Advantek Benefit Administrators

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Scott Wells, Chief Executive Officer Scott Wells is the Chief Executive Officer for Santé Health System and Advantek Benefit Administrators. Under his direction, Advantek provides quality third party administration services to clients of all industries. In addition, Scott manages and directs management services to the regions largest independent physicians association, and numerous other specialty practice management clients. Before joining Santé/Advantek in 1995, Scott was Director of Audit and Consulting Services for Community Medical Centers. Prior to his service with Community, Scott was a senior manager with Ernst and Young’s accounting, auditing and consulting department. Daniel Bluestone, M.D., Medical Director Dr. Bluestone joined Santé/Advantek as the Vice President of Medical Affairs and Medical Director of Santé/Advantek. Dr. Bluestone’s responsibilities include oversight of the utilization management function and staff. Under his direction, medical decisions are reviewed to ensure that Advantek’s patients receive the most appropriate, high quality medical care. He also acts as a liaison between Advantek and its provider panel and other hospitals providing care in the Central Valley. Daniel Bluestone M.D. trained in Pediatrics, Neurology, and Pediatric Neurology at UCSF. He is board certified in Neurology and Pediatrics. From 1989 to 1992, he was Chief of Child Neurology for the US Air Force. Dr. Bluestone opened a private practice in Jacksonville, FL. He served as Director of Clinical Child Neurology and Assistant Professor of Pediatrics and Neurology at UCSF from 1993-1999. In 1997 Dr. Bluestone received an MBA at St. Mary’s College, California. Chris Cheney, Chief Financial Officer Chris Cheney is the Chief Financial/Operating Officer for Advantek Benefit Administrators. With a broad range of responsibilities, he directs and oversees Advantek’s claims processing, utilization management, customer service, financial operations and decision support. Chris joined Santé/Advantek in 1998 in his current position. Prior to this Chris was responsible for the Internal Audit Department of Community Medical Centers. Previously he was a director at Valley Children’s Hospital working with physicians and physician practices. Before joining Valley Children’s, Chris was an audit manager with Ernst and Young providing audit and consulting services to a varied group of clients and industries. Debbie Nephew, Vice President of Operations Debbie Nephew is the Vice President of Operations for Advantek Benefits Administrators. She has over 25 years of operations management experience. Her responsibilities include direct management responsibility for the claims department, utilization management, member services unit, technical services, eligibility maintenance, and benefits and cost containment. Prior to joining Santé Health System, Debbie was employed with CIGNA and most recently was the Regional Director for the Western Region. Her responsibilities included providing day to day operational direction to seven offices, representing over 1,700 employees. One of her major accomplishments was the successful implementation of CIGNA’s largest non-standard managed care plan for a premier telecommunication company. Eileen Kimura, TPA Director Eileen Kimura began her career in the insurance industry in 1971 with the Equitable Life Assurance which later became CIGNA Healthcare. She processed medical, dental and disability claims and later became a trainer for the office. Eileen relocated to Fresno, CA in 1983 as a supervisor of claims and later returned to training. She traveled to many offices training dental and medical (PPO & HMO) claims processors. Eileen participated in the review and development of New Hire Training curriculum, and was the lead contact for the claim processing systems, system pilots, system issues and policies and procedures. Eileen became a Claim Service Manager responsible for approximately 35 claims examiners for both the PPO and HMO book of business. Eileen joined Santé Health System and Advantek Benefit Administrators in 2002 as manager of Eligibility, Training and Stop Loss Reinsurance. In 2007, Eileen was promoted to the Director of TPA Claims and Reinsurance. Frank Lopez, Director Utilization Management Frank Lopez is the Director of Utilization Management and Disease Management for Advantek. He joined the Santé/Advantek team in 1999 and has more than 20 years in the health care industry. With the current focus on improved health behaviors, Frank's attention is on developing an effective partnership between the patient and their health care provider while providing enrollees with knowledge, tools and motivation to assume control of their chronic illness. Prior to joining Santé/Advantek, Frank was employed with CIGNA Health Care as a claims manager. He received his Bachelor's degree in Business Administration from California State University, Fresno and his Master of Business Administration Degree from National University. He and his wife Cathy have three children whom enjoy swimming and taking trips to San Francisco. Jeffrey Gong, Finance Manager Jeffrey Gong is the Finance Manager for Advantek. He joined the Santé/Advantek team in 1998 and has more than 16 years experience in health care finance. Jeffrey spends a great deal of time working with clients and vendors to address research and reporting needs. Prior to joining Santé/Advantek, Jeffrey worked at Community Medical Centers in Accounting and Budget. He received his Bachelor’s degree in Business from California State University, Fresno. Kathy Bullis, Special Projects Manager for Advantek Kathy Bullis is the Special Projects Manager for Advantek. She joined Santé Health Systems and Advantek Benefit Administrators in 2007. Her major responsibilities include coordination of special projects, audits and compliance. She works closely with the Medical Director, the Nurse Case Managers and the Utilization Management Department to insure that requests for utilization review and case management are handled in accordance with Plan provisions and both federally mandated and industry standards. Prior to joining Santé/Advantek, Kathy worked for several other third party administrators in Fresno, including Western States Administrators and ATPA. She has worked in management positions in claims, billing and eligibility, and reinsurance as well as compliance and IT. She has very specific experience in computer software conversions, report development and computer automation. Erin Ellis, Business Development Manager Erin Ellis is the Manager of Business Development for Advantek. She is a recent addition to the Santé/Advantek team and has 5 years experience in sales/marketing. Erin’s responsibilities include developing & maintaining relationships with local and regional insurance brokers specializing in self-insured lines of business, as well as relationships with service partners including PPO networks, reinsurance carriers, pharmacy networks, etc. Prior to joining Santé/Advantek, Erin was previously employed as an Account Executive at The Valley Yellow Pages. She received her Bachelor’s degree in Finance from Fresno Pacific University, Fresno. Monica Romero, Account Manager Monica Romero is the Account Manager for Advantek and is one of the newest members to join the Santé/Advantek team. She has an array of experience working with diverse work environments. Among her experience, she dedicated four years within health care services. She graduated with her Bachelor’s degree in Business Administration from California State University, Fresno Prior to joining Advantek, Monica worked within the health care industry as an Eligibility Auditor. Her responsibility included providing good member rapport, verified employee eligibility for various health plans, ensured compliance of company objectives along with government regulations and provided solutions/recommendations for members and groups. Lisa Haynes-Scott, L.V.N. Utilization/Case Manager Lisa Haynes-Scott is a Licensed Vocational Nurse with over 10 years of experience. She received her LVN Education at Clovis Adult School, Bachelor

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