Patricia J. “Patti” Darnley is President and CEO of Gateway Health, a nationally-ranked managed care organization that focuses on providing the best possible healthcare to a growing number of Medicaid and Medicare Advantage consumers serving Arkansas, Delaware, Kentucky, North Carolina, Ohio, Pennsylvania, and West Virginia. A not-for-profit organization, Gateway Health serves the needs of at-risk and vulnerable citizens with not only healthcare coverage, but services such as disease management, health and wellness programs and preventive care.
Patti is an experienced healthcare executive, with over 30 years of wide-ranging managed care expertise specifically with Medicaid and Medicare plans. Her background, including leadership roles at Centene Corporation, UPMC Health Plan and Highmark, uniquely positions her to effectively lead Gateway through its current growth and expansion mode as the health plan explores opportunities to serve eligible individuals in regions outside the current market.
Ms. Darnley supports numerous philanthropic causes and community initiatives, most recently serving on the board of directors of the Allegheny Conference on Community Development and Family Resources development.
Bret Bissey is Vice President and Chief Compliance Officer of Gateway Health where he is responsible for the Medicare and Medicaid Compliance programs including federal and state regulatory matters. He is a Fellow of the American College of Healthcare Executives, the Health Care Compliance Association (Certified – CHC).
Mr. Bissey previously served as Senior Vice President, Chief Ethics and Compliance Officer of the University of Medicine and Dentistry of New Jersey (UMDNJ), where he was credited with successfully reengineering the nation’s largest sector compliance and ethics program under a rigorous Corporate Integrity Agreement with DHHS/OIG.
He is the author of the Compliance Officer’s Handbook, published in 2006, and has presented at more than 100 regional and national industry conferences/meetings on numerous compliance topics. He has more than 30 years of diversified health care management experience.
Jessica Cromer serves as the Executive Director of the Gateway Health HealthChoices Medicaid managed care program in Pennsylvania. Under Jessica’s leadership Gateway delivers access to high quality healthcare to Medicaid members in Pennsylvania and is focused on improving the social and physical health and well-being of Pennsylvanians and the communities in which they live.
Jessica is a seasoned healthcare executive with over 19 years of experience in managing government health care programs. Her comprehensive expertise with Medicaid health plan leadership and operations uniquely positions her to lead Gateway Health with success. Jessica’s background includes various leadership roles at Anthem that give her the ability to build effective teams that provide innovative solutions and results.
Eina G. Fishman, MD, MS, CPE, is the Chief Clinical Officer at Gateway Health. She recently assumed this role after two years as Chief Medical Officer of United Healthcare Community and State, Florida. In her current position, Dr. Fishman oversees the health care needs of the entire membership in all states Gateway serves, and functions as the principal medical manager and adviser to the health plan.
Dr. Fishman has significant experience serving the underserved, uninsured, people with low incomes and people with complex health conditions. She recently relocated to Pittsburgh to lead clinical services at Gateway Health, after two years at United Healthcare. Prior to that, she was the Chief Medical Officer of Amerigroup, Florida for three years. While in Florida, she collaborated with the Agency for Healthcare Administration on maternal/fetal health quality initiatives, and co-chaired the March of Dimes state work group on 17-P for reduction of premature births.
While Dr. Fishman is new to Pittsburgh, she will undoubtedly be working with local charitable organizations that supports Gateway Health members and the community at large.
Kat Gesh-Wilson is Gateway Health’s Chief Operations Officer, where she has oversight of Claims and Enrollment, the Service Center, Appeals and Grievances, PDM, Credentialing, as well as the ongoing EHS implementation and operation. Ms. Gesh-Wilson is an experienced and respected operations professional whose vast knowledge encompasses both the payer and provider side of health insurance.
Most recently she was the COO of DST Health Solutions where she managed the technical and daily operations of the prominent healthcare and financial industry IT leader. She also spent several years leading the Federal Programs and Government Operations areas of Blue Cross Blue Shield of North Carolina, bringing growth, innovation and strength to their Medicare Advantage business. Having seen the industry from both the insurer and provider perspective allows Ms. Gesh-Wilson to be an efficient and expedient problem solver who can respond quickly and strategically to the evolving needs of Gateway’s Operations area. This allows Gateway to limit both costs and improve operating efficiencies paramount to Gateway’s success.
