poverty, Introduction to Human Services, Grant Writing, Leading Change, Coaching as Management, Holistic Case Management and Emotional Intelligence. She lives in Springfield, Ohio with her husband and her son.

Andy Wheaton

Medicare Pharmacist
Network Health

Andy Wheaton, PharmD is the Medicare Pharmacist for Network Health in Menasha, Wisconsin. Andy received his doctor of pharmacy from the University of Minnesota School of Pharmacy-Twin Cities College of Pharmacy in 2005. After graduation, he was a retail pharmacy manager at a national chain for 11 years. During this time, he also worked with various companies in workers’ compensation case reviews/consultations, long-term care, and Medication Therapy Management (MTM). His current role focuses on Medicare compliance, formulary management, Medicare Part C and Part D Stars/Quality Initiatives, and various clinical initiatives. During his free time, he enjoys navigating organized chaos with his wife (Jess) and their three children (Ian-4, Tyson-8, and Maiya-10).