Company & Bios

ClearStone Solutions’ top industry experts consult on and administer Medicaid and Medicare programs on behalf of Health Plan Sponsors resulting in optimal compliance and quality ratings.

ClearStone was created to rescue a health plan that was failing in governmental programs. We have proven our ability to navigate the waters of the complex governmental arena and have refined our process to ensure your success.

Meet the ClearStone Team

Elizabeth Davis Moran
President and Chief Operating Officer, ClearStone Solutions, Inc.

Elizabeth (Betsy) Moran is the President and COO of ClearStone Solutions, an affiliate organization of Blue Cross and Blue Shield of Minnesota.

Moran is responsible for overall profit and loss management of ClearStone and oversees all functions associated with meeting client expectations for government program administration. Moran is also responsible for the overall strategic direction of ClearStone, including working with the board and the six Blue plans (including Minnesota) across seven states that make up the Northern Plains Alliance’s Medicare Part D prescription drug plan, Medicare Blue Rx, serving over 300,000 beneficiaries.

Moran joined Blue Cross in 2013, serving as vice president of legal affairs, with responsibility for and oversight of all legal functions for the company. Prior to joining Blue Cross, she served in several legal and compliance roles at UnitedHealth Group, including service as chief compliance and ethics officer, where she served as deputy general counsel and associate general counsel at the United Healthcare segment of UnitedHealth Group.

Nancy J. Sheehan
Sr. Vice President of Operations & Business Development

In Ms. Sheehan’s current role as Senior Vice President of Operations and Business Development she is accountable for overall management and administration of a 325,000 member health plan offering a Medicare Part D program across a 7 state region in the upper Midwest, and another Medicare Part D plan in Arizona.  Ms. Sheehan is accountable for vendor contracting, all operational activities in support of government based business and vendor monitoring. In other senior management positions at Blue Cross Blue Shield of Minnesota, Ms. Sheehan was responsible for Medicaid operations and project management for a state-wide program (which included the development of the long term care continuum).

Ms. Sheehan came to Blue Cross Blue Shield and ClearStone Solutions with extensive experience in government business based on 17 years at UnitedHealth Group’s Ovations Division where she implemented new Medicare products and opened new markets as Director of Business Development. Ms. Sheehan also served as National Compliance Director for Medicare, responsible for all aspects of a national compliance program, application development, compliance and enforcement activities.

Carrie F. Ferlita
Principle Operations Consultant

Carrie Ferlita brings over twelve years of health plan experience with a concentration in the Medicare products arena. Her experience includes product development and launch, product management, vendor contracting and management, market assessment, marketing planning and development, financial analysis, compliance, regulatory analysis, policy development, project management, and CMS Medicare Advantage/Prescription Drug Plan application development. She also brings a background in commercial and federal contracting, business and economic development, proposal development and grant writing and supplier diversity.

Scott Hopkins
Director, Information Technology

Scott is director and project manager with 40 years of information technology experience. His background includes working with a variety of technologies and businesses in the healthcare, manufacturing, and financial industries. Scott has led an IT sales group, analytics/warehouse department and EDI business operations group. Considerable focus is on all aspects of Medicare and Medicaid implementation.

Dina Castle
Director of Operations

Dina brings over 18 years of Medicare and Government Programs experience to her position as a Director of Operations for ClearStone Solutions. Her experience includes Medicare Part C and Part D product lines, Operations, Compliance, Auditing, Customer Service, Project and Vendor Management and new product implementation.

Angela Mitchell
Director of Pharmacy Operations

Angela is a Subject Matter Expert in Medicare, with over 20 years of experience in benefits and operations. Her areas of focus extend to Pharmacy operations, Bid & PBP filings, vendor management, BPO transitions and project management.

 

Carrie A. Hogan
Director, Compliance

Carrie has over 20 years of health plan experience. The last 9 years her focus has been on Medicare compliance. Carrie's experience includes: appeals, grievances, customer service, auditing, monitoring, training, and various other compliance related activities. Carrie has a Master of Jurisprudence in Health Law and is Certified in Healthcare Compliance.

Sara Hower
Director, Sales and Marketing for Group and Individual Medicare

Sara has over 16 years of experience in government health care programs including eight years of experience in Medicare Part D and Advantage programs. Her areas of focus include product development, market analysis and industry trends, sales channel management, and vendor management.

Angie DeBettignies
Director, Business Project Management Office

Angie DeBettignies brings over 20 years of health care leadership, operations, and project management to her position with ClearStone Solutions as she focuses on research, design, and development of program details for government programs business. This includes identifying project priorities, issues, and risks to ensure projects progress on schedule and within prescribed budget.

Ann Fleischauer
Director, Channel Management

Ann Fleischauer is Director of Channel Management for ClearStone Solutions, where she leads business development initiatives to support strategy and growth.  She has a strong background in project management, business strategy execution, marketing and communications, and relationship management. Originally hired at ClearStone Solutions to implement new Medicare Part D clients, she has led cross-functional teams on a variety of other Medicare and Medicaid strategic initiatives.  With nearly 30 years of experience, Ms. Fleischauer has been in the health care industry for 15 years.

Wendy Radunz, FSA, MAAA
Vice President, Actuary

Wendy has over 23 years of actuarial experience focused on various health care products ranging from Medicaid and Medicare products to health care reinsurance and commercial products. Most recently, her focus has been on Part D and Medicare Advantage product development, pricing and forecasting. Prior to her current role, she worked as a Consultant with projects encompassing areas such as Medicare Audits, Medicaid rate development, benefit analysis and financial projections. In addition to her consulting experience, Wendy also worked for an insurance company for over twelve years focusing on health and reinsurance products. Wendy is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.

Mike Harrelson
Manager, Financial Reporting and Accounting

Mike has seventeen years of insurance accounting experience, the last seven of which have been in the health insurance accounting sector. His responsibilities include monitoring financial results for and coordinating financial reporting to various ClearStone clients. In that role Mike works closely with client accounting departments and also provides financial updates to client leadership teams.