Leadership

Doug is CEO and a member of the Board of Directors of Zelis Healthcare.

Doug is also President of Bee Mountain LLC, an investor, board member and advisor to venture capital, private equity and hedge fund managers and corporations in the healthcare, internet and enterprise software sectors. He is a member of the Advisory Board of Biorasi, Zintro, Personforce.com and Humantelligence, a former member of the Board of Directors of Zintro, WebVet and MedCommons and a former member of the Advisory Board of Anthurium Solutions, iAMscientist and Mi8 Corporation.

Doug served as President, Health & Wellness of Sears Holdings Corporation, leading a portfolio of eCommerce and retail store businesses. Doug was CEO and a member of the Board of Directors of LifeCare, an employee productivity and loyalty company. Doug served as President of Monster North America, leading a portfolio of internet and enterprise software businesses including Monster.com, Monster.ca and Monster Government Solutions.

Doug served as President of Cigna Health Services, leading a portfolio of specialty healthcare and medical management businesses including Cigna HealthCare Medical Management, Intracorp, Cigna Pharmacy Management, Tel-Drug, Cigna Dental Health, Cigna Behavioral Health, Cigna Vision Care and Cigna Information Management. Doug was also CEO of Cigna Dental Health and Senior Vice President of Cigna Retirement & Investment Services, leading a portfolio of defined contribution, defined benefit, institutional investment management and discount securities brokerage businesses.

Before joining Cigna, Doug was a Managing Director of PNC Financial Services Group serving in mutual funds, investment management and corporate banking leadership roles.

Doug earned a BA in Economics from Trinity College, Hartford CT.

Prior to becoming President of Network Solutions, Tina served as President of Stratose since 2011.  She previously served as Chief Operating Officer of Stratose for the prior 6 years.

As President, Tina is the steward of existing and future growth of Network Solutions. Her strategic vision focuses on continued growth both through organic means as well as through acquisitions. Zelis has built a rich history of cost containment and client savings that will continue to grow under Tina’s leadership and direction.

Tina officially joined Stratose in June of 1996 and was instrumental in the creation and implementation of many of the company’s systems and processes. Within her role as COO, Tina was responsible for the oversight of all daily service and operations, in addition to PPO network management, account management, provider recruitment and executive sponsorship on key acquisitions.

Throughout her career, Tina has been recognized for her contributions and industry leadership, including being published by The Self Insurer, the official publication of SIIA, and participation as a presenter and moderator for several different healthcare organizations, including Western Claims, SIIA and AAPPO. She is also currently serving as a board member of the AAPPO.

Tina has over 17 years of healthcare experience, including directing membership services for the Georgia Dental Association, and working for Children’s Healthcare of Atlanta, formerly known as Egleston Children’s Hospital.

Tina earned a BS from the University of Georgia.

Lori, as President of the Zelis Claims Integrity, has more than 15 years’ experience in the healthcare industry. Lori has an extensive knowledge of overall healthcare cost management and in her career has serviced and managed all types of healthcare payers including TPAs, reinsurance carriers, fully insured, HMO’s & Taft Hartley Plans. This experience provides her the ability to manage overall operations including but not limited to PPO management, claims editing, out of network services, clinical bill review, provider & client services. Lori is also instrumental in the implementation of strategic business development initiatives across the company’s product lines and service areas.

Prior to Zelis Healthcare, Lori was a member of senior management at Preferred Medical Claim Solutions, a cost containment vendor specializing in Out of Network claims. She was also employed in the financial planning and investment banking industries with experience in human resource management and accounting.

Jay brings over 38 years of experience managing multiple disciplines within the health benefit administration business to his role as President, Payments Division. Jay began his career by founding an extremely successful Third Party Administration (TPA) firm in Iowa. After divesting the Iowa firm, he co-founded an Ohio TPA in 1981, whose success led to a merger with a larger TPA in 1991.

Between 1991 and 2005, Jay founded or re-organized four additional healthcare organizations, including a regional Preferred Provider Organization (PPO), a benefits portal software company, a pharmacy benefit management firm (EBRx) and a medical management software platform. EBRx had a national presence in the Group Benefits and Workers’ Compensation markets and Jay was instrumental in growing it into an $85M corporation where he served as President and lead systems architect.

After the sale of the company, Jay briefly retired, only to return to the industry to co-found Pay-Plus® Solutions, Inc.

Terry is a strategic visionary with 15 years of leadership experience in the arena of sales, account management, marketing, product management and business development. Most recently Terry was the President of Health Payment Advocates (HPA), a leader in managing the member’s financial liability related to their medical bills.

Prior to joining HPA, Terry was the Senior Vice President of Sales and Marketing at Viant, Inc. He originally joined the organization in 2002 as Vice President, National Accounts where he managed the top six largest business accounts. His areas of expertise include account acquisition and retention, customer care, and process optimization. These skills combined with his ability to harness cross-functional knowledge in the areas of Finance, IT, and Operations, have repeatedly positioned him to deliver maximum impact within minimum timeframes.

He received his BS from Miami University in Oxford, Ohio and currently resides outside of Chicago, IL.

As General Counsel & Chief Compliance Officer of Zelis Healthcare, Edward C. Fargis, Esq., is a key partner providing legal expertise to the executive team and others.

Ed is a proven general counsel with over 20 years of experience in private practice and as the general counsel for public and private corporations including Personal Touch Home Health, Touchstone Health, Multex, Fortent, and Medco Health Solutions. His primary areas of expertise are mergers and acquisitions, technology, healthcare, private equity, securities, commercial transactions, compliance, employment law, dispute resolution and corporate governance.

