Bios for our senior staff are listed below. Please feel free to contact us for additional information.

TERRY SPOLETI

Terry Spoleti, a principal and founding member of Glenridge HealthCare Solutions, has more than 20 years of healthcare experience. She directs significant planning and implementation projects, with a particular focus on managed care programs, Medicare products, large-scale medical management program development, managed care contracting and risk management initiatives. Clients benefit from her broad range of operating experience in managed care program development and implementation including contracting; physician and hospital partnerships; technical aspects of network development and administration; and financial modeling of payment and reimbursement methodologies.  Prior to forming Glenridge, Ms. Spoleti was Senior Vice President of Managed Care Products and Services at a $150 Million Medicare and commercial risk contractor, where she directed the company’s payer contracting, network development and managed care product development initiatives.  Under Ms. Spoleti’s leadership, the company built one of the largest physician-driven, full-service provider networks in the region.  Ms. Spoleti has also served as Executive Director of Physician Alliances for a regional medical center, with responsibility for implementing the hospital’s managed care strategy and building an integrated provider network.  During that time, she established one of the first Management Services Organizations (MSO) in the region; created and managed a 125-physician primary care IPA; assisted in the acquisition and management of primary care practices; developed a PHO and implemented its first full risk contracts; and represented the institution in negotiation and implementation of a statewide hospital / PHO alliance.  Before joining the medical center, Ms. Spoleti was a healthcare management consultant with KPMG Peat Marwick in New York City, and was an independent consultant in the Baltimore-Washington area, primarily serving the financial and managed care needs of physicians, hospital systems and faculty practice clients.

MIKE CIMEROLA

Mike Cimerola, a principal and founding member of Glenridge, has more than 20 years of healthcare management, consulting and business experience. He specializes in developing and implementing strategic initiatives focusing on hospital-physician partnerships, managed care programs and physician practice development and practice automation.  Mr. Cimerola also has extensive operating and management experience in management services organization (MSO), managed care and hospital-based financial and clinical operations.  He has directed the selection and implementation of practice management systems, electronic medical records systems and hospital financial and clinical information systems.  Prior to founding Glenridge, Mr. Cimerola was Vice President of Network Development at the largest physician owned delivery system in the Mid-Atlantic area. Using innovative economic modeling methods, he developed a large network of primary care and specialty physicians and negotiated provider contracts for all health services.  His efforts resulted in one of the largest provider networks in the Mid-Atlantic region.  Mr. Cimerola also spent twelve years in health system development and operations.  As Vice President of Financial Administrative Services at an urban teaching hospital, his responsibilities included managing the health system’s financial and administrative operations.  In addition, he established and managed the physician-hospital MSO and oversaw the selection and implementation of both the hospital and MSO financial and administrative information systems.  He developed a number of innovative programs focusing on creating market share, reducing health system costs and building cash reserves for the hospital and its subsidiaries.  Mr. Cimerola has been a senior healthcare management consultant with Coopers and Lybrand, in Washington, D.C. and a principal in a regional healthcare consulting firm serving the financial, information systems and operations improvement needs of physician groups and hospitals.

DAVID PAVLIK

Mr. Pavlik, Vice President, has fifteen years of managed care and information systems experience. His expertise includes managed care program implementation, health plan and provider practice management information systems design and implementation, provider relations and customer service, project management and provider network development.  His primary focus includes systems configuration and integration, development of database and web-enabled data management tools, and large scale project management.  He is responsible for the development of Glenridge proprietary network development application, Webtrack, and serves as Data Manager on large scale network development initiatives in which Webtrack is used as the project platform.  Mr. Pavlik develops technology tools and operational processes to assure project goals are met, efficiencies are achieved, personnel and systems are integrated, and project data is accessible throughout the course of the engagement. 

Prior to joining Glenridge, Mr. Pavlik was Manager of Provider Relations and Information Systems for a regional provider-sponsored Managed Care Organization.  In this role he developed and managed a fully functional, multi-site provider relations unit responsible for network development and the full range of provider services.  Additionally, Mr. Pavlik played in integral role in the configuration, development and implementation of the MCO’s information systems.  As Senior Consultant and Project Manager, Mr. Pavlik works with clients on a broad array of development and operational engagements.  He is the account manager for a long term engagement in which Glenridge provides ongoing staffing, data management and project management services for a large regional insurer in support of their geographic and product expansion.  Additionally, Mr. Pavlik’s expertise in provider reimbursement methodologies, contract analysis and negotiation, and payor systems and processes assures that payor and provider clients realize value from the agreements procured by Glenridge.

