Health Insurance Coverage in Ohio
| Insurance Company | Centene Corporation |
|---|---|
| State | Ohio |
| Website | wellcare.com |
| Number of Hospitals in Network | 44 |
| Number of Plans Offered | 18 |
15 plans
3 plans
| Plan Name | Plan Type |
|---|---|
| Allwell | MEDICARE ADVANTAGE |
| Allwell Managed Medicare | MEDICARE ADVANTAGE |
| Buckeye - Wellcare | MEDICARE ADVANTAGE |
| Buckeye - Wellcare All Dual Assure (HMO D-SNP) | MEDICARE ADVANTAGE, DUAL ELIGIBLE SPECIAL NEEDS PLAN |
| Buckeye - Wellcare Assist (HMO) | MEDICARE ADVANTAGE |
| Buckeye - Wellcare Dual Access (HMO D-SNP) | MEDICARE ADVANTAGE, DUAL ELIGIBLE SPECIAL NEEDS PLAN |
| Buckeye - Wellcare Dual Access Open (PPO D-SNP) | MEDICARE ADVANTAGE |
| Buckeye - Wellcare Giveback (HMO) | MEDICARE ADVANTAGE |
| Buckeye - Wellcare No Premium (HMO) | MEDICARE ADVANTAGE |
| Buckeye - Wellcare No Premium Open (PPO) | MEDICARE ADVANTAGE |
| Buckeye Medicare or Wellcare Medicare | MEDICARE ADVANTAGE |
| Buckeye Wellcare by Allwell Dual Access (HMO D-SNP) | MEDICARE ADVANTAGE, DUAL ELIGIBLE SPECIAL NEEDS PLAN |
| Buckeye Wellcare by Allwell Medicare Advantage HMO | MEDICARE ADVANTAGE |
| Wellcare (Wellcare by Allwell) | MEDICARE ADVANTAGE |
| Wellcare Assist (HMO-POS) | MEDICARE ADVANTAGE |
| Wellcare Dual Access (DSNP-POS) | MEDICARE ADVANTAGE |
| Wellcare Dual Access Open (PPO DSNP) | MEDICARE ADVANTAGE |
| WellCare Medicare (Allwell) | MEDICARE ADVANTAGE |
As President and CEO of Buckeye Health Plan, he is honored to continue to serve dually eligible Ohioans and is focused on providing innovative solutions and advocating for support to help them thrive. [6, 7] He is also mentioned in relation to expanding Ambetter coverage in Ohio. [7]
Leads all of the clinical work at Buckeye Health Plan with oversight of Medical Affairs, Population Health (including Equity), Quality, and Pharmacy. [3] He has been part of the Centene/Buckeye family since 2005. [3] He helped build and guide award-winning programs such as Start Smart for Your Baby®, New Leaf (an addiction in pregnancy program), and other preterm birth prevention programs. [3] He was honored by March of Dimes in 2015 for his work in infant mortality, prevention of premature birth, and prevention of birth defects. [3] He remains active in community outreach that impacts mothers and families in Ohio and has served on the Executive Committee Member of the Ohio Collaborative to Prevent Infant Mortality (OCPIM). [3] He is a National Advisory Council Member of the Pathways Community Hub Institute and a member of the Coding and Reimbursement Committee for the Society of Fetal Medicine. [3] He completed his OB/GYN residency at Johns Hopkins Hospital and is a Fellow of the American College of Obstetrics and Gynecology, and obtained an MBA in Healthcare. [3]
Responsible for Provider Data Excellence, Claims Operations, and Grievance and Appeals across all Buckeye's Medicaid, Medicare, Marketplace and MyCare Ohio products. [3] She has vast experience with streamlining complex processes and applying high-level strategy to achieve demonstrable results. [3]
Responsible for clinical operations including case management, utilization management and prior authorization for programs including Covered Families and Children (CFC), Aged, Blind and Disabled (ABD), Children with Special Health Care Needs, Medicaid Expansion, MyCare Ohio, Medicare Advantage Special Needs Plan, and Marketplace. [3] She has had diverse senior level executive responsibility for healthcare operations. [3]
Brings more than 30 years of leadership experience in hospital administration and operations. [3]