Health Partners Plans is a not-for-profit health maintenance organization serving more than 270,000 members in Southeastern Pennsylvania.     Founded 30 years ago, Health Partners Plans offers Medicaid, Medicare and Children’s Health Insurance Program ...

Hospital

Health Partners Plans

Health Partners Plans' headquarters in Philadelphia, PA, United States

Denise Croce

John Sehi

Vicki Sessoms

Chris McTiernan

Johnna Baker

John Gwynne Prosser II

Pat Oxholm

Barry Freedman

At Health Partners Plans, the Management Team is responsible for overseeing the operational, clinical, and regulatory aspects of the organization. This includes managing government affairs, privacy, quality assurance, clinical services, pharmacy systems, provider contracting, patient care coordination, and community engagement. By ensuring compliance with healthcare standards and fostering efficient operations, the team helps deliver quality Medicaid, Medicare, and Children’s Health Insurance Program services to over 270,000 members in Southeastern Pennsylvania.

Management Team

The Finance and Accounting Team at Health Partners Plans is responsible for managing the organization's financial health by overseeing budgeting, accounting, and financial reporting. This team ensures regulatory compliance, conducts financial analysis, develops fiscal strategies, and provides insights to support decision-making for Medicaid, Medicare, and Children's Health Insurance Program services.

Finance and Accounting Team

The Clinical and Provider Management team at Health Partners Plans oversees the coordination and quality of clinical services and provider networks. This includes managing provider credentials, handling provider appeals, overseeing clinical programs for Medicaid, and ensuring compliance with healthcare regulations. The team works to enhance patient care outcomes and maintain high standards of service across the organization.

Clinical and Provider Management

The Directors Team at Health Partners Plans is responsible for overseeing and guiding various critical functions across the organization. This includes community health programs, compliance, quality improvement, provider quality incentives, technology platforms, process optimization, business development initiatives, and regulatory audit, risk, and commitments, ensuring the delivery of high-quality and compliant healthcare services to their members.

Directors Team

This department focuses on analyzing healthcare data to improve outcomes and streamline operations.

Healthcare Analytics

The Leadership Team at Health Partners Plans provides strategic direction and oversight, ensuring the organization's goals align with its mission of delivering quality healthcare services. This team is responsible for managing healthcare economics, clinical operations, legal affairs, and government relations, thereby fostering partnerships and advocating for policies that enhance access to care for the members they serve.

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Health Partners Plans

Org chart

Board & advisors

Teams

Management Team

Finance and Accounting Team

Clinical and Provider Management

Directors Team

Healthcare Analytics

Leadership Team

Offices

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Health Partners Plans

Org chart

Board & advisors

Teams

Management Team

Finance and Accounting Team

Clinical and Provider Management

Directors Team

Healthcare Analytics

Leadership Team

Offices

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