As AmeriHealth Caritas Delaware's Market President, Emmilyn Lawson is responsible for the Medicaid health plan's strategic direction, growth, and leadership. She oversees AmeriHealth Caritas Delaware's operations and is its primary point of contact with the state of Delaware.
Lawson is a longtime health care executive with more than 20 years of experience in Medicaid managed care in Delaware and Pennsylvania. She most recently served as Vice President of Delaware Medicaid markets and Chief Operations Officer for Highmark Blue Cross Blue Shield Delaware Health Options Inc. At Highmark, Lawson led all core operations for the insurer's Medicaid, Children's Health Insurance Program (CHIP), and long-term services and supports (LTSS) products.
Lawson holds a Bachelor of Arts degree in mathematics from the University of Delaware and a Master of Business Administration in finance from Goldey-Beacom College. She participated in the AHIP Foundation's Minority Management Development Program, now part of AHIP's Executive Leadership Program.
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Lenaye Lawyer, M.D., FACOG
Market Chief Medical Officer
As AmeriHealth Caritas Delaware's Market Chief Medical Officer, Dr. Lenaye Lawyer is responsible for the health plan's clinical and educational initiatives, such as care management, medical education, and quality management, that will drive member health outcomes. Dr. Lawyer has worked with Medicaid and other government health programs for more than 20 years, both as a practicing OB/GYN and a health care executive.
She has been with AmeriHealth Caritas since July 2016, most recently serving as one of the family of companies' corporate medical directors. Dr. Lawyer previously held leadership roles at Executive Health Resources, Delmarva Foundation, and KePRO.
Dr. Lawyer is a graduate of Howard University College of Medicine and completed her residency in obstetrics and gynecology at the University of Maryland. She is a fellow of the American College of Obstetrics and Gynecology and a diplomate of the American Board of Obstetrics and Gynecology. She began her career as an OB/GYN in private practice and at federally qualified health centers.
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Jordan K. Weisman, Psy.D.
Behavioral Health Chief Medical Officer
Jordan K. Weisman, Psy.D., is the Behavioral Health Chief Medical Officer for AmeriHealth Caritas Delaware. Dr. Weisman is responsible for overseeing the clinical policies, clinical programs, and quality initiatives related to behavioral health, and partnering with the Physical Health Chief Medical Officer and Market Pharmacist to implement integrated care.
Dr. Weisman regularly interfaces with members, clinicians, government representatives, and community-based organizations. He is a member of the Credentialing Committee, Appeals Committee, Clinical Policy Committee, and Trauma-Informed Care Committee.
Prior to joining AmeriHealth Caritas Delaware, Dr. Weisman held senior positions with national behavioral health organizations, overseeing the implementation of evidence-based treatment in correctional and re-entry facilities, and in residential treatment and outpatient centers. He has worked in both inpatient and outpatient settings, providing facility-based individual and group therapies and community-based therapeutic services to clients spanning the life continuum. Dr. Weisman has taught for the Rowan University Department of Graduate Psychology.
Dr. Weisman received his doctoral degree in clinical psychology from the Philadelphia College of Osteopathic Medicine (PCOM), a Master of Science in clinical psychology from PCOM, and a Master of Arts in counseling psychology from LaSalle University. He is a member of the American Psychological Association (APA), Juvenile Justice Alliance, and Delaware Psychological Association, and a fellow of the Pennsylvania Psychological Association.
He holds certifications in cognitive behavioral therapy, Lean Six Sigma, and the NIATx Behavioral Health Process Improvement strategy. His research interests include the assessment and implementation of empirically validated treatment protocols. Dr. Weisman is a licensed clinical psychologist in Delaware, Pennsylvania, Florida, and New Jersey.
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Bernard M. Cohen, M.D., M.B.A., FAAFP
Long-Term Services and Supports Chief Medical Officer
Bernard M. Cohen is the Long-Term Services and Supports Chief Medical Officer for AmeriHealth Caritas Delaware. He provides clinical leadership of Long-Term Services and Supports and is responsible for advancing initiatives to drive clinical excellence and delivery of cost efficient care.
