About - Specialty Care Management

About Us

We make it simple for our clients to save.

Who We Are

We Know Our Solution Isn’t For Everyone - And That’s a Good Thing.

We only want to work with those that are the best fit, the ones we can deliver the biggest bang for their buck with our new approach to high-cost claims. Specialty Care Management (SCM) provides an innovative risk solution that normalizes claim costs and brings them back under control. Specializing in program designs for renal claims, cancer management, transplants, clinical underwriting consulting and negotiation services, SCM helps clients reclaim their claim spend and experience maximized savings every time.

What We Do

Our goal at SCM is to develop effective, value-added strategies to help you not only manage your high-cost healthcare claims, but also significantly reduce them. With cost management solutions that help you minimize costs, SCM is dedicated to improving your overall bottom line.

How We Do It

Normalize, don’t compromise. With industry-exclusive tools as the foundation of our programs, we normalize claim costs for our clients, bringing their costs under control and putting them back in the driver’s seat. With unique differentiators for certain programs that include a flat case rate, fiduciary responsibility, medical expense protection and an all-encompassing fee structure, we are able to be proactive rather than reactive when helping our clients manage their high-cost claims.

Our Team

Craig Clemente

CEO

MBA Northeastern University, concentration in Healthcare Management and Finance B.A. Economics, Drew University.

Craig Clemente currently serves as Chief Executive Officer for Specialty Care Management. With a forte for successfully building strong teams and holding a key role leading all facets of business and strategy, Mr. Clemente has successfully positioned Specialty Care Management as a leading expert in its field with respect to the application of best business and finance practices.

Mr. Clemente brings to the company over a decade of success and broad business range that have powered a history of developing successful process improvements that drive productivity, reliability, client satisfaction, and organizational growth. Mr. Clemente specializes in working with risk markets, including stop loss and reinsurance entities, and related MGUs. Rising through various positions at SCM, his broad background has furnished him an astute, working knowledge of underwriting and risk, especially relative to improving current products, as well as developing and launching new products. Mr. Clemente joined SCM in 2009 as Vice President of Operations. He has held some capacity with SCM since its 2008 inception, having served in a number of part-time positions, including auditing, marketing, contracting, finance, and organizational management. Prior to joing SCM in a full-time capacity, Mr. Clemente had worked in the hospitality and finance industries, driving positive outcomes in multiple roles with Omni Hotels, and Hennion & Walsh, Inc. A four-year member of the Self-Insurance Institute of America health care committee, Mr. Clemente was the inaugural Chairman of the SIIA Future Leaders Committee for 2018 & 2019.

Our Team

Rick Garrison

Executive Vice President, Growth Management

B.S. Pennsylvania State University, MBA LaSalle University.

Rick currently serves as Executive Vice President at Specialty Care Management, where he directs the organization’s strategic growth and marketing initiatives, driving forward its vision for the future.

Rick is a seasoned Senior Executive, C-Suite Officer, Entrepreneur, Consultant, and Board Member with an impressive track record spanning over three decades in diverse areas, including healthcare delivery, insurance (group health and workers’ comp), biotech, cancer, diagnostic imaging, disease management, medical devices, precision medicine, finance, and business consulting. With a wealth of experience in financing and market strategy, he excels in strategic product positioning and top-line strategy development in startup, turnaround, stable, and high-growth environments.

Before joining SCM, Rick held Senior leadership positions at Nuvolase Inc., M2GEN/Moffitt Cancer Center, One Call Care Management, Formost, Medquist Transcription Service, and Virtua Health System. His wide-ranging expertise encompasses strategic planning, sales and marketing, new business development, branding, commercialization, operations management, P&L management, product development, mergers and acquisitions, regulatory affairs, as well as team building and collaboration.

Rick earned his B.S. in Health Planning and Administration from Pennsylvania State University (PSU) and his M.B.A. from La Salle University. He has also made significant contributions through his service on boards and advisory councils. As a passionate PSU alumnus, he not only supports the football team but is also an ardent fan.

Our Team

Will Rumsey

Senior Vice President, Sales

In his role as Specialty Care Management’s Senior Vice President of Sales, Will Rumsey is responsible for leading and overseeing all aspects of the company’s sales organization. This includes developing and implementing sales strategies, managing the Sales and Customer Experience Teams, setting sales targets and goals, building and maintaining relationships with clients and partners, and driving revenue growth for the organization.

Prior to his role at SCM, Will most recently held a leadership position at First Stop Health, a Telemedicine and Virtual Primary Care Firm based out of Chicago, IL. Additionally, Will has experience with Medical B2B Sales, International and Sales Management.

Will received his B.S. from Ithaca College as well as his MBA from University of Birmingham (UK), and resides in Syracuse, NY with his wife and 2 children.