How We Deliver
- Expand All
- Collapse All
Chief Executive Officer
Siva co-founded SCIO in 2007 and has led the organization to rapid growth in the nascent health analytics market through a combination of inorganic and organic assets and integrating them to deliver significant value to clients and investors. Siva is responsible for SCIO health analytics’ strategy, ensuring client satisfaction, developing solutions and service delivery models that help clients solve business issues, acquiring key analytics assets and building a strong leadership team.
Siva’s prior experience includes leading key operating units in organizations such as EDS, MphasiS, Perot Systems, Gartner and Intel corp. In addition to vast healthcare experience, Siva has deep expertise in analytics, business consulting, technology and finance. He has also successfully led 7 M&A deals as an operator and has helped realize value for investors and clients. Siva is a frequent speaker in industry events and has published thought pieces in the areas of healthcare, innovation, next generation service delivery models and analytics. Siva holds an M.B.A. from Ross school of Business at University of Michigan and a M.S. in Computer Science from the University of Pittsburgh.
President, Claims Audit & Recovery
Mr. Hedrick has been in the health insurance industry for over 40 years. Before forming National Audit, he was Executive Director at a Fortune 500® health insurance company’s service center in Jacksonville, Florida. He was responsible for designing, planning, launching and managing the service center’s processing operations handling Florida and Puerto Rico. At the Center, he oversaw 1,400 employees, the processing of 10 million claims, 4 million customer inquiries and an operating budget of $37 million.”
Chief Solutions and Business Development Officer
David Hom is an internationally-recognized expert in the field of consumer engagement through programs such as Value based Benefits and Employee Wellness. He joined SCIO Health Analytics after more than 25 years with Pitney-Bowes Corporation, where he was responsible for introducing their leading-edge programs in value-based wellness, responsible for reducing medical trend by 50% of the industry average each year for 15 years. He has built SCIO’s leading products on Value Based benefit Design applications for many health plans and a technology enabled cell solution to engage members based on gaps in care.
David has co-authored two leading books on Value Based Designs which has been read by over 250,000 Benefit and Health Plan executives and co-founded a nonprofit company in 2007.
Chief Sales and Marketing Officer
Krishna has more than 18 years of experience in sales, marketing, mergers and acquisitions in the area of business services. His experience also includes managing units that deliver services to healthcare constituents. His expertise is in strategic sales that involve combining services, products, and analytics to deliver diverse solutions across healthcare segments including health plans, providers, pharma, and life sciences. He has successfully worked on strategic initiatives in the areas of claims, care, consumer, and provider related areas.
Krishna has worked with industry-leading firms including Perot Systems, Gartner, Infinite, and IBM. He has also played key roles in the negotiation and execution of several sizeable acquisitions.
Krishna holds an M.B.A from New York University and a M.S. in Electrical Engineering from Syracuse University.
President, TPL and Knowledge Services
Karthik has over 27 years of experience in the IT/BPO Industry in areas of operations, delivery, sales, M&A, and operations management. As Head of Operations Management for Chennai Delivery Center of Tata Consultancy Services (TCS), he oversaw 20,000 employees and $1B revenues.
Karthik headed two acquisitions, Combined Benefits Insurance Company, Missoula, MT, and Phoenix Global Services, CT. He also headed the transformation for the largest BPO deal in Insurance area (UK-based Pearl deal, valued at over $800M). Karthik has conceptualized and launched several strategic initiatives in leadership development, knowledge management (KM), and innovation.
Karthik holds an Engineering degree in Computer Science from University of Madras.
Nayfe Faillace, BS, CHC, LHRM
Chief Compliance & Privacy Officer
Ms. Faillace has been in the health insurance industry for over 20 years. Ms. Faillace was on of the founding partners of Hospital Audit Locus, Inc. d/b/a National Audit where she served in various capacities over the past 10 years. Previously, she served as Director of Customer Service, Government Relations, Grievance and Appeals at a regional health insurance company. Subsequent to the sale of the company to a large national health insurance company, she took the position of Vice President of Operations in Puerto Rico. Ms. Faillace was responsible for the operations of the claims processing and recovery, enrollment and customer service departments. She is certified in health care compliance and privacy by the Health Care Compliance Association.
