
With more than 20 years experience in business services strategy, mergers and acquisitions, and operations, Siva brings a wealth of expertise and thought leadership to drive the next generation of outsourced healthcare business services delivery. Formerly CEO of EDS/MphasiS Healthcare (Eldorado Computing) and Head of BPO - Americas for EDS/MphasiS, Siva played a key role in building MphasiS organically and through strategic acquisitions and partnerships, leading to its purchase by EDS in 2006.
In addition to vast healthcare experience, Siva has deep expertise in technology, financial and M&A markets. He has worked with such industry-leading firms as Perot Systems, Gartner, Fidelity Investments and Intel Corporation, giving him unique insight into the strategic application of business process and technology to solve real business problems. Siva is a frequent speaker in industry events and has published thought pieces in the areas of healthcare business process outsourcing and next generation of business process outsourcing.
Siva holds an M.B.A. from the University of Michigan and a M.S. in Computer Science from the University of Pittsburgh.
Mr. Hedrick has been in the health insurance industry for over 30 years. Before forming National Audit, he was Executive Director at a Fortune 500® health insurance company’s service center in Jacksonville, Florida. He was responsible for designing, planning, launching and managing the service center’s processing operations handling Florida and Puerto Rico. At the Center, he oversaw 1,400 employees, the processing of 10 million claims, 4 million customer inquiries and an operating budget of $37 million.”
David Hom is an internationally-recognized expert in the field of Value based Benefits and Employee Wellness. He joined Solucia after more than 25 years with Pitney-Bowes Corporation, where he was responsible for introducing their leading-edge programs in value-based wellness, responsible for reducing medical trend to half of the industry average over a number of years.
David has co-authored two leading books on Value Based Designs and co-founded a non profit company in 2007
Krishna has more than 16 years of experience in sales, marketing, M&A, and operations of BPO and IT services. His experience in healthcare services includes managing units that deliver services to payers and providers. Offerings included claims management, claims audit & recovery to payers and RCM, and billing services to hospitals and physicians.
Krishna has worked with industry-leading firms including Perot Systems, Gartner, Infinite, and IBM, driving more than $50M in healthcare services business. He has also played key roles in the negotiation and execution of several sizeable acquisitions.
Krishna holds an M.B.A from New York University and a M.S. in Electrical Engineering from Syracuse University.
Karthik has over 20 years of experience in the IT/BPO Industry in areas of operations, delivery, sales, M&A, and operations management. As Head of Operations Management for Chennai Delivery Center of Tata Consultancy Services (TCS), he oversaw 20,000 employees and $1B revenues.
Karthik headed two acquisitions, Combined Benefits Insurance Company, Missoula, MT, and Phoenix Global Services, CT. He also headed the transformation for the largest BPO deal in Insurance area (UK-based Pearl deal, valued at over $800M). Karthik has conceptualized and launched several strategic initiatives in leadership development, knowledge management (KM), and innovation. Karthik holds an Engineering degree in Computer Science from University of Madras.
Ms. Faillace has been in the health insurance industry for over 15 years. Ms. Faillace served as Director of Customer Service, Government Relations, Grievance and Appeals at a regional health insurance company. Subsequent to the sale of the company to a large national health insurance company, she took the position of Vice President of Operations in Puerto Rico. Ms. Faillace was responsible for the operations of the claims processing and recovery, enrollment and customer service departments. She is also a Licensed Health Care Risk Manager.
Ms. Houlihan has 20 years of managed care claims cost management experience as well as fraud and abuse detection and investigation experience. As our subject matter expert, she continuously reviews changes in Medicare, Medicaid and industry payment trends to improve our audit processes and provide a “Best in Industry” service to our clients. Before joining National Audit, she was the Investigations Manager at a major medical facility that operates its own health plan. She was responsible for the development and implementation of its anti-fraud program. She also brings hands-on auditing experience, having performed thousands of hospital chart audits, DRG validations, High Cost Drug and Skilled Nursing Facility audits.”
Jacob is a Finance professional with more than 18 years of experience in Finance, Accounting, Commercial, Legal, Audit, Mergers & Acquisitions, etc. Prior to joining SCIOinspire, Jacob held senior finance positions in MphasiS, a EDS Company with annual revenues in excess of $700 million. There he was the VP Finance of MphasiS BPO - the 10,000+ strong business process outsourcing division of MphasiS, EVP of Eldorado Computing, the healthcare benefit management division of MphasiS. Jacob played a key role in all the major acquisitions of MphasiS - in China, India, US, UK, etc. Jacob has also held senior positions in PepsiCo, as the CFO of one of its joint ventures and was also a Senior Manager in KPMG.
Jacob is a Chartered Accountant from the Institute of Chartered Accountants and a Commerce graduate.
Blaise has been a practicing attorney for over 17 years. For the past three years he has concentrated his practice in all areas of subrogation and reimbursement, representing subrogation professionals at healthcare payers, self-funded plans, and government and Medicaid plans.
Blaise has negotiated with attorneys, insurance companies, and other third party payers in the collection and enforcement of the subrogation/ reimbursement rights of the health payers he represents. He has litigated in seeking enforcement of those rights before workers' compensation judges, administrative judges, and both the federal and state court systems. Prior to joining SOCRATES INC, Mr. Guzewicz gained experience in many other aspects of the legal profession that have proved to be assets at SCIOinspire.
Mark Howland is an actuary with over 30 years of experience. His strong background in the Health Insurance industry includes leadership positions with large national insurers, UnitedHealth Group and Aetna, and dominant local carriers Blue Cross Blue Shield of New Hampshire and ConnectiCare. His expertise ranges from pricing to underwriting, government relations and health insurance reform, at the individual, group, Medicare and Medicaid levels.
Mark holds a Bachelor of Sciences degree in mathematics from the University of Hartford in Connecticut, and is an Associate of the Society of Actuaries and a Member of the American Academy of Actuaries.
Rob has more than 30 years of experience in Healthcare operations and business development. His experience in healthcare services includes managing units that deliver services to payers and providers. Offerings included reinsurance solutions, claims management and medical cost containment solutions including claims negotiation services and development and management of national provider networks.
Rob has worked with industry-leading firms including Viant Health Payment Solutions, driving more than $100M in healthcare services business. He has implemented innovative structured reinsurance solutions for payers as a partner in a global actuarial and management consulting firm. He has also played key roles in the negotiation and execution of several sizeable acquisitions and mergers.
Rob holds an M.B.A from Concordia University and a Bachelor’s degree from McGill University.
Brendon has more than 20 years of experience in Operations and Technology, specializing in data processing, data migration, business process improvements, and systems implementation. He has international experience and expertise in six sigma methodology and process improvement. Prior to joining SOCRATES, Mr. Tucker was the head of technology for International Personal Banking – a division of Citigroup.
Mr. Tucker holds an Associate Arts Degree in Computer Science from St. John Rigby College, Wigan, UK, and he is a Certified Project Management Professional (PMP).
David has successfully led several organizations’ direct marketing and member engagement efforts for more than 25 years by untangling the information web and generating solutions that delivered measurable behavior change. He has been successful in helping employers and large health plan payers drive down health care costs, improve clinical quality outcomes and generate brand affinity. David has helped clients transform the way their information and health care services are consumed. David holds a Bachelor's degree in Sociology and Business Administration from Northern Michigan University and a Ph.D. in Sociology from University of Delaware.