Prior to joining AmeriHealth Caritas, Dr. Cohen served as Vice President of Quality with MVP Health Care in New York and as Regional Chief Medical Officer with Evolent Health in Arlington, Virginia. He has previously served as Vice President of Quality Management and Care Management with WellCare Health Plans in Tampa, Florida, and as Vice President of Managed Care for Shands Jacksonville and the University of Florida Jacksonville Physicians.
Dr. Cohen earned his Doctor of Medicine from Tulane University and Master of Business Administration from the University of South Florida. His family-practice residency was in the U.S. Navy at Pensacola, Florida, and he is a board-certified family physician. Dr. Cohen is a Physician Reviewer with the National Committee for Quality Assurance and serves on several committees.
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Chief Operating Officer and Director, Plan Operations and Administration
Margaret DeFeo is Chief Operating Officer and Director of Plan Operations and Administration for AmeriHealth Caritas Delaware. DeFeo is responsible for overall operations for AmeriHealth Caritas Delaware.
Her responsibilities include day-to-day health plan operations, contractual requirements execution, provider network management, and oversight for data and technical services. She acts as a liaison between state, health plan, and enterprise functions.
Prior to joining AmeriHealth Caritas Delaware, DeFeo served as Director of Information Solutions, Facets Business Solutions, for AmeriHealth Caritas. She also held several other technical and operational management positions during her tenure.
DeFeo has more than 25 years of experience in health care, 21 of which were spent with AmeriHealth Caritas Family of Companies. Her strong background in operations and information technology led to several key management positions within AmeriHealth Caritas and Blue Cross Blue Shield of North Carolina.
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Mark A. Landis
Chief Financial Officer
Mark A. Landis is the Chief Financial Officer for AmeriHealth Caritas Delaware. He is responsible for all local accounting, finance, budgeting, financial reporting, regulatory reporting, and reconciliation activities for AmeriHealth Caritas Delaware.
He has worked closely with health plan leadership to move the organization forward from startup to sustainability.
Landis is a health care finance professional with 20 years of Medicaid managed care experience. Before joining AmeriHealth Caritas, Landis served as Director of Finance at Gateway Health Plan, Chief Financial Officer at Aetna Better Health of Pennsylvania, Finance Manager at Unitedhealth Group, and Assistant Controller for Health Partner Plans, formerly Health Partners of Philadelphia.
Landis earned a Master of Healthcare Administration from the University of Phoenix and a Bachelor of Science in accounting from Elizabethtown College.
Landis lives in Pittsburgh with his wife, and enjoys hiking, bicycling, kayaking, riding motorcycle, and bowling.
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Letitia D. Robinson, M.B.A.
Letitia D. Robinson serves as the Compliance Officer and Director of Compliance for AmeriHealth Caritas Delaware. In this capacity, she oversees compliance and privacy initiatives for the Delaware health plan. She also serves as the Chair of the Compliance and Privacy Committee and the Policy and Procedure Workgroup.
Robinson's tenure at AmeriHealth Caritas Delaware began in January 2018. Before joining AmeriHealth Caritas Delaware, she was employed by Health Partners Plans Inc. in Philadelphia as Director of Government Relations and Compliance, with oversight for the Children's Health Insurance Program (CHIP) and Medicaid compliance. She served as Chair of the Health Partners Plans State Delegated Vendor Oversight Subcommittee and managed all policies, reporting, internal auditing, and operational compliance within the CHIP and Medicaid programs.
Robinson has also held positions with the Centers for Medicare & Medicaid Services (CMS) Center for Program Integrity; Aetna Health Plans; HealthAmerica/Coventry; Capital Area Behavioral Health Collaborative; and the Pennsylvania state government in the Department of Human Services, Department of Health, and Pennsylvania Insurance Department.
Robinson is a graduate of Albright College with a Bachelor of Science in organizational behavior and applied psychology. She holds a Master of Business Administration in health administration from Eastern University.
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Fury Fecondo, Pharm.D.
