Overview

Bringing together decades of expertise and a passion for delivering better behavioral health care, meet the market leadership team driving Carelon’s mission each day.

• Dr. Debra Luther, CEO
• Jonathan Edmonds, Chief Operations Officer
• Dr. Mark Fuller, Medical Director
• Lisa Ciccarelli, Director of Provider Relations
• Sue Klaus, Manager of Prevention, Education & Outreach
• Dawn Brooks, Director of Quality Management
• Napali Bridgelall, Payment Innovation Manager
• Diane Werksman, Chief Financial Officer
• Susan Battista, Account Executive
• Dawn Mueseler, Account Executive
• Bradley Eckels, Payment Integrity Manager
• Will Wenger, Vice President, Growth
• Jennifer Mihalic, Director, IT Business Relationships

Overview

The goals of Carelon and HealthChoices program are:

• To improve access to health care services for MA recipients
• To improve the quality of care available to MA recipients
• To stabilize Pennsylvania’s MA spending

The Pennsylvania Engagement Center houses a full continuum of services starting with Member and Provider Services, including Network Management and Provider Relations, Utilization Management, Quality Management, Claims processing, Finance, and Information Systems.