Robert A. Clemente is Chairman and Founder of Specialty Care Management, LLC. For over 25 years, Mr. Clemente has spearheaded significant efforts in patient centric, risk based management of high-risk, high-cost claims for the reinsurance and stop loss marketplace. Most recently, he has directed and overseen SCM’s efforts with the majority of key Stop Loss Carriers in the self funded markets. Prior to that, he spearheaded InterAct, a program of patient centric value-added risk management services, for American United Life/R.E. Moulton. Additionally, he visualized, developed, and directed ForMost, a comprehensive, tertiary care network and care management program serving the self-insured/self-funded, Taft Hartley, and fully-insured markets. After the sale of ForMost, Mr. Clemente served as the Senior Vice President for Provider Networks and Centers of Excellence Program for BCEmergis.
Leading up to his forward-thinking roles in the catastrophic care management world, Mr. Clemente headed MDM, a specialty PPO for laboratory and radiology services. Previous to that, he had served as Executive Vice President/COO of Foundation Health Plan (HMO) of New Jersey. He started his career at West Jersey Health System (now Virtua Health) holding several positions of increasing responsibility over a seven year period, most notably as Chief Operating Officer of West Jersey Ambulatory Centers, and as Executive Director (COO) of West Jersey’s Berlin Hospital.
Mr. Clemente is a Fellow of the American College of Healthcare Executives (ACHE), and has been a member of SIIA for over 25 years, having served on several SIIA committees including; Health Care Committee, Government Relations Committee, and Nominating Committee. He currently serves on the Board of Trustees for SIIA and served two terms as a member of the SIIA Political Action Committee Board of Trustees. A 1980 graduate of Xavier University with a MHA in Health Care Administration, Mr. Clemente earned his BS in Business/Economics from Syracuse University.
Rick Garrison is currently President of Specialty Care Management (SCM). He began working with SCM on a consulting basis in July, 2011, and in February, 2012 became the company’s Executive Vice President. Mr. Garrison brings to SCM a wealth of experience gained over 30 years in private and public ventures in healthcare and insurance. His expertise lies especially in the areas of business development, operations, sales, finance, and equity management. In addition, he has worked closely with the fully-insured health and workers’ comp markets, as well as the self-funded and partially self-funded markets within those areas.
Prior to joining SCM, Mr. Garrison served as Chief Operating Officer of M2Gen, starting with its 2007 inception. While with that company, he was responsible for all operational and implementation aspects of the start-up, which created the world’s largest cancer-focused biorepository, supporting research and development of personalized cancer treatments.
Starting in 1995, Mr. Garrison had been Senior Vice President and COO of ForMost, Inc., a catastrophic care management company and wholly-owned subsidiary of MFC, the largest Medical Reinsurance MGU in North America.
Mr. Garrison began his career with Virtua Health System where, from 1985-1992, he held positions of increased responsibility, from Associate Executive Director for Finance and Human Resources to other senior level positions. Additionally, during his tenure at Virtua, Mr. Garrison held senior level positions with MedQuist, Inc., a for-profit subsidiary. In 1992, he was named Division President of Consulting and Business Development, responsible for all operations, finance, and sales.
Mr. Garrison received his Bachelor of Science Degree from Pennsylvania State University, and earned his MBA from LaSalle University.
Craig Clemente is currently Chief Operating Officer for Specialty Care Management (SCM), a position he attained in 2011. 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. He also brings to the company expertise in customer service, sales and marketing, and operations management. 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 joining SCM in a full-time capacity, Mr. Clemente had worked in the hospitality industry for Loews Hotels, and Westin Hotels. From 2005-2006, he had been a bond trader for Hennion and Walsh.
In 2013, Mr. Clemente received an MBA with a healthcare concentration from Northeastern University. He earned a Bachelor of Science Degree in Economics and Business from Drew University.
Michael Madden brings to SCM 30 years of a wide array of nursing experience. Throughout his career, Mr. Madden has pursued and demanded quality care, which is ultimately the hallmark and core of his SCM service. He has continually been at the forefront of the “quality evolution” in healthcare. Mr. Madden has developed, coordinated, introduced, transitioned, and directed quality assurance programs for hospitals and clinics throughout Indiana, as well as for healthcare companies nationwide. Further, he is expert at coordinating catastrophic clinical and cost management solutions in the high cost, self-funded marketplace.
Joining the SCM family in 2010, Mr. Madden is charged with coordinating and overseeing all aspects of Care Management. He boasts a wide and varied background. From 1999 to 2010, he had been Risk Management Coordinator at R.E. Moulton, Inc. Prior to his stint at Moulton, Mr. Madden had been Performance Improvement Director at Behavioral Healthcare of Lebanon, IN. While at Visiting Nurse Health Services of Lafayette, IN he had been Clinical Services Director and Quality Management Director. At Arnett Clinic in Lafayette, from 1992-1994, he had been Quality Assurance Coordinator.
Beginning in 1985, Mr. Madden’s direct patient care had been in the role of quality or unit manager; both as a certified psychiatric nurse and provider utilization review nurse. He advanced his career from 1986-1992 while at Charter Hospital of Lafayette, beginning as staff nurse, growing in various positions of responsibility to director of nursing.
Mr. Madden served in the U.S. Navy from 1973-1975. A graduate of Ivy Tech College, he resides in West Lafayette, IN.