Company

 

Centauri Health Solutions® delivers data-driven services, private cloud-based software solutions, and comprehensive data management designed specifically for risk adjustment and quality-based revenue programs. We improve member outcomes and financial performance for health plans and at-risk providers by supporting initiatives in risk adjustment, RADV risk mitigation, HEDIS®, and Star Ratings.

Centauri Health Solutions focuses on revealing care opportunities through our suite of products and services.

Our consultative and collaborative approach delivers compliant end-to-end solutions that leverage clinical data integration, complex analytics, workflow software, and high touch service. Through our integrated service offering, we help our clients close risk adjustment and quality care gaps.

We create value for clients by executing on the following core concepts:

  • Enable clients with resources to achieve goals for optimal risk adjustment and quality solutions
  • Build tools and services that foster collaboration between payers, providers and vendors
  • Integrate disparate sources of data to enhance our intelligence of members and providers
  • Consistently deliver solutions with operational excellence

Our Purpose

Create and deliver software and services which increase collaboration and visibility to solve complex problems for clients

 

Our Mission

Improve lives by revealing care opportunities within our health system

 

Leadership Team

Centauri Health Solutions' leadership team is comprised of seasoned healthcare executives from managed care organizations, pharmacy benefit managers and healthcare IT companies. Our collective team has an intimate understanding of the complex problems facing today's health system – and are committed to solving them in a better way for our clients and their members.

Adam Miller

Chief Executive Officer

As CEO, Adam Miller brings more than twenty years of experience in executive health care roles with expertise in strategy, product development, sales, marketing, distribution and operations.

Mr. Miller’s combined healthcare experience includes Medicaid and Medicare programs, pharmaceutical services, medical devices and health care information technology related businesses. Based on his intimate understanding of healthcare, Mr. Miller formed the Centauri Health Solutions team, founded to provide an end-to-end solution that combines analytics, technology and services – with a consultative approach.

Previously, Mr. Miller served at CVS Caremark as executive VP of Medicare. He led CVS Caremark’s Medicare Part D businesses that included the company’s PDP (prescription drug plan) insurance companies, PBM (pharmacy benefit management) and related services. At CVS Caremark, he developed numerous Medicare Star solutions for their client base.

Prior to joining CVS Caremark, Mr. Miller’s experience included leading WellCare Health Plans’ Medicare business lines as senior VP of National Medicare and also overseeing the company’s regulatory and government affairs initiatives as part of WellCare’s turnaround.

Before joining WellCare, Mr. Miller held leadership positions at UnitedHealth Group as CEO of their Arizona Medicaid business and launched their first integrated Dual Special Needs Plan in Arizona. He also had responsibility for the Colorado and Utah Medicaid markets.

Earlier in his career, Mr. Miller was responsible for both medical device and healthcare information technology lines of business at GE Medical (now GE Healthcare.) Prior to GE, Mr. Miller was with the Boston Consulting Group where he developed strategies for clients designed to increase revenue and profitability across pharmaceutical, medical device, PBM, medical center and managed care lines of business.

Mr. Miller is a graduate of Harvard Business School and the undergraduate program at the Wharton School of Business at the University of Pennsylvania.

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Dr. Glenn Parker

Chief Medical Officer

Dr. Glenn Parker brings more than twenty years of experience in healthcare, including central roles with several entrepreneurial ventures, and a deep-seated, long-standing vision to make the healthcare system better for payers, providers, PBMs and patients through the use of advanced analytics and insight.

It is this vision that drove him to Centauri Health Solutions – where analytic products and services have a deep clinical legacy and drive appropriate and compliant risk adjustment, quality and care management programs. In 2001 Dr. Parker founded Convey Health Solutions (formerly NationsHealth), an industry leader in delivering administration support (eligibility, enrollment, premium billing, reconciliation, quality, wellness and other services) to large healthcare clients in the government programs space.

Prior to founding Convey, Dr. Parker founded ParkStone Medical Information Systems, Inc., a healthcare technology company where he pioneered the e-prescribing marketplace with the first handheld electronic prescription pad / prescription records device. The device connected to plan formularies to allow the doctor and patient to choose the correct medication at the lowest possible cost. The e-prescribing device won numerous awards, including the national Microsoft Healthcare Industry Solutions Award in 1999 and 2000. From 1996 to 2001, Dr. Parker specialized in internal medicine while in private practice in South Florida.

Dr. Parker holds a bachelor’s degree from the University of Florida and an MD from New York Medical College. Dr. Parker completed his medical training through the University of Miami with his internship and specialization in internal medicine at Jackson Memorial Hospital. Dr. Parker initially practiced primary care and internal medicine at Sussman, Staller and Parker, P.A. in North Miami Beach. During his medical training and time in private practice Dr. Parker witnessed the systemic inefficiencies of the healthcare system. It was during this time that Dr. Parker decided he would do greater good for a greater number if he treated the healthcare system instead of treating one patient at a time. He continues to fulfill that vision through his current ventures.

