Hamilton Baiden
President
Kevin James, RPh, MBA, CCHP
Chief Pharmacy Officer
Rich Jones, MA, MBA, LCAS, SAP
EVP & Executive Director, Heritage CARES
Sue Morrell, EVP, Strategic Growth & Development, Heritage CARES
Paul Worsfold, MBA, CMR
SVP, Strategy & Business Development
Dan Riser, CPA
VP Finance
Craig York, MBA, MS
VP Information Technology
Anthony von Reichert
Director of Human Resources
Tim Urlocker
Director of Partner Relations
Kristin Blanchard, Director Provider Networks
Vanessa Garcia, BA, CPhT
Program Manager, V.A. Programs
Dawn Snow, BA, CPhT
Program Manager, USMS Programs
Caroline McLean
Quality Program Manager
Hamilton Baiden
President
Official: President
Unofficial: Big Thinker
With almost three decades of experience in the healthcare industry, Hamilton brings both a vision and passion for creating innovative solutions to complex problems. As President of Heritage, his focus is providing transparent leadership and expanding upon Heritage’s vast portfolio of services and solutions. His strategic direction and initiatives will cement Heritage’s status as one of the industry’s top Integrated Health Care Managers. Prior to Heritage Health Solutions, Hamilton served as the Executive Vice President of Sales & Marketing at Avella Specialty Pharmacy.
Hamilton is tasked with all aspects of growth at Heritage Health Solutions, which largely revolves around helping customers understand the breadth and innovative nature of all the services Heritage provides. He brings a sharp mind and an entrepreneurial spirit. In his words, “nothing will stand in our way when it comes to finding solutions for our customers and taking better care of our patients.”
He is committed to finding solutions—even when they don’t previously exist. There is no problem, large or small, that Hamilton and his team cannot evaluate and design a solution around. His goal is to provide a better health care experience to clients while reducing their total costs.
Kevin James, RPh, MBA, CCHP
Chief Pharmacy Officer
Official: Chief Pharmacy Officer
Unofficial: Problem Solver
Kevin has over 25 years of experience, across a broad range of industries, including retail and specialty pharmacy sales and operations, government programs, regulatory compliance, auditing, account management, managed care contracting, and claims adjudication. He easily enters into new environments and develops programs that positively change process flow and improve productivity.
Kevin plays a significant role at Heritage Health Solutions, designing, implementing, performing and completing activities to maintain and improve the quality, compliance, and cost effectiveness of the pharmacy programs for Heritage’s pharmacy business lines. He oversees day-to-day clinical service operations, provides support to the Clinical Staff, Account Management and the Customer Care Teams, monitors and measures the impact of business initiatives and provides suggestions and direction to ensure appropriate, efficient services are provided to customers.
Kevin and his team is a single resource for both pharmacy and medical services. They help to create customized, comprehensive solutions depending upon our customers’ unique, ever-evolving needs—providing solutions that reduce costs and improve overall care.
Rich Jones, MA, MBA, LCAS, SAP
EVP & Executive Director, Heritage CARES
Official: EVP & Executive Director, Heritage CARES
Unofficial: Secret Weapon
Rich is an experienced therapist, clinician, and healthcare entrepreneur with more than 20 years in the behavioral health space, including mental health, substance use disorders (SUD), co-occurring disorders, and intellectual disabilities. He has been the founding CEO of two non-profit organizations and two for-profit business dedicated to disrupting the behavioral-health space for the betterment of people in need.
Rich is well respected in the recovery world and a pioneer in the industry. That’s why he is tapped to lead Heritage CARES, a division of Heritage Health Solutions. Rich is passionate about providing quality care and supporting individuals that struggle with stress, substance use, and suicidal ideation. He has built his career on helping people who need the unique, flexible, evidence-based support that our platform delivers.
Traditional, one-size-fits-all methods of addiction recovery support the 10 percent of people with Substance Use Disorders who can admit they have a problem and reach out for help. Through his leadership of Heritage CARES, we have found a fresh new way to engage and help the other 90% in addition to their families – which is a game changer. Our innovative platform involves virtual support and certified peer coaches who engage and connect with individuals and make recovery attainable. Rich is helping people re-engage in the community and live a good life.
