Insurance
10 care management programs experts
These ten professionals have led care management or case management programs at health plans and health systems. A reader can learn how health plans and health systems set up and run care management for their patients and members.
Professionals to explore
01—10Coretta Smith
LinkedInExperience: Director Care Management Operations · Duke Health
Former Director Care Management Operations at Duke Health (2018–2021) and Healthcare System Director, Case Management Population Health at UNC Health (2021–2026). The profile lists Senior Director, Physical Health at Alliance Health since 2026 and describes that role as senior leader of complex care management services.
Courtney Sedlacek
LinkedInExperience: Director of Care Management · Meridian
Director of Care Management at Meridian since 2013. The profile describes over a decade of experience in care management and healthcare leadership and says that, as Director of Care Management at Meridian, this person drives initiatives in Medicaid and Medicare.
Gale Santos Carino
LinkedInExperience: Director of Integrated Care · Health Plan of San Mateo (HPSM)
Director of Integrated Care at Health Plan of San Mateo (HPSM) since 2022, a role the profile says involves leading strategy and operational oversight for integrated care management programs. The profile describes over 15 years designing and leading programs for vulnerable and complex populations and also lists Regional Director at Institute on Aging (2018–2020).
Heather Davidson, MPH, RN, PHN
LinkedInExperience: Senior Director, Care and Utilization Management · Medica
Senior Director, Care and Utilization Management at Medica since 2025 and Director, Case Management at Medica since 2021, a role the profile says covers strategic and operational oversight of complex and specialty case management programming. The profile also lists Manager, Case Management (2020–2021) and Case Management Supervisor (2018–2020) at Medica.
Heather Jackson Wilman
LinkedInExperience: Director Care Management · WellCare of North Carolina
Director Care Management at WellCare of North Carolina since 2022 and Senior Manager of Managed Care there from 2019 to 2022. The profile describes formulating and implementing a managed care Medicaid program for women, children and the LTSS population of NC Medicaid, and it also lists Clinical Operations Consultant at Optum (formerly Alere Wellbeing) (2017–2019).
Karen Puehler, RN
LinkedInExperience: Director of Care Management · Health Net
Former Director of Care Management at Health Net (2001–2007), a role the profile says covered utilization management, case management and disease management programs for HMO/PPO and Medicare populations with total membership of 250,000. The profile also lists Vice President Population Health and Clinical Operations at Centene Corporation since 2017.
Kelli Bungay
LinkedInExperience: Director of Care Management · Advent Health Apopka
Director of Care Management at Advent Health Apopka since 2023. The profile also lists Manager of Care Coordination - Physician Associates Care Coordination at Orlando Health (2016–2021), where it says this person led 24 clinical team members, and Population Health Manager at Exact Sciences (2021–2023).
Melissa James, MBA, BSN-RN
LinkedInExperience: Director, High Risk OB Care Management · CareSource
Former Director, High Risk OB Care Management at CareSource (2020–2022) and Director, Care Mgt & Population Health at EmblemHealth since 2026. The profile also lists Director Population Health at Baylor Scott & White Health Plan (2022–2025) and describes experience in clinical operations, population health and care management.
Susan Toms
LinkedInExperience: Director of Care Management · Blue Cross and Blue Shield of Minnesota
Former Director of Care Management at Blue Cross and Blue Shield of Minnesota (2000–2005), where the profile says this person led operations and re-design of a telephonic care management department. The profile also lists SVP Disease Management at WellPoint (2013–2017) and Clinical Director at UnitedHealth Group (2005–2011).
Yamilet Aboy RN, BSN
LinkedInExperience: Director of Case Management, Special Needs Plan · Solis Health Plans
Director of Case Management, Special Needs Plan at Solis Health Plans since 2023 and former Director of Case Management, Special Needs Plan & Social Service at Doctors HealthCare Plans, Inc. (2020–2023). The profile describes implementing the Special Needs Plan (SNP) Model of Care and day-to-day oversight of program operations, and it also lists Case Management Nurse, Manager at Solis Health Plans (2019–2020).
Choose the right perspective
Match the person's setting to yours, since care management inside a health system differs from care management run by a Medicaid, Medicare or commercial health plan. Also consider the population you serve, and ask how the person's programs were staffed and measured.
Questions to take into the conversation
- 01How do you decide which patients or members to enroll in care management, and how often do you revisit that list?
- 02How do you staff a care management team, and what caseloads have worked for you?
- 03Which measures do you report to leadership to show a care management program is working?
Reaching care management programs experts
How can I contact one of these care management programs experts?
Pick one of the 10 people on this page and choose "Book a paid call", or describe your project to find others. You offer a fee for a 15-minute call or a written answer, Instant Expert finds the person's work email and sends the invitation, and they decide whether to accept. The list covers 10 companies, including Duke Health, Meridian and Health Plan of San Mateo (HPSM), based on profile data retrieved on October 4, 2026. Being listed here doesn't mean someone has agreed to take calls.
How much does it cost to reach care management programs experts?
You choose the offer, starting at $5 per person. It includes Instant Expert's 20% fee, so an offer that pays the person $100 costs you $125. You're charged only when the person books the call or sends the answer.
What if they don't reply?
You pay nothing. Instant Expert sends follow-up reminders, and if the person hasn't booked or answered within 7 days, the request expires and any hold on your card is released. You can invite several of the 10 people on this list at once and cap your total spend, so you pay only for the ones who accept.
About this directory
This is a professional research starting point based on business profile data retrieved on . Titles and companies reflect that source snapshot and may describe past or present roles. Check the linked profiles for current details. Inclusion does not imply Instant Expert membership or availability.
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