NANCY FISHER

Ms Fisher, a Senior Consultant with Glenridge, has over 30 years of planning and operations management in multiple health care settings, and particular expertise in managed care contracting for commercial and public sector programs.  As Vice President of Managed Care for a national corporation of Continuing Care Retirement Communities, Ms. Fisher led the organization through development and CMS approval of an unsolicited Demonstration Project that established a proprietary Medicare HMO for the residents of the CCRC communities.  As the managed care executive of the organization, Ms. Fisher provided management and oversight for the organizations’ extensive healthcare services and led the development of the care management model for the enterprise.  Prior to her appointment as vice president, Ms Fisher served as Senior Director of Health Services for the organization with management responsibility for the physician practices, skilled nursing facilities, rehabilitation agencies and home health agencies owned and operated by the CCRCs.  Prior to her position in the senior living organization, Ms. Fisher was Senior Vice President of Operations for the physician practice management services organization and managed care contracting division of a multi-hospital health system in Maryland/D.C.. In that role she designed and managed organization and infrastructure to provide practice management and care management (case management, utilization review, QA, risk management) of a medical group of 170 predominantly primary care providers in 35 offices, 700 IPA physicians and 80,000 full-risk lives.  Ms Fisher also spent 15 years in various management positions at Kaiser Permanente. 

ELLEN BROWN

Ms. Brown, a Consultant with Glenridge, has 10 years of healthcare experience, having worked in payer and large provider organizations in numerous capacities, including strategic planner, senior analyst, program manager, and insurance product development.  Prior to joining Glenridge, Ms. Brown was Director of Strategic Planning and Analysis for BlueCross BlueShield of Maryland.  In her role, she developed the three year corporate strategic plan and the annual business plan.  Working directly for the executive team and Board of Directors, she created real-time tracking and monitoring tools for management to observe corporate results and competitive updates.  Prior to her Strategic Planning Role, Ms. Brown held a variety of positions in the industry.   As Director of Marketing & Product Development, she launched multiple products and managed diverse product lines; as a Senior Financial Analyst, she created fee schedules and physician incentive programs; as an Actuarial Analyst, she priced the entire HMO product line; as an Underwriter, she managed a large book of business.  Ms. Brown leads managed care engagements that include network development, provider relations, financial analysis and managed care strategic plans for healthplan and health system clients.

COLLEEN O'TOOLE

Ms. O’Toole has twenty years of healthcare experience, with particular expertise in physician practice management, financial operations and strategic planning; managed care contracting, physician compensation methodologies; provider network development; project management. 

As a Senior Consultant and Project Manager. Ms. O’Toole has managed large provider network development engagements for national healthplan, responsible for timely delivery of comprehensive provider network for healthplan’s product and market. Ms. O’Toole conducted a needs analysis, competitor analysis and fee schedule review and developed a targeted provider recruitment plan to meet the healthplan’s needs in the market. Ms. O’Toole also works extensively with hospitals and large physician group practices on financial management, revenue enhancement and practice expansion initiatives.  She is currently engaged by a regional health system as Interim CFO of their multi-specialty group practices, responsible for management of all financial aspects of the practice including financial reporting, cash management, debt restructuring and day to day financial operations and integrating financial and administrative systems into the larger health system. 

Prior to joining Glenridge, Ms. O’Toole was Chief Business Officer for large physician group owned by regional Health System and during that time she merged multiple physician practices into single group entity with over 130 primary care providers and 30 locations, consolidated locations and improved efficiencies in revenue cycle management and centralized administration.  Both then and in her current engagements, Ms. O’Toole develops collaborative ventures with Physicians and Health System in developing clinical programs and innovative physician compensation models.

TIMOTHY LYNCH

Mr. Lynch is a Glenridge Consultant with particular expertise in provider network development; physician practice management operations and information systems; electronic medical records systems implementation; and A/R management and cash acceleration initiatives for healthcare provider organizations.  

Mr. Lynch’s ten years of healthcare experience includes numerous managed care and practice management engagements, particularly provider network development, physician practice management and information systems technologies.  Mr. Lynch has been involved all aspects of provider network development, including geo-access and gap analysis, competitor analysis, fee schedule review, provider recruitment and network status reporting.  His experience includes large and small scale payer engagements designed to build and/or enhance payers’ networks of physician, ancillary and dental providers.  In network development engagements, Mr. Lynch works with the healthplan management to analyze contract terms, fee schedules, documentation and data reporting requirements.  He uses Glenridge and client systems to develop project reporting and tracking routines and customize databases, reports, contracting and provider relations materials and staff training manuals.  Additionally, Mr. Lynch has experience working in physician practices, both as a practice manager and as a consultant assisting with the implementation of practice management information systems, electronic medical records systems and receivables management engagements.  His familiarity with the providers’ operations, systems and revenue cycle management issues make him uniquely qualified and highly credible in network development / physician recruiting engagements.  

PATRICK O’BOYLE

Senior Consultant, has extensive experience in physician practice management, accounts receivable management for physicians and hospitals, as well as payer claims processing systems.  His expertise includes commercial, Medicaid  and Medicare payment systems, health plan adjudication systems and provider based billing systems.  Mr. O’Boyle has worked closely with EDI billing requirements for government and commercial payers.  He has also participated in the design and acceptance testing of claims adjudication and provider billing system solutions.

TURNER TRIPPE

Senior Consultant with particular expertise in payer and provider information systems and project management.  Mr. Trippe is an experienced project manager having worked on numerous implementation projects for large health systems, physician practices and managed care organizations.  He has led several payer engagements related to claims payment reviews and redesign of adjudication systems and processes.  Mr. Trippe also has worked with payer’s system administrative tables to improve claims processing accuracy and efficiency.  Mr. Trippe has extensive experience in designing, testing, documenting and auditing information technology solutions for payers and providers.