Vertical Solutions Consultant, Provider Data
Andrew Markloff is an innovative and accomplished member of the LexisNexis Risk Solutions team. He is experienced in product management, software implementation, project management and product strategy. In his role, Mr. Markloff spearheads efforts to identify and address market needs, as well as drive new initiatives for several products in the LexisNexis Health Care portfolio. Mr. Markloff’s previous experience includes data acquisition and consultation on new business concepts and startups. He holds a Bachelor of Fine Arts degree from the Maryland Institute College of Art.
Anton Berisha, MD
Senior Director, Clinical Analytics & Innovation
Dr. Anton Berisha is the Senior Director of Clinical Analytics and Innovation for LexisNexis Risk Solutions Health Care. Dr. Berisha is uniquely qualified for his role having more than two decades of clinical experience in general practice, general surgery, clinical laboratory and pharmacy. He has extensive expertise working with relational databases, data analysis and predictive modeling applications across the continuum of healthcare.
Director, Market Planning
Casey Hibbs is the Director of Market Planning with responsibilities for all go-to-market and strategy activities for the Provider Data MasterFile and Provider Integrity Scan solutions. She also leads the go-to-market strategy. Ms. Hibbs came to LexisNexis Risk Solutions from QuintilesIMS, where she held roles in offering management and technology solutions consulting. Prior to IMS, Ms. Hibbs worked in professional services for Health Market Science, with a focus on life sciences clients.
Director, Marketing Strategy
Ms. Timmons serves LexisNexis Risk Solutions Health Care as a Director of Market Strategy. Her focus is on the development and execution of strategic planning for both data linking and hygiene solutions as well as access identity management. She holds a Bachelor’s degree in Business Marketing from Western Carolina University and an MBA in Business Management from Emory University, Goizueta Business School.
Vice President of Sales, Pharmacy Market
Craig has spent the last 25 years helping the nation’s leading pharmacy chains, PBMs, and technology partners deploy compliance related information solutions, real-time transaction services and analytics. His expertise includes building strategy to integrate workflow tools designed to enhance operational efficiencies and optimize the overall patient experience. Building strong partner relationships and consistent interaction throughout our extensive market leading client base is key focus for the Pharmacy team enabling the ongoing development of services meeting the emerging demands of the industry. Craig is a graduate of Purdue University, Krannert School of Management and resides in Scottsdale, Arizona.
Director, Market Planning
Emily Mortimer is Director of Market Planning with responsibilities for strategy and development activities for the LexisNexis Social Determinants of Health solutions. In over 8 years at LexisNexis, Ms. Mortimer has served as subject matter expert for MarketView, our medical claims and analytic solutions, serving in several capacities including leading client services and implementation, managing analytics and statistical modeling resources, and contributing to product management and strategy. Ms. Mortimer has a background in public health and epidemiology, holding an MPH from Drexel University School of Public Health.
Strategic Account Executive
Eric McCulley is a Strategic Account Executive with deep subject matter expertise specific to our member and patient identity solutions, including our social determinants of health solutions. Mr. McCulley started his healthcare career as a nurse administrator in cardiology, endocrinology and intensive care. He expanded his industry experience through various sales, marketing and operational leadership roles in the pharmaceutical and biologics industries and in the health-care consulting space. Mr. McCulley graduated from Creighton University in Omaha, Nebraska, with a Bachelor of Science degree in nursing and a registered nurse (RN) license.
VP, Healthcare Strategy
Jay has been a thought leader in healthcare, advising over 120 payer and 50 provider organizations on new payment models, clinical data use, and Interoperability. Jay currently leads the team that sets forth strategy and leadership for the company’s healthcare solutions. In his previous role at Cognizant, Jay was tasked to lead the application of the specific areas of strategy from inception to “business as usual.” In 2018, he was asked to focus on interoperability and has become a national thought leader and evangelist on how interoperability can practically be accomplished and how it will change healthcare. He has managed the largest investment Cognizant has ever made in a new healthcare capability, working across the numerous internal teams to bring forward a powerful view of products and services that address the needs of our clients.
