WellCare

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WellCare Health Plans, Inc. provides managed care services exclusively for government-sponsored healthcare programs, focusing on Medicaid and Medicare in the United States. It offers a range of Medicaid and Medicare plans, including health plans for families, children, the aged, blind and disabled, and prescription drug plans. The company’s Medicaid plans include plans for individuals, who are dually eligible for both Medicare and Medicaid, and recipients of the Temporary Assistance to Needy Families (TANF) programs, Supplemental Security Income (SSI) programs, State Children’s Health Insurance programs (S-CHIP), and the Family Health Plus programs (FHP). The TANF program generally provides assistance to low-income families with children and the SSI program generally provides assistance to low-income aged, blind, or disabled individuals. S-CHIP and FHP programs are designed for families, who exceed the income thresholds for Medicaid. WellCare’s Medicare plans include stand-alone prescription drug plans and Medicare Advantage plans, which include both Medicare coordinated care (MCC) plans and Medicare private fee-for-service plans. Medicare Advantage is Medicare’s managed care alternative to original Medicare fee-for-service, which individuals enroll into directly through Centers for Medicare & Medicaid Services. MCC plans are plans that are administered through a health maintenance organization and generally require members to seek health care services from a network of health care providers. PFFS plans are open-access plans that allow members to be seen by any physician or facility that participates in the Medicare program. As of December 31, 2006, it served approximately 2,258,000 members through a network of 50,000 physicians, 600 hospitals, and approximately 15,000 other ancillary providers and skilled nursing facilities. The company, formerly known as WellCare Group, Inc., was founded in 1985. WellCare is headquartered in Tampa, Florida.

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New Hires and Recent Promotions at WellCare

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  • Michele Booth, Senior Counsel

    was VP & Senior Counsel at PolyMedica Corporation - 4 months ago

  • Hassan Tirmizi, Project Manager/Process Improvement Analyst

    was Bussiness Analyst at HSBC - 2 months ago

  • Duenna Dorsett, Advocacy/State Relations Manager

    was Network Relations Manager/ Lrg Practice Ancillary Executive at Humana - 2 months ago

  • Christine Hayes, Manager, Human Resources

    was Vice President, Human Resources Manager at Regions Bank - 3 months ago

  • Joseph Cipolla, Sr. Systems Engineer at WellCare

    was Manager of Enterprise Technical Services at Revolution Money - 3 months ago

  • Richard Campagna, Vice President

    was VP Claims - last month

  • David Jeans, Vice President, Information Technology

    was Vice President, IT (Data Warehousing) - 3 months ago

  • Susan Kohler, VP, Healthcare Operations and Regulatory Affairs

    was Sr. Director, Gov Relations and Regulatory Affairs - last month

  • Jena Lee, Vice President of IT Governance

    was VP - 4 months ago

  • John Ford, VP, Chief Privacy Officer

    was Senior Director IT Security and Compliance - 2 months ago

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