10 Medicare consultants

Experience: Independent Contractor Healthcare Strategy Consultant · 101 Health Advisory, LLC

Independent Contractor Healthcare Strategy Consultant at 101 Health Advisory, LLC since 2024, focused on Medicare Advantage, Duals and LTSS; his profile says he partners with health plans, vendors and provider organizations and helps them improve Stars performance, member experience and growth. He was Senior Director, Medicare, Medicaid and LTSS at UPMC Health Plan (2018–2024) and Healthcare Strategy Executive at CVS Health (2014–2018).

Experience: Independent Medicare Consultant · Self Employed

Independent Medicare Consultant since 2020; the profile describes a retired health care executive who is a Medicare consultant to health care providers, with skills in Medicare reimbursement, government procurement and healthcare integrity. Other listed roles include President and CEO of Curtis Lord and Associates, LLC (1998–2011), Vice President, Program Safeguards at KEPRO (1995–1998) and Board Member at Kepro (2014–2017).

Experience: Principal · Health Management Associates Consulting

Principal at Health Management Associates Consulting since 2013, where her profile describes executive-level consulting on accountable care strategy, Advanced Alternative Payment Models, Medicare, Medicaid and P&L. At Humana she was President - Humana Medicare, Great Lakes Region (2008–2012), Director - Medicare Performance & Process (2006–2008) and Director - Strategic Consultancy (Operational planning for Medicare growth) (2005–2006).

Experience: Senior Consultant, Medicare Part D Pharmacy · BluePeak Advisors

Senior Consultant, Medicare Part D Pharmacy at BluePeak Advisors since 2026, where his profile says he serves as a subject matter expert on Medicare Part D pharmacy operations for health plans, PBMs and pharmacy stakeholders, covering regulatory compliance and audit readiness. He was Vice President, Pharmacy at eternalHealth, The Next Generation of Medicare Advantage (2024–2026) and Director, Clinical Pharmacy Services Gov t Programs at CareFirst BlueCross BlueShield (2020–2024).

Experience: Independent Healthcare Consultant Product Innovation, Medicare Strategy, Account Management · Self-employed

Independent Healthcare Consultant Product Innovation, Medicare Strategy, Account Management since 2023; her profile describes consulting on healthcare product innovation, Medicare strategy and communication, and account management. At Health Care Service Corporation she was Director, Medicare Strategy (2022–2023) and Senior Consultant, Product Development (2016–2022).

Experience: Senior Health Plan Consultant · BluePeak Advisors

Senior Health Plan Consultant at BluePeak Advisors since 2026; her profile says she guides Medicare Advantage, Medicaid, commercial and Exchange health plans on clinical operations, regulatory compliance, formulary administration and coverage determination and appeals workflows. At Evolent she was Managing Director, Pharmacy Operations (2024–2025) and Associate Director, Medicare Clinical Pharmacy Operations (2013–2018).

Experience: SVP Consultant · Segal Medicare Experts

SVP Consultant at Segal Medicare Experts since 2021 and Proprietor of MK Thibert Consulting since 2015. She was Senior Vice President Consultant at Medicare Compliance Solutions (2015–2020), and her profile describes consulting in Medicare and Medicaid government programs, covering strategic planning, marketing, compliance, audit and benefit design for health plans.

Experience: Vice President, Medicare Services · Visante

Vice President, Medicare Services at Visante since 2009, a role at a company the profile describes as a pharmacy consulting firm offering solutions for specialty pharmacy, infusion and 340B program performance. The profile headline reads Medicare Part C and D Consultant.

Experience: Managing Partner · Cogen Medicare Consultants

Managing Partner at Cogen Medicare Consultants since 2005; his profile describes medical management and provider contracting consulting services provided to national, regional and local health insurers and physician groups. He was VP of Medicare, Provider Relations, NJ HMO PPO at Empire Blue Cross Blue Shield (2000–2005) and Chief Medical Director at Horizon BCBS (1997–2000).

Experience: Senior Director, Optum Advisory Services · Optum

Senior Director, Optum Advisory Services at Optum since 2022; the profile describes a Medicare pharmacy actuary who serves as subject matter expert and client lead for Medicare clients on Part D. Other listed roles include Chief Actuary and Senior Director at Via Benefits, a Willis Towers Watson Company (2009–2022) and Consultant at Ingenix Consulting (2006–2009).