Irfan Ali, MRPharmS
Danielle Banaszak, RPh
Tejaswita Karve, Ph.D.
Sagar S. Makanji, PharmD
Premila Mary Kumar
Jason B. Ruda, MS, CPXP
Brent Zenobia, PhD.
Irfan Ali, MRPharmS
Irfan leads the Network Performance and Clinical organizations at EnlivenHealth™, developing strategies that help to influence, communicate and impact outcomes for our health plan and retail pharmacy customers. Since joining Omnicell in 2007, Irfan has held several leadership positions focused on building medication adherence solutions within the UK, European and most recently global pharmacy markets. Prior to joining Omnicell, Irfan worked at a number of UK retail pharmacy companies, creating operational models to improve the delivery of medication adherence solutions. In addition, he spent five years launching and operating consulting services for the UK and European healthcare market. Irfan is a qualified pharmacist, holding a B.Sc. in Pharmacy from University of Portsmouth, UK.
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.
Danielle Banaszak, RPh
Danielle is the Quality Improvement Clinical Pharmacist at Excellus Health Plan. She is a registered pharmacist who received her Bachelor of Science Pharmacy degree from University at Buffalo School of Pharmacy. Danielle also has completed the advanced training in medication therapy management and immunizations from the American Pharmacists Association (APhA). In her current role, Danielle is part of a team responsible for identification, development, and implementation of quality improvement initiatives to maintain and improve health plan quality measures, specifically Medicare Star Ratings. She has helped the company’s PPO and HMO contracts reach 4.5 stars and the PDP contract maintain a 5-star rating for the past 5 years. She has 30 years’ experience working in different areas of the pharmacy world and brings a unique perspective to overall healthcare for our members.
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 26 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 CMS Stars.
Josh is the Medicare Stars Programs Manager at Martin’s Point Health Care in Portland, Maine. His company’s PPO contract reached 5-stars for the first time in 2020 and his HMO contract has achieved 5-stars five times since 2010, most recently in 2019.
In his role Josh is responsible for identification, development, and implementation of quality improvement initiatives to maintain and improve health plan quality measures, specifically Medicare Star Ratings.
Prior to his health care career Josh worked for several branches of the Walt Disney Company, including many years in production management at Walt Disney Animation Studios in Burbank, Calif. Josh has an MBA in Marketing from the American University in Dubai and a Master of Science in Health Communication from Boston University. He lives in Portland with his wife and eight-year-old daughter.
Renée S. Golderman, MS, RN, NE-BC began her career with CDPHP in 2007. In her current
position as senior vice president and chief quality officer, she provides the strategic leadership in
designing, implementing, and managing a quality improvement program focused on providing
CDPHP membership with efficient, cost-effective and timely care. Renée also has responsibility
for overseeing credentialing, utilization management and appeals.
With more than 30 years of progressive experience in the health care industry, Golderman is also responsible for directing HEDIS, NCQA and Medicare Stars initiatives, which includes collaboration among Medicare risk, medical management, and network providers to drive innovative initiatives to improve quality outcomes and ensure member satisfaction with their health care. She has led health care transformation initiatives, including tools for population health and clinical integration strategies, and assists in design and operational aspects of primary care incentive programs.
Golderman is skilled at fostering relationships while executing on strategic plans to drive quality outcomes focused on the Quadruple Aim. Golderman demonstrates sound understanding of and has broad experience with hospital operations, health care finances, board responsibilities, physician relations, and knowledge of how all entities are interdependent, along with current knowledge of the trends and challenges in health care.
Prior to joining CDPHP, Golderman has held various positions in the health care industry and has a record of accomplishments in a range of health care settings, including both the clinical and administrative aspects of inpatient and outpatient care, quality and risk management, hospital and primary care business operations, as well as health plan leadership and administration. Golderman has served as the director of nursing for Seton Health System, part of the Ascension Health System where she was a recipient of the NYSNA Nursing Excellence Award in Administration/Management. In addition, she held clinical management positions at New England Baptist Hospital in Boston, Mass., and New Britain General Hospital in New Britain, Conn. She has also served as a clinical educator for The Eddy in Troy, N.Y.
Golderman earned a Bachelor of Science degree in nursing from SUNY Buffalo, and a Master of Science degree in health care management from Rensselaer Polytechnic Institute. Renée is a nurse executive-board certified, by the American Nurses Credentialing Center (ANCC) and is a member of the National Association for Healthcare Quality.
2007 Graduate of Coastal Carolina University with a B.S. in Applied Mathematics and a minor in Statistics. Joined Geisinger in February 2008 and has progressed from an entry level analyst in Clinical Informatics to Manager of Pharmacy Operations. Currently responsible for oversight of the Pharmacy STAR program, Pharmacy HEDIS initiatives, Drug Utilization Review program, and the configuration of the electronic prior authorization system for both pharmacy and medical benefit drug reviews.
