Our expertise, coupled with a strong commitment to our Clients’ success, positions us as a trusted partner who can help solve the challenges of today and prepare for those of tomorrow.
Our expertise, coupled with a strong commitment to our Clients’ success, positions us as a trusted partner who can help solve the challenges of today and prepare for those of tomorrow.
Susan brings a wealth of healthcare leadership and executive level operating experience, garnered over 28 years in an evolving healthcare industry, with 24 years of focused Medicare/Medicaid leadership experience. She brings a keen strategic ability, coupled with direct operational experience, to quickly discern and prioritize what needs to be done to achieve desired results – both short and long term – and effectively lead organizations. She uses a variety of tools and principally achieves through thoughtful, clear leadership. She enjoys leading and sharing her experience to support the development of people and organizations.
Susan most recently served as Chief Executive Officer (CEO) and Director of Florida Healthcare Plus (FHCP) and its holding company. FHCP was a privately held Medicare Advantage plan located in Miami, Florida. She was responsible for the overall strategic development and operational performance of FHCP. Originally deemed a “turnaround”, she quickly discovered Medicare fraud, and disclosed the issues to federal and state authorities. In addition to investigating and dealing with fraud, during her short tenure, significant operational and financial improvements were achieved and regulatory relationships improved. New investors were also identified and vetted, and were prepared to invest to take the company forward. The fraud disclosure and subsequent issues, however, proved to be insurmountable for the investors and the company was closed.
Prior to her role at FHCP, Susan was Director, President and CEO of Socios Mayores en Salud, Inc., a Medicare Advantage/Medicaid management organization in Puerto Rico under the Triple-S Management Group (NYSE: GTS), the Blue Cross Blue Shield licensee for Puerto Rico, the US Virgin Islands and Costa Rica. Her expertise and knowledge contributed to create a new vision, strategy and execution for Socios Mayores, which was principally centered on strengthening the company’s overall financial and compliance performance, while retaining the member–focused culture.
Prior to this appointment, Susan held other leadership roles across the industry, including executive positions with Leprechaun LLC, a medical technology company, and Anthem (formerly WellPoint), a health insurance company. She has significant experience in Washington, including delivering testimony before House and Senate committees several times. With over 28 years of progressive leadership in the healthcare industry – 24 of those years in Medicare/Medicaid – Susan has expertise through executive-level leadership experience, a strong financial foundation and a clear focus on creating and sustaining a service-oriented and disciplined business.
Susan holds a Bachelor of Science in Business Administration from the University of Arizona, and is a CPA (inactive). To further pursue her passion for health, she attended and graduated from Bikram Yoga Teacher Training in Los Angeles in November, 2013, and is a passionate yogi – and yoga instructor – in her free time. From 1992-2011, she supported a non–profit large animal sanctuary in Montana, which she co–founded.
A seasoned health insurance executive with experience in both commercial and government health programs, Bill oversees TMG Health’s business strategy and strategic planning, corporate finances and budgeting, product management, sales and marketing and the corporate project management office. He joined TMG Health in 2011.
Prior to joining TMG Health, Bill served as Chief Marketing Executive for Independence Blue Cross in Philadelphia, Pa. where he was responsible for sales, account management, and product development for commercial and government business. He also served as President and CEO of AmeriHealth New Jersey, an $800M subsidiary of IBC at which he had full P&L accountability. He oversaw Medicaid expansion into six states, the formation of the CHIP program and creation of a charitable foundation to support health insurance coverage for needy children.
Prior to his employment at IBC, Bill worked in the education field, holding management posts at several Philadelphia institutions.
He holds a doctorate degree in Public Policy from Temple University, Philadelphia, Pa., and a master’s degree in statistics and research methodology and bachelor’s degree in Psychology from Southern Connecticut University.
Doug is responsible for providing leadership to and development of TMG Health’s Information Technology department. He oversees IT functions, including systems development, telecommunications, applied technology, technical services, data center operations, architecture, information management, and other strategic companywide and business-unit Information Technology functions.
Doug has more than 20 years of experience in developing and executing strategies to achieve growth through innovative technologies. He was previously employed by TeleVox Software as Chief Technology Officer. Prior to that, he held key IT leadership positions with other technology and healthcare companies, including CIO at Alere Health, Vice President of Information Management at Excellus Blue Cross Blue Shield, and Director of Information Technology at Humana.
Doug holds a bachelor’s degree in Computer Science from McKendree University, Lebanon, Ill.
Keisha oversees the company’s Corporate Compliance and Internal Audit Program, functioning as an independent and objective body that reviews and evaluates compliance, operational, technology and financial risks/concerns within the organization to ensure they are being appropriately evaluated, investigated and resolved. To achieve that end goal, she collaborates with other departments to proactively assess and respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct, and oversees the system for uniform handling of such violations.