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Michelle Miller

Chief Technology Officer

Michelle Miller brings deep expertise in risk adjustment, information technology and data analytics.

Ms. Miller’s experience includes a broad healthcare background across payer and provider spaces, including Medicare Advantage, radiology benefit management, post-acute care, and renal dialysis revenue cycle management.

Most recently, Ms. Miller served as Cigna-HealthSpring’s VP of Risk Adjustment Services, leading all aspects of risk adjustment efforts for Medicare Advantage. Prior to her risk adjustment role, she held various IT leadership positions within the organization.

Prior to joining HealthSpring, Ms. Miller’s experience included leadership positions with Geriatrix, as VP of Information Systems during its start-up phase prior to becoming Inspiris, and as VP of Information Systems for MedSolutions during its strategic pivot from outpatient imaging to a leading radiology benefit management company.

Ms. Miller holds a Master’s degree in Biomedical Engineering from Vanderbilt University and a Bachelor’s in Electrical and Computer Engineering from New Mexico State University.

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Judy Smythe

Chief Revenue Officer

Judy Smythe brings extensive executive strategy and operations experience to Centauri Health Solutions. With more than a decade spent leading technology-enabled health services, she brings a unique perspective to the Centauri team. Judy’s focus has been on analytics-driven population health management operations.

Most recently, Ms. Smythe was President and Chief Operating Officer of WebMD Health Services, the wellness software and services business that provides web and mobile tools as well as health coaching to employers and health plans. Prior to WebMD, Ms. Smythe led the operations for the Care Management business for McKesson. In her role, she was responsible for the delivery of the care management technology platform and outsourced services to commercial health plans, state governments and federal government agencies. Through her efforts, the organization provided workflow software to effectively combine utilization management, chronic condition management and case management into a unified care management system.

Ms. Smythe was also charged with providing McKesson’s outsourced service solutions, including chronic condition management, complex case management and nurse advice line, to improve the quality of life for its customers’ member populations and reduce costs for health plans. Before leading the Care Management business, Ms. Smythe led McKesson’s financial shared services team, which served 25+ business units.

Prior to McKesson, Ms. Smythe played key product development and strategy roles at Visa. She started her career in management information consulting at Andersen Consulting.

Ms. Smythe holds a master’s degree in international management from Arizona State University’s, Thunderbird School of Global Management and an undergraduate degree from Xavier University.

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Robert (Bob) Armknecht

Chief Financial Officer

As an executive with more than 20 years of healthcare technology and life sciences experience, Mr. Armknecht brings expertise leading the financial function of growth stage organizations.

Mr. Armknecht has experience in both the buy and sell side of mergers and acquisitions; scaling systems and processes to support rapid growth; and raising capital from institutional investors.

Mr. Armknecht has held senior finance positions at such companies as: Carefx; Harris Healthcare Solutions; Medical Manager; WebMD; Molecular Profiling Institute; Imaging Advantage; and Imaging Endpoints. He has facilitated several mergers of growth companies into public companies, and has implemented acquisitive growth strategies to rapidly scale organizations.

Mr. Armknecht holds a Master’s degree in Business Administration from the Tepper School at Carnegie Mellon University and a Bachelor of Arts in Economics from Occidental College.

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Mike McNelis

Chief Development Officer

Mike McNelis brings deep expertise in corporate strategy and product development, augmented by extensive experience in operations and service delivery.

Prior to joining Centauri Health Solutions, Mr. McNelis held executive roles at CVS Caremark, most recently as VP of Product Innovation and Business Development. During his tenure at CVS Caremark, Mr. McNelis held leadership roles in several areas of the organization, including product development, operations, client service, project management and information technology. During his last nine years at CVS Caremark, Mr. McNelis focused on government programs – specifically the development and roll-out of several strategic initiatives within Medicare.

Prior to joining CVS Caremark, Mr. McNelis was with Diamond Technology Partners (now part of PWC) and The Parthenon Group, where he consulted on corporate strategy, specifically the intersection of corporate strategy and technology. As a consultant, Mr. McNelis worked within a broad range of industries, including consumer products, telecommunications, business information and publishing.

Mr. McNelis holds a Master’s degree in Computer Science from the University of Chicago and a Bachelor of Arts in Engineering from Dartmouth College.

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Derrick Taveras

Senior VP of Risk Adjustment

In his role as Senior VP of Risk Adjustment, Derrick Taveras is charged with bringing extensive senior leadership experience to Centauri Health Solutions, in the areas of Risk Adjustment, HEDIS, Stars and data extraction.