Fury Fecondo, Pharm.D., is the Market Pharmacist at AmeriHealth Caritas Delaware. He serves on the state's Pharmaceutics and Therapeutics Committee and the state's Drug Utilization Review Committee to provide clinical and financial insight on pharmacy decisions.
Fecondo also oversees the Pharmacy Benefit Manager in implementing clinical policies and meeting financial goals. Many of the current policies being implemented center on the opiate epidemic and limiting opiate exposure, excessive quantities, and dangerous interactions around the products.
Fecondo's experience in the pharmacy field has been diverse. He began in retail pharmacy, moved into long-term care, and then worked in pharmacy benefit management at the state's fiscal agent.
Fecondo has a Doctor of Pharmacy from Duquesne University, with a certification in health care management. He graduated in 2002 and was the Class President and commencement speaker.
He has been part of the American Drug Utilization Review Society for the past 10 years, and has served as a program chairman and on their Board of Directors for the last three years.
Fecondo lives in Wilmington, Delaware. His hobbies include the local adult sports league and paddle boarding. He has volunteered with Habitat for Humanity and Big Brothers of Delaware.
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Karyn K. Scout
Director, Provider Network Management
Karyn K. Scout is Director of Provider Network Management for AmeriHealth Caritas Delaware. She has extensive experience contracting and fostering positive relationships with providers.
Scout is responsible for managing AmeriHealth Caritas Delaware's provider network, which includes provider groups, facilities, federally qualified health centers (FQHCs), and various practitioners. In addition, Scout oversees provider services and education, as well as the recruitment and contract negotiations of all new providers who join the plan's provider network.
Before joining AmeriHealth Caritas Delaware, Scout worked extensively in the Delaware, Pennsylvania, and New Jersey markets in both network and operation roles.
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Ellen Baker, M.B.A.
Director, Member Engagement
Ellen Baker is Director for Member Engagement for AmeriHealth Caritas Delaware.
She is responsible for the leadership, direction, and implementation of the strategic vision for all services that impact or interface with AmeriHealth Caritas Delaware members. She is also responsible for collaborating with enterprise call centers to ensure that AmeriHealth Caritas Delaware requirements and cultural competencies are met for members to have positive experiences. Additional responsibilities include the direction of all member communications and collateral materials, including member education; member advocacy; support enrollment and eligibility functions; health literacy and education; analysis of action plan disenrollment rates; grievance tracking and reporting; and member satisfaction.
Before joining AmeriHealth Caritas Delaware, Baker held various positions in the AmeriHealth Caritas Corporate Office. Her most recent role was Manager of Public Affairs and Marketing for Keystone First.
Baker earned Bachelor of Arts in journalism from Temple University and Master of Health Administration from Eastern University. She is an innovative market leader with more than 25 years of health care experience, serving underserved communities.
She also served as a former Chairman of the Board for the Philadelphia Freedom YMCA, Christian Street Branch. Baker has been recognized as a recipient of the President's Award for Outstanding Performance by AmeriHealth Mercy Family of Companies and the Women's Achieving Award by the Philadelphia Tribune.
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Tiffany Earle, B.A., M.S.W., LCSW
Director, Long-Term Services and Supports
Tiffany Earle is Director of Long-Term Services and Supports (LTSS) for AmeriHealth Caritas Delaware. Earle is responsible for the leadership, direction, and strategic vision for the LTSS team.
She coordinates and implements the development of recommended policies and programs while monitoring the achievement of departmental goals and objectives. She is responsible for departmental success in assigned LTSS National Committee for Quality Assurance (NCQA) requirements, compliance with all applicable state and federal laws, and the achievement of assigned health outcomes. She also identifies and evaluates new programs and services to address cost effectiveness and proposed process improvements.
She began working with the Delaware LTSS population in 2012. Earle went on to support other LTSS implementations and programs in New Jersey, New York, Florida, Ohio, and Virginia before joining AmeriHealth Caritas. She is committed to assisting members in getting the services and supports they need.
Earle earned a Bachelor of Arts in sociology from the University of Delaware and a Master of Social Work from the University of Maryland. She is a licensed clinical social worker who has been working with vulnerable populations for 19 years.