Chief Financial Officer
Jacob is a Finance professional with more than 18 years of experience in Finance, Accounting, Commercial, Legal, Audit, Mergers & Acquisitions, etc. Prior to joining SCIOinspire, Jacob held senior finance positions in MphasiS, a EDS/HP Company with annual revenues in excess of $1 billion. There he was the VP Finance of MphasiS BPO - the 10,000+ strong business process outsourcing division of MphasiS and later as EVP of Eldorado Computing, the healthcare benefit management division of MphasiS. Jacob played a key role in all the major acquisitions of MphasiS - in China, India, US, UK, etc. Jacob has also held senior positions in PepsiCo, as the CFO of one of its joint ventures and was also a Senior Manager in KPMG.
Jacob is a Chartered Accountant from the Institute of Chartered Accountants and a Commerce graduate.
Blaise has been a practicing attorney for over 17 years. For the past three years he has concentrated his practice in all areas of subrogation and reimbursement, representing subrogation professionals at healthcare payers, self-funded plans, and government and Medicaid plans.
Blaise has negotiated with attorneys, insurance companies, and other third party payers in the collection and enforcement of the subrogation/ reimbursement rights of the health payers he represents. He has litigated in seeking enforcement of those rights before workers' compensation judges, administrative judges, and both the federal and state court systems. Prior to joining SOCRATES INC, Mr. Guzewicz gained experience in many other aspects of the legal profession that have proved to be assets at SCIOinspire.
Executive Vice President & Chief Operating Officer, Claims Audit & Recovery
Rob has more than 30 years of experience in Healthcare operations and business development. His experience in healthcare services includes managing units that deliver services to payers and providers. Offerings included reinsurance solutions, claims management and medical cost containment solutions including claims negotiation services and development and management of national provider networks.
Rob has worked with industry-leading firms including Viant Health Payment Solutions, driving more than $100M in healthcare services business. He has implemented innovative structured reinsurance solutions for payers as a partner in a global actuarial and management consulting firm. He has also played key roles in the negotiation and execution of several sizeable acquisitions and mergers.
Rob holds an M.B.A from Concordia University and a Bachelor’s degree from McGill University.
Senior Vice President, OPL Services
Brendon has more than 20 years of experience in Operations and Technology, specializing in data processing, data migration, business process improvements, and systems implementation. He has international experience and expertise in six sigma methodology and process improvement. Prior to joining SOCRATES, Mr. Tucker was the head of technology for International Personal Banking – a division of Citigroup.
Mr. Tucker holds an Associate Arts Degree in Computer Science from St. John Rigby College, Wigan, UK, and he is a Certified Project Management Professional (PMP).
EVP & General Manager, Health Analytics
Kevin leads the Health Analytic division and is an entrepreneur and senior executive with 30 plus years of experience within the operational aspects of business. He has provided leadership to numerous successful organizations and served in a variety of roles, including Chairman, CEO, COO, EVP and SVP, as well as management and supervisory roles within the technical and operational areas of business. Each business that Mr. MacIlvane has lead and participated in has been both successful with growth, and returned significant value to its shareholders. Prior to joining SCIOinspire, Mr. MacIlvane completed a 6 year journey as a Senior Vice President for Health Dialog where he architected and led the Global Analytics and Operations team.
Prior to Health Dialog, Mr. MacIlvane was COO of Energie Lighting, was the Commissioner, President and CEO of the New England Collegiate Baseball League, and has held several executive leadership positions within the commercial architectural lighting industry. Mr. MacIlvane attended Clark University
Chief Information Officer
Steve has over 25 years of experience in Information Technology, Security, IT Architecture, and Operations. Prior to joining SCIO Health Analytics, he served as inVentiv Health’s Chief Information Security Officer where he successfully established global policies, practices, and governance across clinical research and health care organizations. Prior to this role, Steve served as the Vice President of IT and Chief Security Officer at Health Dialog (a Bupa company). Steve has also held previous IT leadership roles in Aerospace and Engineering firms.
Mr. Schmaltz holds an MS in Operations Research from Stanford University and a BA in Mathematics from Castleton State College. He is also a certified C|CISO by the EC-Council.