Mr. Taveras came to Centauri Health Solutions in the company’s acquisition of Tactical Management (TMI). As founder of TMI, he led the consulting group in their support of operations vital to successful Medicare Advantage health plans, physician practices and their vendors. TMI created and provided turnkey and customizable services for clients, aimed at mitigating compliance exposure while realizing accurate reimbursement within the healthcare space.

Before founding TMI, Mr. Taveras was a financial analyst for Memorial Sloan Kettering Cancer Research Center where he was responsible for financial reporting and budgeting for more than 33 clinical practice groups.

Mr. Taveras has an MBA from Rollins Crummer School of Business, and an undergraduate degree in Finance and Management Information Systems from Alfred University. 

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Lydia Huber

Senior VP Client Services

With more than 20 years of healthcare, managed care and Medicare risk adjustment experience, Lydia Huber brings expertise to deliver results and value for clients. Most recently, Ms. Huber served as general manager for Data Driven Delivery Systems (DDDS) overseeing the Medicare Advantage prospective program operations for its central region.

Prior to joining DDDS, Ms. Huber held leadership positions as Vice President of Client Services and Vice President of Reporting and Analytics for Verisk Health, a provider of data analytics and revenue integrity solutions.  Earlier in her career, she was instrumental in launching and managing both Medicare and Medicaid managed care products for HealthNet of Kansas City.

Ms. Huber also served as Vice President of Marketing, Planning and Development for a Via Christi Regional Hospital where she spearheaded the strategic planning process and greatly expanded its specialty care service offerings. Ms. Huber has also provided expert managed care advice as a consultant to various health care organizations including hospitals and Medicare, Medicaid and commercial health plans.

Ms. Huber holds a Masters in Health Administration from Cornell University and a bachelor’s degree in Industrial Engineering from Kansas State University.

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Melanie Richey

VP of Quality

As VP of Quality, Melanie Richey has more than 20 years of healthcare experience with deep expertise in quality management strategies, regulatory compliance, operations and product development.

Ms. Richey’s experience includes a broad healthcare background across payers, providers and employer groups, commercial, Medicare and Indigent programs as well as care delivery re-design.

Prior to joining Centauri Health Solutions, Ms. Richey served as the senior director, Quality Solutions for Verisk Health, leading all aspects of quality management and improvement products for commercial, Medicaid, Medicare and QHP clients. 

Prior to joining Verisk Health, Ms. Richey was responsible for launching and expanding a network model quality management program for Kaiser Permanente Colorado.  During her tenure at Kaiser Permanente, Ms. Richey oversaw a broad range of network operations for the organization including risk adjustment, disease management, accreditation and regulatory compliance, wellness and P4P programs.

Ms. Richey holds a Master’s degree in Business Administration from the University of Phoenix and a Bachelor’s in Nursing from Wright State University.

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Dawn Carter

Director of Product Strategy

As the Director of Product Strategy, Dawn Carter’s career in healthcare spans more than 20 years.

Most recently, Ms. Carter developed revenue integrity and quality software solutions, with a focus on encounter management and risk adjustment solutions for Medicare Advantage, Medicaid and commercial health plans.

Prior to creating risk adjustment and quality software solutions, Ms. Carter’s experience incorporated all domains of health care including health plan and provider systems administration and healthcare applications development.

Ms. Carter is also a sought after and prolific industry speaker, author, blogger and subject matter expert in the area of claims, EDI management and risk adjustment. Her early experience also includes multiple teaching engagements in medical administration, billing and coding.

Ms. Carter holds a Bachelor’s degree in Business Administration.

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Jimmy Griffin

VP, Human Resources

With more than 28 years of experience within the healthcare industry, Mr. Griffin brings a broad knowledge of operations, training and strategic human resources support to his role.

Prior to joining Centauri Health Solutions, Mr. Griffin was the Senior Director of Human Resources, in support of Medicare Part D, Medicaid and Marketplace Exchanges for CVS Health. During his tenure at CVS Health, he held leadership roles in support of human resources strategy within CVS/pharmacy Retail, supporting field operations and CVS/caremark PBM, supporting several business units including Sales and Account Services.

Beginning his career at Eckerd Drug, Inc., Mr. Griffin leveraged more than 10 years of retail store operations experience, into positions of increased responsibility within human resources. Ultimately, he expanded his role from Regional Human Resources Business Partner in the Houston, Texas market to become an Area Human Resources Director with responsibilities for four states, 700+ stores and 15,000 employees.

Mr. Griffin holds a Bachelor of Arts Degree in Business from Sam Houston State University. He is also a member of the Society for Human Resources Management.

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