Senior Management Group
Our mission is to set the standard for outstanding quality health care, service,
and value. Our dedication to excellence makes us one of the leading health
plans in the nation. Meet our senior management group.
James Roosevelt Jr.
Chief Executive Officer, Tufts Health Plan;
President, Tufts Health Plan Foundation
Mr. Roosevelt joined Tufts Health Plan in 1999 as senior vice president and general counsel and held that position until June 2005, when he became president and chief executive officer. As the general counsel, he presided over the legal department and the company's compliance, privacy and government relations functions.
Before joining Tufts Health Plan, Mr. Roosevelt was the associate commissioner for Retirement Policy for the Social Security Administration in Washington, D.C. Mr. Roosevelt spent 10 years as partner at Choate, Hall and Stewart in Boston. He is past chairman of the board of trustees for the Massachusetts Hospital Association, past president of the American Health Lawyers Association and past chairman of the board of trustees for Mount Auburn Hospital.
Currently, Mr. Roosevelt serves as chairman of the board of directors for Massachusetts Association of Health Plans, and as a member of the board of directors and co-chair of the policy committee at America's Health Insurance Plans. He is a member of the board of directors for the Rhode Island Quality Institute and the Schwartz Center for Compassionate Healthcare, and is co-chair of the board of directors for the Tufts Health Care Institute. He serves as chief legal counsel for the Massachusetts Democratic Party and is co-chair of the Rules and By-laws Committee of the Democratic National Committee. In November 2008, President-elect Barack Obama appointed Mr. Roosevelt to his transition team to co-chair a review of the Social Security Administration. Mr. Roosevelt is also a member of the National Academy of Social Insurance.
Mr. Roosevelt received his J.D. from Harvard Law School and his A.B. with honors in government from Harvard College. He has also completed the Advanced Management Program at Harvard Business School.
Ms. Blake joined Tufts Health Plan in 1993 to develop and launch the company's Medicare business. Under her leadership, Tufts Health Plan established itself as a market leader and became the number one Medicare Advantage plan in Massachusetts. Ms. Blake is responsible for all aspects of Tufts Health Plan's senior business including strategy, product development, network management, marketing and sales. Tufts Health Plan Medicare Preferred is consistently ranked among the top Medicare Advantage plans in the country by CMS with a 4.5 star rating.
Prior to joining Tufts Health Plan, Ms. Blake spent seven years with PacifiCare Health Systems in California. She was executive director for Secure Horizons USA and was regional director of health services; responsible for provider network performance, network contracting and development and utilization management. Ms. Blake began her career in managed care in sales and provider contracting.
Ms. Blake received an M.B.A. from the U.C.L.A. Anderson School of Management, an M.A. in health care management from the U.C.L.A. School of Public Health and a B.S. in public health from the University of Massachusetts at Amherst.
Senior Vice President and Chief Actuary
Ms. Carter is responsible for managing actuarial and underwriting functions for all of Tufts Health Plan's business segments.
Prior to joining Tufts Health Plan in 2006, Ms. Carter worked at Excellus Blue Cross in Buffalo, N.Y., where she was vice president of actuarial services responsible for pricing and product development. Prior to Excellus, she spent several years at Aetna, Inc. in a variety of actuarial roles.
Ms. Carter, a Fellow of the Society of Actuaries and a member of the American Academy of Actuaries, graduated summa cum laude with a B.S. in mathematics from Westminster College.
Lois Dehls Cornell
Chief Administrative Officer and General Counsel
Ms. Cornell is responsible for all legal issues involving the company including board governance, compliance and regulatory issues, public policy and government affairs, contracting, corporate transactions, dispute resolution, litigation management, and fraud prevention and recovery. She also is responsible for transformational strategic initiatives, and all areas of human resources, including compensation and benefits, diversity, employee wellness, recruitment, corporate learning and organizational development. In addition, Ms. Cornell oversees internal communications, corporate reputation management, brand communications, media relations and external communications.
