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, and 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.
Senior Vice President of Senior Products
Ms. Blake joined Tufts Health Plan in 1993 to develop and launch the company's senior product offerings. Under her management, Tufts Health Plan early on established itself as the market leader with a demonstrated commitment to seniors, and became the number one Medicare Advantage plan in Massachusetts. Ms. Blake is responsible for the day-to-day operations of the senior products business known as Medicare Preferred, including business strategy, product development, marketing, sales, service and operations. Tufts Health Plan Medicare Preferred is consistently ranked among the top 10 Medicare Advantage plans in the country by the National Committee for Quality Assurance.
Prior to joining Tufts Health Plan, Ms. Blake spent seven years with PacifiCare Health Systems in California where she was a regional director of health services, responsible for provider contracting, provider service and utilization management. Ms. Blake started her career in managed care in sales and has worked with both commercial and Medicare risk HMO members.
Ms. Blake received a master's degree in business administration from the U.C.L.A. Anderson School of Management, a master's degree in health care management from the U.C.L.A. School of Public Health and a bachelor of science degree 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 both the commercial and senior products 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, business contracting, corporate transactions, dispute resolution, litigation management, and fraud prevention and recovery. She is responsible for all areas of human resources including compensation and benefits, diversity, employee wellness, recruitment, and corporate learning and organizational development. In addition, Ms. Cornell oversees internal and external communications, corporate reputation management and media relations. As CAO, she leads the company’s strategy into new business ventures.
Since joining Tufts Health Plan in 1991, Ms. Cornell has served as assistant vice president/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 B.A. from Macalester College, a J.D. from Northeastern University School of Law, 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 for 2014-15. She is treasurer of AHLA, chairs its finance committee and serves on the executive, nominating and programs committees. She is a member of the board of trustees and administration of UMass Memorial Medical Center and currently chairs the governance committee. She also serves on the executive committee of the Massachusetts Taxpayers Foundation and the boards of directors of the Massachusetts Association of Health Plans 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 his position, he is responsible for the management of corporate functions, executing 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. While at CIGNA, he also served as President of its Dental and Pharmacy businesses, led development of its consumer directed health care products, and served as the leader of CIGNA's Intracorp subsidiary, which provides medical management and workers compensation services.
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 agencies organization. He is a past member of the board of directors of the National Committee on Quality Assurance and currently serves on 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.
Senior Vice President of Tufts Health Plan, President of Network Health
As the president of Network Health, Tufts Health Plan’s managed Medicaid plan subsidiary, Mr. Gorton oversees the strategic direction and business operations for all aspects of the health plan.
Prior to joining Tufts Health Plan, Mr. 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.
Mr. 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.
Mr. 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.
Mr. Gorton received his Bachelor of Arts from Dartmouth College, his medical degree from Columbia University and his Master of Science in health administration from College of St. Francis in Illinois.
Paul Kasuba, M.D.
Chief Medical Officer
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 to help maintain Tufts Health Plan’s outstanding reputation for clinical excellence. He serves as the clinical spokesperson to Tufts Health Plan customers, legislators, regulators and the media, and works to help Tufts Health Plan develop new opportunities to partner with area hospitals and physicians.
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 A.B. degree 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.
Senior Vice President and Chief Financial Officer
Mr. Kurpad joined Tufts Health Plan in 2008 as chief financial officer. In this 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. Prior to that, Mr. Kurpad 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 serves as a Corporate Council Member on the Environmental League of Massachusetts and an advisory board member of the Center for Innovation and Change Leadership at Suffolk University. He has also served on a number of boards including Lovelace Health Systems, Health Dialog, Cairnstone, iiSi and Sterling Health Plans.
Brian P. Pagliaro
Senior Vice President of Sales, Marketing, and Client Services
Mr. Pagliaro oversees the Commercial Sales & Service division and is responsible for sales, sales strategy and account management. 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 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 bachelor’s degree in behavioral education from Boston University. He has served on the board of directors at Caring Program for Children and the American Lung Association of North Carolina. He was also a Member of the Raleigh Chamber of Commerce and the Raleigh Sports Council.
Senior Vice President of Health Care Services
Mr. Spooner is responsible for the delivery of health care services by the Tufts Health Plan Commercial and Medicare network. In this role, he oversees clinical operations, programs and the implementation of medical cost management initiatives. He is also responsible for the contracting and management of the Tufts Health Plan network including hospital, physician, allied health and pharmacy services.
Mr. Spooner joined Tufts Health Plan in 2004 and has served as vice president of Provider Contracting and vice president of Strategy and Product Development. Before joining Tufts Health Plan in October 2004, Mr. Spooner worked for Deloitte Consulting, where he focused on the health insurance market.
Mr. Spooner received a B.S. from Duke University and an M.B.A. from Harvard Business School.
Senior Vice President, Operations and Chief Information Officer
Ms. Trebino oversees Commercial and Medicare Preferred Operations, Information Technology, Business Process Reengineering, and Corporate Planning. She is responsible for developing the information technology strategy and managing technology products and services for Tufts Health Plan. Ms. Trebino manages operations for all products and also provides internal consulting services to the organization, including business process engineering and corporate program management.
Ms. Trebino joined Tufts Health Plan in 1994 and has served as senior vice president of information systems, vice president of information systems operations, and director of programming and analysis. Prior to that, she spent three years with InterPractice Systems, a start-up company involved in the development of an electronic medical record system. She spent 13 years in the health care division at Electronic Data Systems, where she provided health care consulting and information technology management to a number of health care organizations. Ms. Trebino received a B.A. in Urban Studies from Wellesley College.