Prior to joining TMG Health, Pinnock served as the Chief Compliance and Privacy Officer at United States Medical Supply, Doral, Fla., where she provided overall direction for compliance, privacy, audit and quality management. Other prior roles include Chief Compliance Officer, Vice President of Medicare Compliance, and Director of Internal Audit for various Medicare Advantage/Prescription Drug Plans. She is also the owner of KeiP Consulting and has provided compliance and audit assistance to healthcare organizations, ensuring that operational strategies were aligned with applicable federal laws and regulations. In addition, she is an accomplished author with many published articles on the topics of Compliance and Auditing.
She holds a bachelor’s degree in Health Services Administration from Florida Atlantic University, Boca Raton, Fla. and a Master of Science degree in Accounting from Nova Southeastern University, Fort Lauderdale, Fla.
Patricia is responsible for providing leadership and strategic direction for TMG Health’s service operations.
She served as TMG Health’s Senior Vice President & Chief Compliance Officer from 2012 – 2015 and has more than 20 years of healthcare experience. She was employed by Blue Cross of Northeastern Pennsylvania as Vice President of Corporate Assurance for 6 years and spent 11 years as its Compliance/Privacy and Security Officer. Prior to that, she was employed at TMG Health as Director of Medicare Operations. She also spent 7 years at First Priority Health.
Patricia holds a master’s degree in Human Resources Administration from the University of Scranton, Pa.; a bachelor’s degree in Psychology from Bloomsburg University, Pa.; and is a Certified Information Privacy Professional (CIPP/US) and Internal Auditor (CIA).
As the Company’s principal legal officer, Michael oversees all legal aspects of the business, including the provision of legal advice in support of strategic corporate initiatives, mergers, acquisitions, contracts, corporate financing and other complex transactions. He also serves as an advisor to the Board of Directors.
Michael has more than 20 years of legal experience, including a background in Compliance, Litigation Management, Licensing, Corporate Governance, Insurance, Data Security and M&A/Divestiture Issues. He also has in-depth experience in contract administration with both BPO and SaaS business models. Prior to joining TMG Health, Michael served as Vice President of Legal and Assistant General Counsel at SunGuard Data Systems where he was a trusted advisor to the CEO, CFO and senior leadership team and worked extensively with Clients at all levels.
He holds a Juris Doctorate degree from Villanova University, Pa. and a bachelor’s degree from Duke University, Durham, N.C.
Jim oversees all financial operations, including Finance, Accounting, and External Reporting. He is also responsible for the Facilities and Asset Management functions of the Company.
Jim has more than 20 years of experience in the healthcare industry. Prior to joining TMG Health, he served as Chief Financial Officer and Chief Operating Officer of a rapidly growing healthcare and housing organization, where he oversaw Finance and Accounting, Human Resources, Information Technology, and Facilities Management. He also spent 10 years with Independence Blue Cross (IBC), Philadelphia, Pa., where he was involved with the development of multiple risk sharing programs and was responsible for financial and compliance reporting. With IBC, he also worked with the Executives and Boards of Directors of various hospitals and provider groups to support managed care arrangements. Prior to joining IBC, he served as an auditor and consultant for KPMG, one of the Big Four international accountancy and professional services firms, where he worked with in both the insurance and banking industries.
Jim holds a master’s degree in Finance from Saint Joseph’s University, Philadelphia, Pa., and a bachelor’s degree in Accounting from Bloomsburg University of Pennsylvania. He holds a CPA license and is a member of the Pennsylvania Institute of CPAs.
Josh is responsible for managing and executing on TMG Health’s Internal and Universal Communication Strategies. He oversees the company’s communications department and works cross-departmentally to improve the flow, alignment, accuracy and engagement of organizational messaging to both internal and external stakeholders. He is the company spokesperson and lead point person on media interactions, government affairs and executive messaging. He also leads the company’s crisis management communications and its Communication & Engagement Change Management Initiative, which aims to evolve the organization’s culture of communication and engagement practices.
Josh is a seasoned communications professional with more than 13 years of experience. He joined TMG Health in 2008 in the role of Director of Communications & Special Assistant to the President & CEO. Prior to joining TMG Health, he served as the Business Development & Marketing Coordinator at Ernst & Young, Philadelphia, Pa. He was also previously employed as a Public Relations Executive at Bleiweiss Communications, Calabasas, Calif.
He holds bachelor’s degrees in English and Social Thought & Analysis from Washington University, Saint Louis, Mo. and is a published author.
Teig plays a key role in the growth, profitability and success of the Sales operation of TMG Health. He provides leadership, on-going management, and strategic guidance to the Sales, Account Management and Marketing functions in order to achieve the revenue growth and margin objectives for the business.