Since joining Tufts Health Plan in 1991, Ms. Cornell has served as senior vice president of human resources, deputy general counsel, corporate compliance officer and assistant general counsel. Prior to joining Tufts Health Plan, Ms. Cornell was an associate at Goodwin Procter in Boston where she concentrated in corporate and nonprofit law. She earned a J.D. from Northeastern University School of Law, a B.A. from Macalester College and completed the Advanced Management Program at Harvard Business School.
Ms. Cornell serves on the board of directors of the American Health Lawyers Association, where she is the president-elect designate and chairs the finance committee. She is a member of the board of directors of UMass Memorial Medical Center and currently chairs the governance committee. She also serves on the board of directors of the Massachusetts Association of Health Plans, the Massachusetts Taxpayers Foundation and HomeStart, Inc.
Thomas A. Croswell, CLU
President and Chief Operating Officer
Mr. Croswell joined Tufts Health Plan in 2007 as chief operating officer. In this position, he is responsible for direction and oversight of the company's three business lines, defining and implementing the company's strategic plan, and ensuring that Tufts Health Plan maintains its strong culture of quality, innovation and customer service.
Mr. Croswell previously served as senior vice president of medical management and specialty businesses at CIGNA HealthCare. While at CIGNA, he also served as president of its dental, pharmacy and workers' compensation businesses, and led development of its consumer-directed health care products.
Prior to his career at CIGNA, Mr. Croswell served in senior leadership roles at Prudential Insurance Company, including president of its western region and senior vice president of its individual insurance organization. He is a past member of the board of directors of the National Committee on Quality Assurance and currently serves as vice-chairman of the board of directors of the Alzheimer's Association of Massachusetts and New Hampshire.
Mr. Croswell completed the Wharton Advanced Management Program at the University of Pennsylvania and earned a B.A. from Syracuse University. He is a chartered life underwriter.
Christopher “Kit” Gorton, M.D.
President, Medicaid/State-sponsored Products
As the president of Network Health, Tufts Health Plan’s managed Medicaid plan subsidiary, Dr. Gorton oversees the strategic direction and business operations for all aspects of the health plan.
Prior to joining Tufts Health Plan, Dr. Gorton was CEO for Amerigroup Virginia, an organization that provides Medicaid services to nearly 57,000 members from low income families or with disabilities. While at Amerigroup Virginia, he led three geographic expansions that more than doubled the plan’s size and footprint and increased its membership by 40 percent.
Dr. Gorton’s previous experience also includes HP Enterprises Services of Palo Alto, Calif., where he was vice president of medical management and worldwide health care services, and APS Healthcare Inc. of Silver Spring, Md., where he was president of its commercial programs and chief medical officer.
Dr. Gorton began his career as a practicing pediatrician in federally qualified health centers in Harrisburg, Penn. and St. Louis, Mo. His experience includes his tenure as the chief medical officer for the Pennsylvania Department of Public Welfare, where he directed its Medicaid managed care programs and led its utilization management, policies and procedures, and NCQA accreditation functions.
Dr. Gorton received his M.D. from Columbia University, his M.S. in health administration from College of St. Francis in Illinois and his B.A. from Dartmouth College.
Dr. Kasuba joined Tufts Health Plan in 2010 as chief medical officer. In his position, he is responsible for overseeing the 300-member clinical services staff and for developing strategies for improving medical outcomes and reducing costs. Additionally, Dr. Kasuba works to help Tufts Health Plan develop new opportunities to partner with area hospitals and physicians. He also serves as the clinical spokesperson to members, legislators, regulators and the media.
Most recently, Dr. Kasuba was chief of the division of internal medicine at St. Elizabeth's Medical Center in Boston and assistant clinical professor of medicine at Tufts University School of Medicine. While at St. Elizabeth's, Dr. Kasuba served as vice president and medical director of the Caritas Physician Network's community practice division and president of St. Elizabeth's Health Professionals IPA.