SVP, Healthcare Commercial Operations
Jeffrey Diamond is Senior Vice President of Commercial Operations for LexisNexis Risk Solutions Health Care. Having spent more than 10 years with the company, Jeffrey has held a variety of leadership roles in areas including Client Services, Consulting, Operations and Sales. Jeffrey is responsible for leading the Sales, Client Engagement, Product Delivery, Project Management, Market Strategy, and Data Audit Teams. These consist of both onshore and offshore talent. Jeffrey has his undergraduate degree in Management and Marketing and a Juris Doctorate from Rutgers University.
VIce President of Technology & Chief Technology Officer
Jill Luber is Vice President of Technology and Chief Technology Officer for the Government and Healthcare markets within LexisNexis Risk Solutions, with leadership responsibility for strategy, implementation, and stability of high-availability applications. She currently leads over 300 engineers in multiple geographies across the globe. She has been a member of the technology organization for over 16 years. Prior to joining LexisNexis Risk Solutions, Jill held a position as a consultant at Accenture based in Atlanta, GA. Jill holds a Bachelor’s of Science degree in Computer Engineering, with a minor in Mathematics from Mississippi State University.
Director Relationship Management
Jill Regan has over 25 years of experience in the pharmacy industry, including several years practicing as a retail pharmacist and in various pharmacy leadership positions. At LexisNexis Risk Solutions Health Care, Jill leverages her industry expertise to support retail and PBM clients with pharmacy operations and managed care compliance. Jill’s areas of expertise include pharmacy automation, clinical/audit compliance, Medicare Part D/B, claim investigation/documentation, CMS regulations, Medicare Fraud/Waste/Abuse, HIPAA and Risk Management. Jill holds a B.S., Pharmacy, from Purdue University.
Senior Director, Relationship Management
Jim Peyton is Sr. Director of Relationship Management. Jim has been with Lexis Nexis Risk Solutions for 5+ years, serving as a subject matter expert with specific focus on Provider Data Intelligence solutions. Prior to joining LexisNexis Risk Solutions, Jim worked for Optum, a UHG company, for six years, in their payment integrity division where he served as Director of Client Service and Director of Operations for Government Programs. Jim has deep back ground in delivering data and analytics solutions outside of health care as well, from a 17 year career with FICO (FKA Fair, Isaac) where he was a Vice President and held various leadership positions that served clients across several industries including telecom services, retail, financial and publishing.
Director of Sales, Provider Markets
Joe Finazzo is a multi-faceted, award winning sales professional and leader with a diverse background in healthcare data and analytics. Joe draws upon his experience in data analysis, project and people management, product development, strategy development, consulting, and sales execution to drive value. Formally a senior solutions executive for market intelligence solutions, his vast knowledge of healthcare markets as a subject matter expert on medical claims data analytics and physician referral patterns helps him counsel customers on how to best leverage data to drive value for strategic planning, outreach and marketing.
Sr. Director, Content Strategy
John Markloff brings over 15 years of provider data experience across multiple areas of healthcare to the LexisNexis Risk Solutions Health Care team. John has held leadership positions across multiple functional areas of provider data including sourcing, engineering and product strategy. Residing in the Philadelphia area, John holds an Bachelor’s degree from University of Massachusetts and an MBA from Eastern University.
CEO, Healthcare Markets
Josh Schoeller is CEO of Healthcare Markets for LexisNexis Risk Solutions. He has over 20 years of experience across Payer, Provider, Life Sciences and Pharmacy industries leading product and growth strategies. Mr. Schoeller specializes in big data, provider and identity data management and integration, application architecture, predictive analytics and decision support. His track record of success working with multiple segments across health care has provided him the expertise to solve challenges faced by stakeholders at various levels within an organization, leading them to keep the big picture in focus while solving specific problems.
Senior Director, Market Planning
Mr. Hyde has been instrumental in the LexisNexis Risk Solutions Government sector, specifically in the strategy, design, and implementation of identity solutions for Health and Human Services agencies nationwide. He has directed the implementation of numerous Federal and State Government programs which includes the Florida Department of Children and Families Customer Authentication project. Additionally, Mr. Hyde has directed the design and deployment of solutions focused at preventing, detecting, and deterring fraud, waste, and abuse in Medicaid and other programs, as well as managed various teams of solution architects and analysts. He is a graduate of Clemson University and holds a Project Management Professional (PMP) certification.