Sue Morrell, EVP, Strategic Growth & Development, Heritage CARES
Official: EVP, Strategic Growth & Development, Heritage CARES
Unofficial: The Collaborator
Industry background:
Sue has over 20 years of experience in account management and overall strategic direction for various organizations. She brings a strong focus on healthcare with core strengths of developing and implementing successful strategies and processes that support and grow a business. Sue leverages her experience in planning, coordinating, and collaborating to help Heritage CARES reach more people and help them recover from substance use disorders (SUD).
How she helps customers:
Sue serves customers by acting as their strategic advisor and recommending and executing best practices for design and execution, as well as helping them explore new business opportunities. Sue is passionate about building and directing a national platform for Heritage CARES that effectively communicates how the company’s program offerings make recovery more accessible, more welcoming, and more attainable for people struggling with SUD. In addition, Morrell will monitor operational resources to ensure the company provides its contractual services within budget parameters.
What makes Sue a game-changer?
Sue is a motivated and passionate leader who thrives in a fast-paced, growing environment. Her entrepreneurial spirit, work ethic, and desire to achieve results will help achieve success for Heritage customers and the organization.
Paul Worsfold, MBA, CMR
SVP, Strategy & Business Development
Paul Worsfold
Official: SVP, Strategy & Business Development
Unofficial: The Diplomat
Industry background:
Paul has more than 34 years of combined leadership and management experience in the US Army and health care industry. Throughout his career, Paul has held key positions within pharmaceutical laboratory and specialty pharmacy companies. Responsibilities included sales in hospital, VA, DOD and state Medicaid facilities. His forte lies within the commercial, operational, and clinical sales aspects of building world-class health care businesses.
How he helps customers: Paul’s experience and dedication to flawless service will ensure that our clients receive world class care. His extensive knowledge of business strategies and focus on business innovations will further Heritage’s mission to positively impact the lives of our clients and the people they serve.
What makes Paul a game-changer?
Paul has the exceptional ability to network and build client relationships which result in sales. His energy, passion and drive for success will ensure that Heritage will remain at the forefront of health care innovation for many years to come.
Dan Riser, CPA
VP Finance
Official: Vice President of Finance
Unofficial: Money Maestro
Dan swings a big bat. He is responsible for all of Heritage Health Solutions’ financial planning and reporting, accounting, tax, auditing, treasury, insurance, and more. Dan previously honed his skills working at Ernst & Young, LLP.
His team partners with operating personnel to ensure Heritage Health Solutions financial systems and procedures are properly positioned to provide the best possible support for clients. This includes accurate invoicing and well-documented controls, along with ongoing audits. Although not required to do so as a private company, Heritage provides an annual SOC-1 report to its clients, demonstrating unwavering commitment to delivering quality service.
He is a strategic thinker with an unrelenting pursuit of excellence. He is always seeking the best for our clients. He speaks the language of business but communicates it in a way others can understand. “I love helping others and am excited to deliver unique solutions to Heritage’s clients,” he says.
Craig York, MBA, MS
VP Information Technology
Official: Vice President Information Technology
Unofficial: The Bridge
Craig has been an IT leader for more than 20 years—more than 18 of that specifically in health care. He is a Board-Certified Health Care Executive (the Fellow certification offered by the American College of Health Care Executives) and he is a Certified Health Care CIO (offered by the College of Health Care Information Management Executives).
From an IT perspective, Craig is building infrastructure that empowers and enables clients—helping them to understand their spend and patient outcomes, allowing them to make better decisions and improve care for their organizations. He is also responsible for the security and integrity of information. Heritage’s IT Team is different because they are forward thinking and actively engaged in the client conversation.
Craig is a business-first IT leader. Technology is a core strength, but Craig lives in the world of business challenges. He is focused on solving those challenges first and foremost. Craig is able to effectively bridge the often-wide communication gap between specialized technicians and visionary business leaders to connect opportunities through technical innovation.
Anthony von Reichert
Director of Human Resources
Official: Director of Human Resources
Unofficial: Director of Happy Humans
Anthony has been in Human Resources for twenty years. He started in Telecom and then quickly gravitated to the health care sector—including a move to the US Embassy in South Africa to work with the Centers for Disease Control in Pretoria.
Anthony’s customers are the people at Heritage Health Solutions, a group he is dedicated to helping succeed. He strongly believes that his day-to-day work and actions benefit his team members’ personal lives by making sure they are well-taken care of. And that, in return, enables employees to take better care of clients.
Anthony strives each day to remember that his position is one of the human experience—that it takes compassion and understanding to reach people and let them know they matter and are part of something bigger at Heritage than “just a job.”
