Our People

betsy_seals

Principal and Chief Operating Officer

Betsy Seals

Betsy is a nationally recognized leader in the managed care industry with over 17 years of experience. Betsy has been quoted in numerous industry publications, including USA Today.  Bringing to the table a solid mix of leadership and business acumen, as well as regulatory and strategic knowledge within the Managed Care landscape, Betsy’s expertise is focused in the areas of mergers and acquisitions, compliance, sales and marketing, strategy, supplemental benefit landscape, innovative benefit design to address social determinants of health (SDoH) and health plan operations.  Read more...

Debra Devereux, MBA, RPh

Principal and Chief Pharmacy and Clinical Officer

Deb is a nationally recognized pharmacy expert with a diverse background in acute care, government programs and managed care, bringing to the table more than 30 years of clinical and regulatory expertise combined with a successful track record in business operations and leadership. Areas of focus include Medicare Part D operations, quality, compliance, benefit design, care management, population health assessment and formulary/specialty drug management.  Read more...

Charro Knight-Lilly

Principal and Chief Strategy Officer

Charro is an experienced healthcare executive with a demonstrated history of working with the Government Programs industry.  She is particularly skilled in Compliance, Sales/Marketing and Operations.  As a recognized speaker and chair on the industry conference circuit, she has provided commentary for several industry and national publications including Compliance Today.

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April Fleming

Principal and Chief Technology Officer

April is an accomplished executive with almost twenty years’ experience in the Medicare Advantage and Part D managed care industry.  During her years of consulting, she assisted hundreds of plans and associated entities in the areas of compliance and operations by managing and performing audits, implementing new plans, providing interim staffing, spearheading operational improvements and re-engineering, and managing both internal and CMS corrective actions.  

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Tameisha Brunson

Senior Consultant

Tameisha brings over 20 years of experience in the healthcare field.  Her expertise includes health insurance claims processing, underwriting, full cycle billing and reimbursement, and medical coding and auditing.

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Jamie Dube

Consultant

Jamie is an industry veteran with over twenty years’ experience in the government programs space.  The majority of Jamie’s career has been focused on Medicare managed care, regulatory compliance, and Medicare Advantage and Part D operations.  Jamie has extensive experience and in-depth knowledge of the CMS guidelines and regulations.  Read more...

Deb Faulkner, MBA

Senior Consultant

Deb is a dynamic executive leader with over 25 years of experience in healthcare administration, Medicare, Medicaid, and ACA health plan and BPO operations and has been consulting in the healthcare industry for over 15 years. 

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Heidi Harmon

Senior Consultant, Pharmacy

Heidi is an expert in Medicare Part D benefit administration, including Part D readiness assessment, payment validation, formulary development, and CMS Formulary Administration (FA) and Coverage Determinations, Appeals, and Grievances (CDAG) Audit Readiness.  Read more...

Alisha Harris

Marketing & Creative Design Specialist

A high-energy marketing and creative design professional, Alisha brings two decades of results-oriented design services to a range of corporate clients including Wells Fargo, Health Net, Pepsi, The California Endowment, Coca Cola, and Live Nation.  Read more...

Sandra Howe

Senior Consultant

Sandra is an experienced healthcare executive with a demonstrated history of working in the government program industry.  Sandra brings 20 years of experience working for top insurance companies such as Anthem and Health Net.  Read more...

Leslie Mullins

Senior Consultant

Leslie brings more than 25 years of multi-faceted expertise in Medicare, Medicaid, and specialty managed care with expertise in developing feasibility studies for the viability of Medicare Advantage plans as well as operational analyses to improve financial and operational performance.  Read more...

Anita McCreavy

Senior Consultant, Clinical

Anita provides expertise to health plans regarding quality improvement, the CMS Quality Bonus Program, Special Needs Plans (SNP) Model of Care (MOC), HEDIS, and Star Ratings improvement.  She brings clients more than 30 years of experience in the healthcare industry.  Read more...

Roxanne Newland, RPh

Senior Consultant, Pharmacy

Roxanne brings Medicare prescription drug operation experience which has been used on a variety of projects for MA-PDs and PDPs. As a member of both mock and CMS audit preparation teams, she specializes in the Part D elements of CDAG CDM, FA, grievances, and call logs.  Read more...

Peg Novak, RN, BSN, MBA

Senior Consultant, Clinical

Peg Novak provides consulting services to health plan medical management and quality services, with a focus on STAR rating improvement and federal and state regulatory and accreditation compliance of quality performance measures. 

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Mae Regalado

Senior Consultant

Mae is a recognized leader in managed care operations and compliance management with over twenty-five years of experience in senior management and technical and consulting expertise in complete operational services and managed care product lines, including MA, Medicaid, Dual Eligible, and Commercial.

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Megan Regalado

Consultant

Megan brings over 10 years of experience in health plan operations and compliance management in operational domains such as claims, organization determinations, benefit configuration, and provider pricing.  Megan's expertise includes RADV audits and data management engagements.  Read more...

Rebecca Lynn Spicer, RN, BSN, MBA, CPHQ

Senior Consultant, Clinical

With over 40 years of experience in healthcare delivery, Rebecca is a seasoned leader with a track record encompassing health system and managed care strategies, achieving sustainable demonstration of both high reliability and performance improvement.  Read more...

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