Tom Kelly, CEO
Tom Kelly joined HealthSmart in August 2014. He is also the founder and CEO of Daraja Enterprises. His previous experience includes leading Schaller Anderson, an Aetna company as President and CEO. He was the executive vice president of DaVita and president and CEO of Mercy Health Plans.
His community involvement includes serving on the Boards of Directors of Fidelis Care New York (Vice Chair), Covenant Health System, Welvie LLC (a surgery services management company) and FOCoS Innovations (a SaaS platform for managing long-term supports and services). Mr. Kelly has a Bachelor of Arts from Wesleyan University and a Master of Science from New York University.
Mark Stadler, Chief Marketing Officer
Mark Stadler joined HealthSmart in 2011. As Chief Marketing Officer, he is responsible for expanding into new markets, gaining additional market shares in existing markets and deepening HealthSmart’s relationship with existing clients. Mr. Stadler has served in multiple executive sales positions that include Senior Vice President for the U.S. Markets for Great-West Healthcare, Chief Growth Officer of Optum Health, a United Healthcare Company and Chief Sales Officer at American Enterprise Group. Most recently he led sales for Aon Hewitt in Texas and the Central/West regions. Mr. Stadler also brings an extensive background in healthcare consulting, where he spent nearly 18 years with Mercer Human Resource Consulting leading their organization in Chicago and other areas throughout the Midwest. He earned a Bachelor of Science in Business from Loyola University of Los Angeles.
Loren W. Claypool, Chief Operating Officer
Loren W. Claypool comes to HealthSmart from VCPI/Extendicare Health Services, Inc. (EHSI) where he was vice president, managing director and CIO respectively. He was instrumental in creating VCPI’s product portfolio and its growth strategy to become the leading nationwide provider of outsourced technology solutions to the long term/post-acute healthcare sector. He also drove VCPI’s name recognition by implementing its branding and an integrated social media strategy.
In addition, Mr. Claypool has a high level of expertise in strategy development, information technology and change management. His background includes leading start-up and established environments in the technology, insurance, healthcare, and retail industries, with both national and international experience. He is a thought leader with public speaking experience and several published articles.
Marc Zech, Executive Vice President, Focused Markets
Marc Zech joined HealthSmart in 1997 as Director of Information Systems. During his career at HealthSmart, he has contributed to leading the technology, operational and strategic direction of the organization, with experience in managing all administrative product lines and service centers across the country. More recently, he has focused on overseeing the integration of acquisitions, leading operations for our unique retiree health plan, Medicare administration platform, and HealthSmart’s Native American program.
He currently leads a team that provides dedicated strategic and tactical management of growing market segments for HealthSmart. This includes product development, sales and account management, customer relationship management and technical services.
Prior to joining HealthSmart, Mr. Zech managed systems for a regional Third Party Administrator and has also had prior leadership roles in claims, customer service, premium billing, business analysis and Electronic Data Interchange (EDI) development.
He has more than 20 years of experience in healthcare and holds a Bachelor of Science degree in Mathematics — Actuarial Science.
Pamela Coffey, Executive Vice President, Care Management Solutions
Ms. Coffey is a registered nurse with degrees in nursing and business administration. She is certified in healthcare quality management with specialties in managed care and case management through the American Board of Quality Assurance and Utilization Review Physicians. She has been involved in senior leadership roles in managed care for 25 years and joined HealthSmart in 1997. In her current position, she manages all of HealthSmart’s clinical programs. Ms. Coffey has an extensive background in managing risk, as well as structuring data-centric clinical management programs. Her expertise in operations and clinical programs has made a significant contribution to the development and success of the services offered by HealthSmart. She leads a diverse and dynamic team that delivers predictive population management methodologies and flexible plan designs to meet the unique needs of HealthSmart’s clients.
Ms. Coffey is actively involved in the healthcare community and has served on several task forces focusing on wellness and healthcare quality. She promoted the recognition of Healthcare Heroes and service excellence through her service on the Board of Directors and as President of the Alliance for Healthcare Excellence. Ms. Coffey has an extensive background in managing Medicare and Medicare Advantage populations, as well as structuring data-centric disease management programs. She has spoken on Medicare Advantage Plans at Case Management Society Conferences and is often requested to speak on industry norms and trends in this area.
Jason Bielss, Chief Information Officer
Mr. Bielss has extensive experience managing enterprise implementations of healthcare information systems, claims routing transactional applications, and claims repricing systems. He has a strong background in gathering, analyzing and defining business and functional requirements; process-mapping initiatives; data transformation initiatives, and designing/re-engineering processes, workflows and technology solutions for healthcare systems. He also has a proven ability to lead seamless implementations and deliver next-generation technical solutions that improve service and workplace productivity.
His areas of expertise include application administration, strategic technology planning, data/business/systems analysis, data flow and process mapping, technical client implementation and support, software design and management, major systems implementations, and technical writing (manuals/system specs). He has a Bachelor of Business Administration degree in management information systems from Texas Tech University in Lubbock,Texas.
Sarah Bittner, General Counsel
As HealthSmart’s Deputy General Counsel, Ms. Bittner provides legal advice on a wide array of corporate legal issues. She plays a key role in business and risk management strategies.
Ms. Bittner is the staff expert on the Affordable Care Act, including training team members on health care reform and preparing client communications. She is also HealthSmart’s HIPAA Privacy and Security Officer, developing and implementing privacy and security policies and procedures required under HIPAA and the HITECH Act. In addition, Ms. Bittner manages labor and employment legal issues that include the Employee Retirement Income Security Act (ERISA), the Consolidated Omnibus Budget Reconciliation Act (COBRA), and the Americans with Disabilities Act (ADA). All pre-litigation and general litigation matters, as well as managing outside counsel are also under her purview.
Ms. Bittner graduated from the Texas Tech University School of Law in 2008. She also attended Southern Methodist University School of Law from 2007 – 2008 and has a Bachelor of Arts in Spanish from the University of Texas at Austin (2004)
She is active in The State Bar of Texas, the Texas Young Lawyers Association and the Dallas Bar Association.
Carol Proctor, Vice President of Human Resources
Carol Proctor joined HealthSmart in January, 2015. She is an accomplished human resources professional with more than twenty years of experience in various fields, including healthcare (St. Anthony Hospital, Oklahoma City), manufacturing (Bridgestone/Firestone) and telecommunication (Cox Communications, Oklahoma City).
Ms. Proctor also has considerable experience in leading organizational change and transformation within a multi-facility/multi-site environment. She has proven expertise in all facets of human resources: employee/labor relations, talent acquisition/recruiting, compensation, workforce planning, performance management, succession planning, workers compensation and employee health benefits. An integral part of her skillset is creating and managing strong business relationships within industries such as media, sales, construction, engineering, IT, finance, retail and customer care/call center environments.
She has an MBA, a Masters of Arts in Organizational Leadership and a Bachelor of Science in Management from Mid-America Christian University (MACU) in Oklahoma City.