Jeff Barlow, Chief Legal Officer and Corporate Secretary. Mr. Barlow has been with Molina since 2004. He worked in the securities group of the national law firm DLA Piper before joining the payer. BOSTON – Molina Healthcare, Inc. (“Molina”) and its former subsidiary, Pathways of Massachusetts (“Pathways”), have agreed to pay $4.625 million to resolve allegations that they violated the False Claims Act by filing claims while violating several regulations related to permitting and employee supervision. Experienced healthcare professional with extensive experience in finance, strategy, business development, product design and marketing.
My career has given me the privilege of leading a variety of high-profile situations, from the strategic reinvention of the nation`s leading health insurance company to the successful launch of a groundbreaking HIT startup company. I have a proven track record of achieving results in demanding national and global environments and cultures. Joseph Zubretsky, President and Chief Executive Officer.
Mr. Zubretsky has been President and Chief Executive Officer of the Company since November 2017. He came from the Versicherungsgruppe in Hanover, where he was president and CEO. Previously, he held leadership positions at Aetna. The settlement also resolves allegations made in a lawsuit brought by whistleblowers under the Qui-Tam provisions of the False Claims Act, which allow private parties, known as rapporteurs, to take legal action on behalf of the government and participate in recovery. Here are some other demographic highlights from the management team: Five agents make up Molina Healthcare`s management team, according to the Long Beach, California-based payer`s website. U.S. Attorney Rachael S.
Rollins; Massachusetts Attorney General Maura Healey; and Phillip M. Coyne, Special Agent for HHS-OIG, announced the announcement today. The case was handled by Assistant U.S. Attorney Steven Sharobem of Rollins` affirmative civil enforcement unit and Assistant Attorneys General Ian Marinoff and Matthew Jones of the Massachusetts Attorney General`s Office Medicaid Fraud Division. Debbie Simkins is Vice President of the CIO Office at Molina Healthcare, based in Long Beach, California. She has worked as Director of IT at PacifiCare Health Systems; Director, Customer Services at Molina Healthcare; and Associate Vice President, CIO Office at Molina Healthcare. Debbie studied at the UCLA Graduate School of Education & Information Studies at the University of Southern California from 1992 to 1994 and at Pomona College from 1988 to 1992. Molina is a managed care health services company that provides health plans for various state and federal health programs, including MassHealth, the joint Medicaid program at the federal and state level. Between November 2015 and March 2018, Molina owned and operated Pathways, a group of psychiatric facilities in Springfield and Worcester. During this period, the government alleges that Molina and Pathways unlawfully submitted claims to MassHealth and MassHealth-operated care facilities, while failing to properly deliver and supervise psychiatric facility staff, including social workers and psychological staff, and failing to provide adequate clinical supervision to clinicians requiring supervision. to document in a timely manner.
Mike P. Wilson is senior vice president and chief security officer at Molina Healthcare, based in Long Beach, California. He worked as Director of Technology Consulting at Pricewaterhouse Coopers (PwC); Senior Systems Analyst at Westpac; and Business Analyst at Commercial Insurance & AMP Insurance. Mike studied at MIT between 2013 and 2015, at the Massachusetts Institute of Technology (MIT) between 2013 and 2015 and at Victoria University of Wellington from 1989 to 1991. James Woys, Executive Vice-President, Health Plan Services. Mr. Woys leads all support functions for Molina`s health plan, which are centralized and regionalized. These include information technology, claims processing and pharmaceutical operations. Previously, he was Executive Vice President, Chief Financial Officer and Chief Operating Officer at Health Net. Marc Russo, Executive Vice-President, Health Plans. Mr. Russo bears full responsibility for Molina`s national health plans.
He served as Anthem`s Medicare president before joining Molina. Mark Keim, Chief Financial Officer. Mr. Keim has been Molina`s Chief Financial Officer since February 2021. Previously, he was Executive Vice President of Strategic Planning, Business Development and Corporate Transformation. Joe Zubretsky is President and Chief Executive Officer of Molina Healthcare, Inc. Joe has over 35 years of experience in the insurance and financial services industries. Prior to joining Molina, he was President and Chief Executive Officer of Hanover Insurance Group.
Previously, he held senior positions at Aetna, one of the nation`s largest healthcare and insurance service providers, most recently as Chief Executive Officer of its subsidiary Healthagen Holdings. He also served as Senior Executive Vice President of Domestic Enterprises, Aetna`s largest flagship business unit with $10 billion in revenue. He joined the company as Executive Vice President and Chief Financial Officer and was responsible for all aspects of financial management, including business development initiatives.
Prior to Aetna, Joe held leadership positions at companies such as Unum Group, where he served as Senior Executive Vice President responsible for finance, investments, strategy, marketing and enterprise risk management operations. Brera Capital Partners, a global private equity firm, of which he was a partner; and MassMutual Financial Group, where he served as Executive Vice President of Business Development and Chief Financial Officer. He began his career at Coopers & Lybrand and became a partner in the firm`s national insurance practice.
Joe received his Bachelor of Business Administration from the University of Hartford.