He is responsible for the day-to-day operations of TMG Health’s Sales & Marketing activities, including the development, implementation and achievement of short and long term sales objectives. His role is to establish, expand, and assist in managing key account relationships with major customers and prospects.
Teig has a solid, 16-year background in Sales and Account Management. Most recently, he served as Vice President of Sales for Aethon, Inc., a leading provider of robotic delivery and asset management systems to the healthcare industry. While there, he managed sales operations which focused on increasing revenue by targeting healthcare facilities with a need for enhancing technology and reducing operating costs.
He also served as Vice President of Sales at TechRx, Inc.; Senior Sales Executive at Automated Healthcare, Inc.; and a Regional Director at Catalyst Connection.
He holds a master’s degree in International Management from the American Graduate School of International Management, Glendale, Ariz., and a bachelor’s degree in French Literature from Washington and Jefferson College, Washington, Pa.
Deanne plays a critical role in the future success of TMG Health by overseeing the development of innovative solutions that keep pace with the increasingly competitive and changing Government Health Programs market.
She is responsible for ensuring the success of current and next generation products and capabilities. Her team is accountable for the full life-cycle of product creation, providing a full suite of products and capabilities to meet the diverse needs of the Company’s clients.
Deanne joined TMG Health in April 2005 as a Business Process Engineer. She was promoted to Director of Product Development in 2011 and to Vice President in 2013. Prior to joining TMG Health, she was employed by Unison Administrative Services, where she led the Facets Support, Document Management and Membership divisions. She also supervised the application support and data analysis functions of the company.
She holds a bachelor’s degree in Computer Science from Robert Morris University, Pittsburgh, Pa.
Valerie oversees TMG Health’s EPMO (Enterprise Project Management Office). She is responsible for developing strategy; prioritizing and balancing projects across all TMG Health departments in order to effectively plan and manage enterprise resources and investments; developing project management practices; and administering the enterprise project portfolio management system.
Valerie joined TMG Health in 2007 as a Program Manager. During her tenure with the company, she has also held the positions of Director of Professional Services and Executive Director of EPMO. Prior to joining TMG Health, Valerie was employed as a Manager in the Financial Advisory Services division of PricewaterhouseCoopers.
Valerie holds an MBA from California State University and a bachelor’s degree in Accounting from The University of Scranton, Pa. She is a certified PMP® (Project Management Professional) through the Project Management Institute, a not-for-profit professional membership association for the project, program and portfolio management profession.
Lee and his team ensure that TMG Health’s Medicaid program contributes to the robust culture of compliance and integrity that is the cornerstone of the company. He is responsible for responding to official inquiries, clarifying and interpreting compliance rules and overseeing preparation for and monitoring of audits.
Lee has more than 15 years of experience in the Medicaid field. He joined TMG Health in 2014 as Director of Medicaid Programs and has been instrumental in the company’s Medicaid growth strategy and program development. Prior to joining TMG Health, he held the position of Vice President of Medicaid Programs at The University of Arizona Health Plans, Tucson, Ariz. He has also held other leadership positions, including Chief Operations Officer, Director of Arizona Health Care Cost Containment System Programs and Compliance, and Director of Compliance and Audit at various health care organizations.
Lee holds a master’s degree in Organizational Management and a bachelor’s degree in Health Care Services from the University of Phoenix, Tempe, Ariz.
Kathy is responsible for managing all application development services of the company and providing strategic direction in order to maintain TMG Health’s success as an industry leader and advance the company’s services to continually keep pace with the evolving industry.
Kathy has a wealth of experience in service delivery, systems integration, program management, and systems development and maintenance within multiple industries. Prior to joining TMG Health, she served as Vice President of Application Services at Blue Cross Blue Shield of Louisiana, Baton Rouge, where she led a team of 250 people that supported more than 300 applications and systems. Her job history also includes notable positions as Vice President and Director of Business Systems Delivery and Assistant Vice President and Director of Application Managed Services with Science Applications International Corporation (SAIC), headquartered in McLean, Va.
Kathy holds a bachelor’s degree in Business Administration from the University of North Florida, Jacksonville.
Tami is responsible for overseeing CMS and regulatory requirements related to Medicare Operations, HIPAA Privacy and Security, and Fraud, Waste and Abuse. She works closely with the Chief Compliance Officer and the operational areas to identify compliance issues and risks and to mitigate such matters.
Tami has more than 20 years of experience in the healthcare industry. Prior to joining TMG Health in 2005, she spent nearly 15 years with Blue Cross of Northeastern Pennsylvania in such positions as Supervisor of Other Party Liability, HIPAA Privacy Implementer and Subrogation Paralegal.