Tim Urlocker
Director of Partner Relations
Official: Director of Partner Relations
Unofficial: Relationship Builder
Tim has 20+ years of experience in executive sales and management. He’s what you might call a go-getter. Tim has worked with a number of companies in the past—from start ups to industry leaders. He forges strong bonds with the businesses he engages with and is always focused on their success and business health.
Tim started at Heritage Health Solutions in early 2019 and has made an immediate impact. He currently manages the Proposal Team, working with health care consultants in the public, commercial, and correctional sectors. His goal is to deliver comprehensive solutions that satisfy Heritage clients’ needs.
He is a champion for his customers. He gets to know the people he works with and he is focused on their ultimate success. He is a “foxhole partner”—someone you want next to you in battle. He has a passion for learning combined with a relentless pursuit to help others. One thing he strives to do is put himself in a client’s shoes, to better understand their needs. Then he brings them solutions that drive results.
Kristin Blanchard, Director Provider Networks
Official: Director, Provider Networks
Unofficial: The Network Ninja
Kristin Blanchard has over 25 years of experience in Healthcare, both clinical and managed care settings. In 2017, she shifted her focus towards a satisfying and rewarding career in Corrections. At Heritage Health Solutions, Kristin is leading the efforts to develop our cost-effective, preferred provider networks while establishing and maintaining positive relationships with community healthcare providers.
As a healthcare professional, Kristin has worked in Geriatric Medicine, providing hands-on care to vulnerable seniors, Network Development developing exclusive provider networks in various geographic locations across the country, and Cost Containment with an emphasis on Population Health Management working with self-funded employer groups looking to better control costs and improve the care of their employees.
As an enthusiastic and motivated Healthcare Operations professional, Kristin would say that the favorite part of her career is learning something new every day as the market evolves as well as being a mentor and training others.
Vanessa Garcia, BA, CPhT
Program Manager, V.A. Programs
Official: Program Manager, VA Program
Unofficial: The Solution Provider
Vanessa has worked in the public sector for many years and understands the dynamics in play at the Department of Veterans Affairs. She started her career as a Pharmacy Technician and has worked at Heritage Health Solutions in multiple roles since 2011. She has been the VA Program Manager since March 2019.
Her team is extremely dedicated and client focused. They have been commended on their responsiveness and ability to be there when it counts. Vanessa shows professionalism and is able to support her clients with a multitude of concerns and requests. This includes member services, invoice/billing inquiries, reporting needs, and more. Combined, her team has over 20 years of pharmacy and account management experience.
She has broad experience in pharmacy and medical services that enables her to identify a wide range of solutions depending on the client’s needs. Vanessa epitomizes a solutions-oriented attitude and is dedicated to giving her clients the best service possible.
Dawn Snow, BA, CPhT
Program Manager, USMS Programs
Official: Program Manager, USMS Programs
Unofficial: Miracle Worker
Dawn has the kind of expertise that only experience bestows. Her 20-year background as a pharmacy technician keeps her current on leading drugs and therapies which allows her to truly lead as Program Manager.
Dawn excels at customer service and problem solving. She is always willing to help others by doing the right thing. Dawn serves as primary point of contact and supports daily activities of the U.S. Marshals Service District Offices, Sub-District Offices, detention facilities, local retail and mail order pharmacies, and contract partners. She assists with and resolves National Managed Care Contract program concerns, communicating about changes to the Preferred Provider Network, the claims payment program, and the pharmacy program.
She does whatever it takes and then some. She is truly an advocate for her customers, working tirelessly to find the solutions they need, even if that means uncovering new avenues and paths to pharmacy and medical claims. She manages relationships and solves problems on a daily basis.
Caroline McLean
Quality Program Manager
Official: Quality Program Manager
Unofficial: The Process Guru
Caroline has an impressive career in Quality Management. At various times over the past two decades she has been a case manager, family and individual counselor, and clinician for the Idaho Department of Health and Welfare, to name a few. Each of these work experiences was held to a strict quality component.
Caroline leads the Quality Management Program for Heritage Health Solutions. This involved program allows Heritage to meet or exceed contract requirements, customer needs, and overall expectations, with participation from every level of the organization. She manages the quality of contract performance and employs strong risk management processes from point of discovery through resolution.
Caroline is a passionate and meticulous team member. She is also multi-faceted and flexible in her abilities and areas of expertise. Caroline upholds an aggressive work ethic, yet effectively maintains relationships while respecting diversity of thought and equity.