Senior Director of Sales, Life Sciences Markets
Kathy has twenty plus years of healthcare sales, sales management and business development experience in the pharmaceutical, med-device and home infusion industry. She has worked for many leading healthcare companies including IMS Health, Caremark and Johnson & Johnson. Throughout her sales career Kathy has received numerous sales awards, accolades from her clients and consistently over achieved quota. Most recently Kathy was Senior Director at Treato helping companies analyzes the massive amount of user content patients and caregivers generate online to extract relevant information, connect the dots and create the big picture of what they are saying about their personal treatment- and condition-related experiences. Kathy graduated from West Chester University in West Chester, PA and resides in North Wales, PA with her husband.
Senior Director of Healthcare Alliances
Mr. Dougherty is a sales executive with 20 plus years in healthcare and life sciences. His proven experience in sales, channel partner development and product marketing has allowed each organization he has been affiliated to achieve higher growth and greater profitability. Currently, Mr. Dougherty is a Senior Director at LexisNexis Risk Solutions Health Care, overseeing the Healthcare Alliances team.
Strategic Account Executive
Liz Paulson has over 25 years of healthcare data and analytics experience. Ms. Paulson serves as a Strategic Account Executive. She works with claims data to develop commercial strategies for pharmaceutical, biotechnology and medical device companies. Prior to joining LexisNexis Risk Solutions, Liz worked for several healthcare technology companies, including Adheris an inVentiv Health company, i3 Innouvs (now Optum), Pharmetrics, IMS and Eli Lilly. Prior to working in the Pharmaceutical and Biotech sector, she worked within the Departments of Mental Health and Developmental Disabilities in Massachusetts, providing behavioral consulting and emergency services to patients. In addition, she worked to develop medication training programs across both DMH and DDS, to foster patient compliance, and reduce hospitalizations.
Market Planning Manager & Healthcare Strategist, Claims Analytics Solutions
In her role, Rebecca is a key contributor for setting and executing MarketView’s innovation and strategy, serving as an industry SME, working to set the product suites’ roadmap and vision. This includes engaging with cross-functional teams to identify new products and enhancements, evaluating market opportunities, conducting market sizing and financial analyses, creating go-to-market documentation, and collaborating on marketing and media messaging. Rebecca brings to bear expertise in Medicaid claims data sets, behavioral healthcare performance measurement and monitoring, data collection, analysis and visualization, Managed Care readiness and Value Based Payment principles, and direct care experience in both the addiction and mental health fields.
Director, Health Care Solutions
Rich Morino has over 20 years’ experience assisting clients with data, analytics and predictive modeling solutions and has focused solely on the health care market since 2003. At LexisNexis Risk Solutions, Rich designs and deploys solutions for health care stakeholders that improve health outcomes, reduce medical spend and align with industry objectives such as consumerism/pay for value. Prior to joining LexisNexis Risk Solutions, Rich worked for such companies as SAS Institute, Ingenix (Optum) and several start-ups. He holds a degree from University of Illinois at Urbana-Champaign.
Senior Business Consultant for Program Integrity and Fraud, Waste and Abuse
Tom Figurski has over 25 years of diverse health care experience primarily in the managed care arena, but also in provider practice management. His areas of expertise include fraud waste and abuse investigation and recovery, technology, and compliance, as well as payment/program integrity models, and more. He has also served as a liaison for various federal, state and local investigative and oversight agencies. Tom built and led a managed care organizations special investigations unit for almost 16 years. He has been a speaker at the National Healthcare Anti-fraud Association and NETS training conferences and NETS, as well as at the National Association for Medicaid Program Integrity. He is a Certified Fraud Examiner and is proud to be a Certified Professional Coder.
Senior Director, Solution Innovation & Key Initiatives
Tom is the Senior Director of Solution Innovation & Key Initiatives for LexisNexis Risk Solutions Health Care. His responsibilities include leading technology and analytic innovation for our portfolio of healthcare solutions. Mr. Suk oversees application development/delivery and product quality assurance, technical infrastructure and data acquisition for these areas as they relate to driving innovation. He is also involved with enterprise security policies and systems and integration opportunities. Prior to joining LexisNexis Risk Solutions, Tom was director of product development at FICO where he was responsible for CDI initiatives for financial and marketing services. Tom holds a B.A. in Biology from Carleton College and an MBA in Management Information Systems and Marketing from the University of Minnesota.