Geroski holds a master’s degree in Health Care Administration and a bachelor’s degree in Business Administration from King’s College, Wilkes-Barre, Pa., and associate degrees as a Paralegal and Lawyer’s Assistant. She is also certified in Healthcare Compliance (CHC) and is a Certified Subrogation Recovery Professional (CSRP).
James oversees all new client implementations and is responsible for the development and negotiation of client contracts and pricing proposals. To that end, he works closely with the company’s Product Management, Information Technology, Sales, Legal, Enterprise Project Management Office and Account Management teams. He also spearheads other strategic corporate initiatives in order to support the expansion of the company’s service offerings and to grow TMG Health’s footprint in the Medicare and Medicaid markets.
James joined TMG Health in 2005 and has since held numerous positions in the organization. Most recently, he served as Director of Corporate Development and Sales Support, and led the company’s efforts to develop a new, streamlined approach to implementations. He has also held the positions of Director of Sales Support, Project Manager, Account Executive and Operations Liaison and Lead.
He holds a bachelor’s degree in Business Administration and Management from The Pennsylvania State University, University Park, Pa.
Michael leads the operational areas of production within the Company’s Call Centers, Workforce Management, Ancillary Services and member Appeals and Grievance administration, as well as member Enrollment transactions and associated Premium Billing. He provides insight and strategic direction for the operational areas in order to deliver excellent service and build strong Client relationships.
He has extensive health care operations experience, particularly in government programs operations. He is versed in managing large operational teams and committed to exceptional quality standards. Prior to joining TMG Health, Michael served as Chief Operating Officer at Community Health Group in San Diego, Calif. where he oversaw operations for the Medi-Cal, Healthy Families Medicaid and Special Needs Medicare products which served more than 150,000 members. He also served as Chief Operating Officer with Aetna Better Health Medicaid & Aetna Better Health Kids CHIP programs, Philadelphia, Pa.; Director of Provider Relations, Credentialing and Provider Appeals with Delaware Physicians Care, Inc.; and Director of Commercial and Medicaid Claims and Customer Service with Coventry Health Care, Newark, Del.
Michael holds a master’s degree in Organizational Development and Leadership from Philadelphia College of Osteopathic Medicine, Pa., and a bachelor’s degree in Communications from Neumann University, Aston, Pa.
John oversees TMG Health’s Customer Service Operations which serves millions of members across the nation for the company’s client health plans. He is responsible for developing strategies that support initiatives to enhance the member experience and to strengthen the underlying processes for providing exceptional service to the company’s clients and their members and providers.
Prior to joining TMG Health, John served as the Director of Customer Experience for Highmark, Inc., Wilkes-Barre, Pa., where he was responsible for providing strategic leadership, managing financial performance and developing strategic plans for customer operations. He has also held management roles at CPG International, Scranton, Pa. and Ray Terwilliger and Associates, Kingston, Pa.
John holds a bachelor’s degree in Human Resources Management with a minor in Psychology from King’s College, Wilkes-Barre, Pa. and is a Certified Facilitator of leadership training programs through Development Dimensions International.
Mark is the key contact for the company’s client partners, and is responsible for overall customer satisfaction. He focuses on managing key relationships and providing value to the client by researching, developing and introducing new products and services to support client growth strategies.
Prior to joining TMG Health, Sobieski served as Chief Operating Officer at Educerus Health Assessment Services, Lincolnshire, Ill. He has also held key leadership positions, including Senior Vice President and General Manager of ICT Health Services at Sykes Enterprises (formerly ICT Group), Langhorne, Pa. and Vice President and General Manager of Northern Region at Telespectrum Worldwide, King of Prussia, Pa.
Mark holds an MBA in Finance from Seton Hall University, South Orange, New Jersey and a bachelor’s degree in Economics from Michigan State University, East Lansing, Michigan.
Wayne and his team are responsible for end-to-end operational delivery and coordinated oversight of client satisfaction in conjunction with the company’s Account Management team. He is also responsible for ensuring that the company’s infrastructure can support its continued growth in the government health programs market.
Wayne has more than 26 years of healthcare operations experience. He joined TMG Health in 2014 as Director of Medicaid Programs Support Services. Prior to that, he served as a Director in the Business Process Outsourcing operation at DST Health Solutions, Harrisburg, Pa.
He is a Lean Six Sigma Green Belt and has additional leadership certifications and conflict management training.
Barry provides strategic oversight of the Company’s innovative technology and process improvement methodologies for Claims, Preprocessing, and Provider Support, including the functions of Imaging and Mail Distribution.
A long time employee of TMG Health, he has more than 30 years of experience in the insurance services and health claims processing business. Prior to joining the Company, he served as a Product Manager for the RCA Corporation where he was responsible for computer-based communications, products, and services for the insurance and banking industries.
Barry holds a bachelor’s degree in Finance from Boston College, Mass.