Ed has a BA in History and English from Hamilton College and a JD from Fordham University School of Law.

As Chief Financial Officer of Zelis Healthcare, Tom Kloster is a key partner to the executive team and leads Finance, Technology Strategy and Corporate Development efforts.

Tom is a proven growth company CFO with more than 20 years of experience in privately-held and public companies in the healthcare and technology sectors and in public accounting, including Inovalon, Algeco Scotsman, Primus Telecommunications and Price Waterhouse.

Tom has a BS in Business Administration and Accounting from the University of Texas at Austin.

Pat has over 26 years of experience as a proven healthcare leader with deep expertise in building and leading high performing businesses and sales organizations with small to large size payers. He leads Sales, Account Management and Commercial Operations for the Zelis Healthcare enterprise.

Prior to joining Zelis, Pat was General Manager of Anthem|Empire BlueCross Blue Shield where he had P&L accountability for financial and operational results of a New York Commercial business generating $1.6 billion in revenue.

Pat also served as Northeast Region Mergers & Acquisitions Partner for Digital Insurance, National Practice Leader for UnitedHealth Group, Vice President of Key Accounts and Regional Vice President of Tri-State Small Business for United. In addition, he held various sales leadership positions at Fitzmaurice & Company, LLC, (now Willis Towers Watson), ChannelPoint, Inc. (now TriZetto) and HIP of New York (now EmblemHealth).

Pat earned his BA in Economics & Political Science from Villanova. Over the years, he has completed professional development courses at Columbia Business School, Indiana University and Northwestern University.

Pat is also affiliated with The Barclays/FedEx Cup, St. Michaels Hospital Foundation Non-Profit, Each One Counts, The Connie Dwyer Breast Cancer Center and First Tee of Plainfield, NJ.

As Chief Technology Officer of Zelis Healthcare, Tim Wilde is a key partner to the executive team and leads technology strategy development and execution.

Tim is a proven technology leader with more than 20 years of experience in public and private corporations in the healthcare, insurance and life sciences sectors including Coventry Health Care, Luxottica, UnityBPO and Pinnacle Software.

Tim holds a BS in Computer Science, MBA, PMP, and is a Certified Enterprise Architect.

Matt is a Human Resources professional who has been working in the field for over 25 years. He worked for many years with Cigna before transitioning to Complexcare Solutions where he was the Chief Human Resources Officer (CHRO).

Matt has also worked with a number of mid to entry stage companies in the developments of their people and strategic growth strategies and he has worked as a consultant for a number of companies.

He now brings all of this knowledge with him to Zelis Healthcare.

Matt played tennis at the University of Connecticut and continues to enjoy the game today. He has been married to his lovely wife, Karen, for 27 years and they have two children; Molly and Ben. Molly is currently in medical school and Ben is in Charleston, SC working with a startup software company.

Leo Garneau brings over 35 years of domestic and international experience selling and marketing a wide array of healthcare products and services. His work, in virtually every segment of healthcare, has provided him with a unique understanding of the intricate needs that healthcare stakeholders possess and the connective tissue that binds them together.

Prior to joining Zelis, Leo was the Chief Branding Officer for PayFlex™ where he was responsible for the branding and deployment of the innovative business model, HealthHub™. During his 27 year tenure with Johnson & Johnson, he produced record setting performances for numerous Rx and Consumer healthcare brands, created innovative cause marketing solutions and commercialized patented processes that created whitespace channels like HealthZone™. Throughout his career, his efforts have garnered numerous corporate awards for achievement and innovation as well as marketing industry, peer awards like the ECHO and the ACE. Leo received his B.A. in biology from Washington and Jefferson College.

Dr. Wolinsky is board certified in Internal Medicine with 32 years of experience working with payers and providers to improve healthcare access, quality and cost.

Previously, Dr. Wolinsky was a senior executive leader at Horizon Blue Cross of New Jersey where he served as Senior Medical Director. In his role, he was a key leader focused on driving integrated care, population health, medical cost control, clinical informatics and health economics operations. Dr. Wolinsky also served as Senior Medical Director for Empire BlueCross of New York and Anthem. In his role, he was a key leader focused on driving medical policy, medical cost control and provider network relationship operations. Earlier in his career, Dr.  Wolinsky founded and operated primary care practices in New Jersey.

Dr. Wolinsky graduated Summa Cum Laude from the University of Pennsylvania and earned an MD at Case Western Reserve University School of Medicine. He completed post-graduate training at Brookdale University Hospital and Medical Center in Brooklyn, NY.

Matthew has over 12 years of regulatory, political and public affairs experience.

Prior to joining Zelis, Matthew oversaw the certification program at the Center for Affordable Quality Healthcare (CAQH) and Committee on Operating Rules for Information Exchange (CORE) to ensure conformance with the requirements of the Patient Protection and Affordable Care Act (PPACA).

He also served as Director of the Administrative Simplification Group for the Centers for Medicare & Medicaid Services (CMS). In this role, Matthew was responsible for drafting the regulations that implemented Section 1104 of PPACA which specifies the requirements of the Health Insurance Portability and Accountability Act (HIPAA) administrative transactions.

Matthew is a published author on bioethics, has written numerous state and federal regulations and taught as adjunct faculty at St. Martin’s University and Pierce College in Washington state.

Matthew earned a Master of Divinity from Harvard University with an emphasis in Bioethics, as well as a BA in Religion Studies from the College of Santa Fe and a BA in Print Journalism from the University of Southern California.

His greatest achievement: A place in the Guinness Book of World Records for the world’s longest softball game.