MAGNACARE

Health Insurance Coverage in New York

Health Plan Overview

Insurance CompanyMAGNACARE
StateNew York
Websitemagnacare.com
Number of Hospitals in Network4
Number of Plans Offered5

Network Hospital Locations

Hospitals in Network (4)
Saint Joseph's Medical CenterWyoming County Community Health SystemAuburn Community HospitalWyoming County Community Health System

Available Plans

Exclusive Provider Organization

1 plan

Pharmacy Benefit Management

1 plan

Point of Service

1 plan

Preferred Provider Organization

1 plan

Self-Funded Program

1 plan

Plan Details
Plan NamePlan Type
NAPreferred Provider Organization
NAExclusive Provider Organization
NAPoint of Service
NASelf-Funded Program
NAPharmacy Benefit Management

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State Leadership

Jim Cusumano

Chief Executive Officer

Responsible for the day-to-day running of the business, financial planning and analysis, business performance reporting, human resources, and risk management functions. Led ownership/debt reorganizations and oversaw efficiency reviews that led to savings of $3 million yearly. Revenue almost tripled during his time at the company. Previously served as Chief Financial Officer of National Healthcare Resources. Began his career at Deloitte. Member of the American Institute of Certified Public Accountants (CPA) and the New York State Society of CPAs. Has a bachelor's degree in accounting from Pace University. [3, 5]

Michelle Zettergren

President of Labor & Public Sector / Chief Sales & Marketing Officer

Joined the company in 2017. Works to deliver personalized service and custom-fit solutions that prioritize the needs of clients and members in the Labor and Public Sector. Brings more than 20 years of experience in the health insurance industry in various executive leadership roles in sales, product, marketing, and underwriting. Most recently Chief Sales Officer at HPOne and Senior Vice President and Chief Sales and Marketing Officer for ConnectiCare, a subsidiary of EmblemHealth. Led efforts to expand services for Labor, including new health, trust, and pension administration capabilities, new cost-effective provider network solutions, and new communications and programs. Completed Labor Relations training with the University of Connecticut's Office of Labor Relations. Certified as a Mediator, consulted in numerous Labor negotiations, and has served as an expert witness for Labor in several arbitration and mediation disputes. Served on multiple local and national boards, including the American Association of Payers, Administrators, and Networks (AAPAN), and is the Board Chair for Special Olympics Connecticut. [3, 4]

Julie Bank

Chief People Officer

Arun Bhatia

Chief Information Officer

Leads the company's technology operations and infrastructure management. Responsible for setting the technology vision and introducing new technologies. In prior roles, served as Senior Vice President of Information Systems for MagnaCare and Chief Information Officer at Healthfirst. [3]

Wiljanda Boatwright

Vice President of Enrollment and Eligibility

Oversees the Enrollment-Eligibility Operations and Employer Services. Joined MagnaCare in September 2020. Has a wealth of knowledge and expertise in managing the operational side of complex healthcare products. [3]

Sean Burns

SVP Network Strategy and Contracting

Has more than 20 years of experience in the healthcare industry. His team focuses on the development and execution of the provider network. Prior to joining MagnaCare, was the Chief Network Officer for Carelon Behavioral Health, worked as Vice President of Value Based Reimbursement and Network Design at Highmark Health, led a consulting practice at Optum, and held several different roles with Blue Cross Blue Shield of Minnesota. [3]

A. Adam L Young

Chief Legal Officer

Has worked as Deputy General Counsel at Horizon Blue Cross Blue Shield of New Jersey. [1]

Catherine Marino

Senior VP/Chief Medical Ofcr

Works at MagnaCare Holdings. Has worked as Professor at Rutgers - New Jersey Medical School and Professor at State University of New York. Works or has worked as FELLOW at Fellow of the American Coll of Rheumatology, Chairman:Dept Medicine/VP at Catholic Medical Center, and MEMBER at Castle Connelly Best Doctors. Studied at State University of New York Health Science Center, Hofstra University, and Fordham University. [1]

Joseph Brennan

Chief Compliance Officer

Has experience at New Jersey State Police and has worked as Partner at County of Monmouth NJ, Assistant Commissioner at (NJ)Dept of Banking & Insurance, and VP/Associate General Counsel at MagnaCare Holdings. Attended Seton Hall University School of Law and CITY UNIVERSITY OF NEW YORK. [1]

Margie Arnold

Chief of Operations

COO at Managed Care Systems and is based in Texas Area, Corpus Christi, Texas. [1]

Ashan Nilaweera

Vice President Of IT

Brian Murray

Chief Operating Officer

Daniel Vaughan

Senior Vice President Of Analytics

Jack Kerouac

Vice President Of Digital Strategy And Business Development

Joseph Guarino

Vice President Of Application Support

Michael Tufo

Senior Vice President Of Account Management

Rajneesh Sethi

Senior Vice President Of IT

Rosemary Chowallur

Vice President Of Marketing

Sandy Hook

Vice President Of Customer Service