Kena Hahn is the Director of the Medicare Star Ratings program for Health Alliance, a vertically integrated health system with Carle that provides coverage to Illinois, Indiana, Iowa, and parts of Washington state. Prior to this Kena served as a Patient Experience Advisor at Carle where she was responsible for the education and improvement efforts with all staff and physicians to improve CG CAHPS scores for Carle’s ambulatory clinics. She brings over 14 years of experience in the healthcare field with focus on patient/member experience and process improvement.
In her current roll, Kena has responsibility for the facilitation and coordination of the Star Ratings program for Health Alliance’s Medicare Advantage products. In 2016 the organization was at a 4.5 Star Rating and they are currently working towards becoming a 5 Star plan.
In addition to her Bachelor of Science degrees in Biology and Marketing, Kena also has her Master’s in Health Administration degree. The ultimate vision she has for the Stars program is to utilize predictive analytics in conjunction with collaboration from the entire health plan organization and provider partners to reach and sustain a 5 star Medicare Advantage products.
Anna Hall is an experienced clinical pharmacist by training and a pioneer in building MTM programs and STAR Ratings/HEDIS measure improvement intervention programs for prominent national prescription plan sponsors. At Enhanced Medication Services, Anna oversees strategic partnerships, contracting of clinical services, and program compliance. Over the past 10 years she has worked to develop interactive training programs designed to teach technicians and pharmacists how to engage patients in medication therapy management and encourage adherence through the provision of multi-modal interventions and motivational interviewing. Anna serves in national roles for both PQA and AMCP to influence MTM innovation and consensus and contributes to the national strategy to improve effectiveness of MTM and quality improvement programs.
Kent Holdcroft is the Executive Vice President of Growth at HealthMine, bringing over 15 years of operational, consulting, and business development experience with healthcare technology vendors to our team. Prior to HealthMine, Kent was Executive Vice President at AdhereHealth where he installed the teams and processes that led to record growth and innovation in product strategy. Before that, Kent had multiple successes with AIM Healthcare (now a part of Optum, a United Health Group, Inc. company), rising to National Director as it expanded into new markets. Kent received his Bachelor’s degree in Psychology from Miami University and Master’s in Counseling from the University of Toledo. In his free time, Kent serves on the Board of Directors at BrightStone, Inc., as well as with the Tennessee Crohn’s & Colitis Foundation.
Sagar S. Makanji, PharmD
Sagar Makanji is Vice President of Clinical Strategy & Programs at MRx, where he leads the design, implementation, and management of clinical programs for health plan clients. His primary focus is quality improvement programs that enhance the level of care for several disease states including diabetes, hypertension, hyperlipidemia, rheumatoid arthritis, osteoporosis, and asthma with a key emphasis on CMS Star Ratings and HEDIS quality measures. Sagar is also responsible for developing innovative strategies to maximize patient engagement and outcomes for various population segments including commercial, Medicaid, and dual-eligibles. Part of this role also includes developing strategic partnerships to improve clinical program offerings in the marketplace for all lines of business. Sagar is currently a registered pharmacist in both Rhode Island and Connecticut and has additional advanced training in medication therapy management and immunizations from the American Pharmacists Association (APhA).
Dr. Derek McFerran is the Senior Director of Pharmacy at Commonwealth Care Alliance (CCA). At CCA, he is responsible for the oversight, design, and strategic vision of a robust, clinically informed, efficiently executed pharmacy program. This includes pharmacy operations, clinical pharmacy, pharmacy-based quality measures, and state/federal regulatory pharmacy compliance.
Derek graduated from the University of Connecticut Pharmacy School with a Pharm D. He is board-certified in geriatrics, a fellow of the Academy Society of Consultant Pharmacists, AHIP certified health insurance executive and fellow, and participates on the editorial review board of the Consultant Pharmacist publication.
Diane joined PHP in 2014 as a director of Care Coordination and has served as Chief of Care Coordination since March 2019. Prior to joining the PHP team, she held varied positions within the non-profit sector serving individuals with I/DD from birth through adulthood. Diane has vast experience in promoting the use of a multi-disciplinary, person-centered approach to ensure the provision of high-quality services to individuals with I/DD and their families. She obtained her Master of Social Work degree from Fordham University and is a Licensed Clinical Social Worker and Certified School Social Worker. She also holds an Executive Education Certificate in Non-Profit Leadership from Fordham University.