Dr. Kasuba is a graduate of Tufts University School of Medicine and completed his medical training at St. Elizabeth's Medical Center in Boston. He received his B.A. with honors in political science from Duke University.
Dr. Kasuba is vice chairman of the Medical Directors Committee for the Alliance of Community Health Plans working to help shape the committee's strategic priorities to promote high quality, affordable care and superior consumer experience for ACHP members. A member of the American Medical Association and the Massachusetts Medical Society, Dr. Kasuba currently maintains a limited private internal medicine practice.
Mr. Kurpad joined Tufts Health Plan in 2008 as chief financial officer. In his position, he is responsible for the proactive financial management of the corporation including financial planning and reporting, M&A, tax, treasury, real estate, purchasing, audit, reserves, and actuarial and underwriting.
Prior to Tufts Health Plan, Mr. Kurpad served as chief financial officer of Munich Re Health America, a leading provider of health care risk management solutions. Mr. Kurpad has also served in senior leadership roles at CIGNA Corporation, including vice president of business development for the Asia/Pacific unit of CIGNA International, assistant vice president of provider and international strategy, and assistant vice president and controller of managed care operations. Mr. Kurpad began his health care career at Kaiser Permanente in California and worked on both financing and delivery of health care.
Mr. Kurpad earned an M.B.A. from the University of Florida and a B.S. in civil engineering from the University of Delhi, India. He completed the certified public accountant exams in California. Mr. Kurpad currently serves as a board member of Care Well Urgent Care Centers and the Healthcare Financial Management Association, and is a Corporate Council Member on the Environmental League of Massachusetts. He previously served on a number of boards including Lovelace Health Systems, Health Dialog, Cairnstone, iiSi and Sterling Health Plans.
Mr. Pagliaro oversees commercial sales, marketing and client services where he is responsible for strategic planning and consulting, commercial sales development, account management and client reporting.
Prior to joining Tufts Health Plan in 2004, Mr. Pagliaro was senior vice president of sales and marketing for OptiCare Health Systems. He has also held senior management positions with several managed care organizations including senior sales positions with Progressive Health Inc., Blue Cross Blue Shield of North Carolina, Health Advantage, Inc., Sedwick Consulting Group and Blue Cross Blue Shield of Connecticut.
Mr. Pagliaro received his B.A. in behavioral education from Boston University.
Mr. Spooner is responsible for all aspects of Tufts Health Plan's Commercial Products division, including strategy, sales, marketing and product development, network management and the definition of the division's clinical care model. Tufts Health Plan's Commercial Products division is consistently ranked among the top quality Commercial plans in the country by the National Committee for Quality Assurance (NCQA).
Mr. Spooner joined Tufts Health Plan in 2004, and has served as senior vice president of health care services, vice president of provider contracting and vice president of strategy and product development. Prior to joining Tufts Health Plan, Mr. Spooner worked for Deloitte Consulting, where he focused on the health insurance market.
Mr. Spooner received an M.B.A from Harvard Business School and a B.S. from Duke University. He serves on the Foundation Board of the Whittier Street Health Center.
Ms. Trebino oversees Operations, Information Technology, Business Consulting and the Program Management Office. In this role, Ms. Trebino is responsible for Tufts Health Plan's operations departments including claims, enrollment, billing and member and provider services for all lines of business. She also is responsible for developing the information technology strategy and managing technology products and services for Tufts Health Plan. Additionally, she oversees the management of corporate projects, quality assurance programs and the provision of consulting services to the organization.
Ms. Trebino joined Tufts Health Plan in 1994 and has held many roles within Information Systems and Operations. Previously, she spent three years as director of client services at InterPractice Systems, a start-up company involved in the development of an electronic medical record system and 13 years in the health care division at Electronic Data Systems, where she provided health care consulting services and information technology management to a number of health care organizations.
Ms. Trebino received a B.A. from Wellesley College. She is a member of the board of ambassadors of The Home for Little Wanderers, a Boston-based nonprofit child and family service agency.