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Sheryl O'Neill, RN, B.S.N., CMC
Director, Quality Management
Sheryl O'Neill is the Director of Quality Management for AmeriHealth Caritas Delaware. She is responsible for the operational and strategic leadership of the Quality Management program and initiatives within the health plan, which include community outreach programs, quality of care, performance improvement projects, accreditation, and implementation of performance improvement initiatives for health outcome metrics, including Healthcare Effectiveness and Data Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS).
Prior to joining AmeriHealth Caritas Delaware, O'Neill served in Quality Management leadership roles at Independence Blue Cross, Highmark Health Options, and United Healthcare. She has led initiatives in value-based purchasing, HEDIS, and readmission prevention.
O'Neill earned a Bachelor of Science in nursing at the University of Delaware and is Six Sigma Green Belt certified.
She also volunteers with Paws for People, providing pet therapy visits to individuals in the community.
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Wanda T. Fleming
Director, Provider Network Operations
Wanda T. Fleming is Director of Provider Network Operations for AmeriHealth Caritas Delaware. She is responsible for the complete oversight of payment reimbursement activities for AmeriHealth Caritas Delaware providers.
Before joining AmeriHealth Caritas Delaware, Fleming held various positions in the AmeriHealth Caritas corporate office in Philadelphia. Her most recent role was Business Engagement Manager, serving the Michigan and Pennsylvania lines of business. She has also served as Manager of Provider Network Operations for AmeriHealth Caritas Pennsylvania in Harrisburg, Pennsylvania.
Fleming earned a Bachelor of Science in business management from the University of Phoenix.
She has served as a mentor for the Big Brothers Big Sisters program and enjoys volunteering for company-sponsored events.
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Ed McLaughlin, M.B.A.
Director, Data and Technical Services
Ed McLaughlin is Director of Data and Technical Services for AmeriHealth Caritas Delaware. He is responsible for overseeing and managing AmeriHealth Caritas Delaware's portfolio of information technology programs and projects; leading various mobile and text initiatives; and tracking plan-level operational, project, and compliance tasks to ensure timely delivery.
In addition, McLaughlin is responsible for aligning existing and identifying new programs and initiatives to leverage technology to help improve the quality of care and mitigate gaps in operational and compliance performance.
With more than 30 years of information technology (IT) experience, McLaughlin has held leadership roles in finance, insurance, and technology organizations. Before he joined AmeriHealth Caritas in 2014, McLaughlin served in various leadership positions at Unisys, Wilmington Trust, and The PMA Group in business analysis, operations, project management, and IT. During his tenure with AmeriHealth Caritas, McLaughlin worked on a number of technology enablement projects supporting innovation for use in several markets. While at Wilmington Trust, McLaughlin served as the Chair for their national United Way campaign, leading an effort that raised more than $1 million for social service agencies.
McLaughlin earned a Bachelor of Science in business management from Widener University and an M.B.A. from Saint Joseph's University. He is the proud father of four professional daughters and enjoys time with his wife and grandchildren.
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Christine McSween, M.S.W., RN, M.S.N., CCM
Director, Integrated Care
Christine McSween is the Director for Integrated Care for AmeriHealth Caritas Delaware. McSween is responsible for the leadership, direction, and strategic vision for Clinical Care Coordination.
She coordinates and implements the development of recommended policies and programs while monitoring achievement of departmental goals and objectives. She is responsible for the achievement of assigned National Committee for Quality Assurance (NCQA) requirements, compliance with all applicable state and federal laws, and the achievement of assigned incented health outcomes. In addition, McSween identifies and evaluates new programs and services to address cost effectiveness and proposed process improvements.
Before joining AmeriHealth Caritas Delaware, McSween served as a Senior Program Manager and Director of Long-Term Services and Supports (LTSS) at Highmark Health Options, Manager of Utilization Management at Blue Cross of Northeastern Pennsylvania, and Case Manager at Geisinger Health.
McSween earned her certification as a certified case manager (CCM), bachelor's and master's degrees from Widener University, and a Master of Science in professional nursing from Wilkes University.
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