Premila Mary Kumar
Premila Mary Kumar is the Chief of Quality Initiatives at Partners Health Plan and Care Design New York. Premila has over 20+ years of experience working within the Managed Care environment for such companies as CIGNA Healthcare, Horizon Blue Cross Blue Shield of NJ, and CenterLight Healthcare. Prior to coming to PHP, Premila’s most recent employment experience was as Vice President of Population Health Management and Quality Assurance Performance Improvement at GuildNet. Prior to her position at GuildNet, Premila was the Assistant Vice President for Medical Management at CenterLight Healthcare, New York. Premila is known for implementing innovative initiatives to improve quality measures, HEDIS rates, reduce ER visits, hospital admissions and overall cost for consumer and employer. She is also known for developing disease management programs at Horizon Blue Cross Blue Shield of NJ and CIGNA Healthcare Tristate region.
Premila has been a speaker at several national professional conferences and has contributed her expertise to develop award-winning health education products for Managed Care plans. She has been a guest faculty speaker at Rutgers School of Pharmacy, served on the editorial board for Population Health Insider magazine and was appointed as a resource member for the legislated New Jersey Obesity Prevention Task Force. She most recently participated and was a member of the Value-Based Payment NYS MLTC Clinical Advisory Group. She earned her medical degree from Stanley Medical College, Madras University, India as well as a professional designation from Academy of Healthcare Management.
Jason B. Ruda, MS, CPXP
An accomplished healthcare leader, Jason has vast experience in medical group management, operational and financial performance improvement, leadership development, and workforce engagement. In his current role as leader of the CAHPS Coaching Program at Horizon BCBS, Jason is accountable for designing and delivering on the overall CAHPS improvement strategy through workforce development and provider engagement.
Prior to joining Tandigm Health, Jason worked in world-class organizations such as Horizon Blue Cross Blue Shield, Studer Group, Baird Group, Mount Sinai Medical Center, Weill Cornell Medical College, and Guthrie Clinic. Apart from his daily activities, Jason is also the Founder and Executive Director of The Kindness For Karen Foundation; a not-for-profit organization that offers programs and services to support women and their families affected by lung cancer in underserved communities.
Throughout his career, Jason has consistently institutionalized a culture of service excellence, quality and ownership in his practices. His accomplishments come by hardwiring systems of accountability for leaders, physicians, and employees. This has proven successful in engaging these groups to own their part in achieving excellent patient experience and clinical outcomes.
Melissa Smith is the Executive Vice President of Consulting and Professional Services at HealthMine,
bringing over 25 years of experience in Star Ratings, strategy, sales, and marketing for health plans,
providers, pharmacy benefit managers, and industry vendors. Melissa has extensive experience
developing strategic and tactical solutions to meet client needs and a strong background of building
productive partnerships across internal teams and with external vendors to improve performance on
clinical, medication, patient survey, and administrative quality measures.
Most recently, Melissa was Senior Vice President of Sales, Marketing, Strategy and Stars at Gorman Health Group. She is a well-known thought leader and healthcare strategist with proven success developing enterprise-wide solutions to improve Star Ratings, quality performance, health outcomes, and the member experience. Melissa’s team helps clients improve performance within quality ratings systems, evaluate market dynamics and opportunities, optimize distribution channels, and support our clients’ strategic planning needs.
Prior to Gorman Health Group, Melissa served in a leadership capacity at Cigna-HealthSpring. Before working in Medicare Advantage and quality ratings systems, Melissa was an Associate Director at Vanderbilt University Medical Center. Melissa received her degree from Purdue University and began her career at KPMG, LLP. Melissa’s unique background of business process, regulatory compliance, and healthcare quality offers our clients unique access to healthcare strategy, quality performance, revenue optimization, and more.
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.
Brent Zenobia, PhD.
Brent Zenobia is Chief Strategist for Novillus LLC, in Portland Oregon, a startup focusing on innovative Risk Adjustment and Stars solutions for healthcare organizations. He has over 37 years experience in Medicare and ACA risk adjustment, Medicare Stars, quality metrics, value-based payment arrangements, and software engineering. He is an expert in Care Gap Management for HCCs and Stars and has architected several systems in this space. Prior to Novillus he served as business architect and process improvement specialist for Cambia Health Solutions, Sharp Laboratories of America, Intel, Hewlett Packard, and Bell-Northern Research.
Brent holds a Ph.D. in Systems Science/Engineering Management and MS in Software Engineering with a strong focus in technology forecasting, simulation modeling and software modeling. As Adjunct Professor at Oregon Health and Sciences University and Portland State University he taught courses in Technology Forecasting, Technology Assessment and Acquisition, Strategic Management of Technology, Technology Transfer, Software Process Improvement, and Software Engineering. He has been participating in the Da Vinci project since 2018. ,