Marie Glancy is Chief Strategy Officer at Gateway Health with responsibility for Performance Optimization, Population Health, Product and Innovation, External and Community Affairs, Corporate Communications, Branding and Marketing, Government Affairs, and Public Policy.
As an expert in health care policy, Ms. Glancy has been outspoken in making the business case for quality in health care. She has guided efforts to educate state and federal policymakers on how they can support health care policies and is widely respected for sustained leadership in measuring and improving health care quality. Prior to joining Gateway, she served as the Senior Executive for Products and Services with Concordia Plan Services (CPS), a leading provider of health care, disability, wellness and retirement plans for 6,800 employers nationwide.
Ms. Glancy is very involved in the Pittsburgh community, most recently serving on the board of directors for the March of Dimes.
Sharon Kelley is Senior Vice President and Chief Financial Officer for Gateway Health where she is responsible for all financial operations and oversight as well as facilities management, procurement, network contracting and development and fraud, waste and abuse.
Ms. Kelley, a seasoned healthcare financial executive with more than 25 years’ experience was born and raised in Pittsburgh, and spent the majority of her career in the Washington, D.C. area. She has served as the CFO for the George Washington Hospital, Vice President of Finance for Inova Health System, and then transitioned to consulting for Booz Allen Hamilton to develop their national revenue cycle practice. Following that, Ms. Kelley joined one of her clients, the MetroHealth System, as the CFO to assist in a major financial turnaround.
Mala Suri is Vice President and Executive Director Gateway Health’s Medicare programs where she has responsibility for the strategy and execution of Medicare Advantage activities and programs across Gateway Health’s markets to achieve earnings and growth objectives. Ms. Suri also provides guidance and consultation for new products, program design, quality and regulatory compliance. Previously, Ms. Suri worked in Chicago as Divisional Vice President, Enterprise Medicaid Business Development & Plan Partnership for the Health Care Service Corporation. She has held leadership positions with OptumInsight Consulting in Chicago and Wellpoint (formerly Empire BCBS) in New York City and Horizon BCBSNJ. Ms. Suri was also a founding team executive of Care Management International (CMI), in Hoboken, New Jersey, in which she had a strong role in strategically and tactically growing the company from 10 to 270 employees in three and a half-years.
In addition to her health care business background and MBA, she has a strong interest in wellness/prevention and behavioral health as well as helping to improve the lives of at-risk populations while controlling costs. Ms. Suri also has a certification in holistic nutrition from the Institute of Integrative Nutrition and improvisation certification from The Second City, Chicago.
Joe Walsh is Vice President and Chief Information Officer at Gateway Health, where he is accountable for the technology experience and supporting and delivering of technology solutions across the health plan. His department is responsible for analyzing and translating business, information, and technical requirements into an enterprise architectural blueprint that helps to form care management decisions to achieve business objectives.
Joe has experience in many IT leadership roles in a career spanning over 20 years. Joe joined Gateway Health in 2015 to align IT with the business and bring innovative technology platforms to the organization to enhance the experience for their members, providers and employees.
Charlene Zein is Executive Director for Delaware and West Virginia Medicaid plans where she oversees cross functional collaboration between a myriad of projects among the two lines of businesses. Ms. Zein is a seasoned health care executive with over a decade of experience across the industry. In 2013, she moved to Pittsburgh, as director of strategic planning and new market development for Gateway Health Plan—a jointly-owned subsidiary of Highmark and Mercy Health System, and one of the most respected and well-established Medicare/Medicaid managed care plans in the United States.
During her time at Gateway, Ms. Zein has rolled out a team to develop a provider network across three states and 120 counties to help the company meet the challenges of Medicare Advantage expansion. She also served in a variety of other responsibilities related to Gateway’s corporate strategy and growth, including Chief of Staff to CEO Patricia Darnley.