John W. Wendling is a healthcare executive who has more than 30 years of experience within the managed care and provider discipline. His roles have given him direct accountability for establishing the vision and strategic direction for organizations, leading cultural transformation and organizational redesign. He has worked with seven governors' offices across four markets, including collaboration with policy makers, legislators, philanthropists, and business leaders, to transform the healthcare delivery system.
As John notes, "Healthcare is a truly dynamic industry, and I've always enjoyed working with organizations to improve their member experience. At Parkland Community Health Plan, we want to change the way communities think about healthcare, and we hope to do that by connecting people to meaningful health and wellness experiences."
John previously served as the Chief Executive Officer at Magellan Healthcare of Nebraska, Chief Executive Officer at HealthFirst of Ohio, Inc. and Chief Operating Officer for AmeriGroup of Ohio, Inc. He has also served with Bon Secours Mercy Health (formerly Catholic Healthcare Partners), Cincinnati Children’s Hospital Medical Center, and the United States Air Force (USAF) – Williams AFB, Phoenix.
Throughout his career, John has led several transformational efforts in the healthcare space, and he remains passionate about the processes and the people involved in those projects. "Today, our organization is in the midst of an exciting new phase of growth, as we continue to evolve and expand our reach in the communities we serve," he says. "I'm excited to be part of a team that always keeps our members top of mind and works hard to ensure increased quality of care, stronger provider relationships, reduced costs, and a first-class experience for the people we serve."
John holds a Master of Business Administration from Northern Kentucky University/University of Atlanta and a Bachelor of Science in Business Management from Northern Kentucky University. He has served on faculties and presented numerous papers, both nationally and abroad, including the Institute for Healthcare Improvement (IHI), British Medical Journal (BMJ), National Association for Healthcare Quality (NAHQ), and American Hospital Quality Association (AHQA).
Outside of the office, John is a certified weather spotter for the National Weather Service, where he serves the community by providing important information to help forecasters make critical warning decisions.
Dr. Mark Clanton is a pediatrician with more than 25 years of senior executive experience in leading, managing, and advising large, complex healthcare, managed care, and scientific organizations. In his current role, he oversees the development and implementation of Parkland Community Health Plan’s clinical policy and operations, with the goal of producing optimal health outcomes and providing access to comprehensive, high-quality healthcare while incorporating population health and social determinants of health principles into PCHP's clinical affairs.
"I'm honored to be part of an organization like Parkland Community Health Plan," he says. "This is an exciting time in our history, and I know that with the help of our experienced providers and our talented staff, we can make a significant, positive impact on our community."
Dr. Clanton has dedicated his career to ensuring quality care for people in Texas and across the U.S. and is eager to further that mission at PCHP. "As we continue to expand our footprint in Dallas and the rest of our seven-county service area, it's important that we offer easy access to healthcare, with a personalized approach that ensures our members feel comfortable with the care they’re receiving – we want them to value PCHP and view us as their health plan of choice," he says.
Previously, Dr. Clanton served as chief medical officer of the Accenture Texas Medicaid Claims and Administration program, which administers fee-for-service Medicaid operations in the State of Texas. He has significant experience in health plan and pharmacy drug card program operations and is a former chief medical officer of Blue Cross Blue Shield of Texas. Dr. Clanton’s consulting and advisory experience includes being a voting member of the FDA Tobacco Products Scientific Advisory Committee, an advisor to the California Breast Cancer Research Program, an advisor to the Washington University in St. Louis National Council for the Institute of Public Health, and a member of the Siteman Cancer Center’s external advisory board.
Dr. Clanton received his undergraduate degree in microbiology from Howard University, his medical degree from Tulane University Medical School, and his master's in public health from the Harvard T.H. Chan School of Public Health. He completed his training in pediatrics at the Baylor Pediatrics program in Houston. Dr. Clanton is the past president of the Harvard T.H. Chan Alumni Association.
In her current role, Reigen is responsible for understanding and navigating internal and external high-stakes relationships and serves as a key representative to various state agencies and organizations. She also ensures that Parkland Community Health Plan maintains compliance with its bylaws.
"I joined PCHP to do the work that I love the most – building and transforming," Reigen says. "When the opportunity to continue to serve our population by way of transformational work presented itself, I jumped at the chance."
Reigen has successfully managed programs and projects for multiple state-awarded assessment contracts and private sector business-to-business contracts. Previously, she served as the administrative director of medical affairs at Parkland Health & Hospital System, where she managed several high-stakes medical affairs relationships in the office of the Chief Medical Executive. She played a key role in the implementation of the requirements of both the Systems Improvement Agreement and Corporate Integrity Agreements for Parkland from 2012-2018.
Reigen holds a Master of Business Administration from the University of Texas at Tyler and a Bachelor of Business Administration from Texas A&M University. Outside the office, you're likely to find her with her husband, Rich, and their four children; they are active in their church, and she enjoys helping Rich serve and mentor youth at his non-profit boxing gym in Lake Dallas.
Andrew has more than 25 years of experience in leading the development and delivery of effective systems of care to meet customer needs in diverse markets. In his current role, he is responsible for managing non-clinical plan operations impacting members, community stakeholders, and participating providers. He oversees multiple functions and general business operations for PCHP, including member and provider communications, claims, information system conversions, call center performance guarantees, appeals and grievances, state reporting, and provider network strategy.
"I got into healthcare to make a difference in the lives of others," he says. "Parkland Community Health Plan is in a great position to do just that as we grow our membership base and increase our outreach efforts in the counties we serve."
Andrew believes that a team approach is key to ensuring the success of PCHP. "It's vital that we partner closely with our providers and community partners, and listen to what our members are telling us," he says. "If we can work together to achieve positive, successful outcomes, then we’re doing our job right."
Prior to joining PCHP, Andrew served as vice president at WellCare, Vice President/Chief Operations Officer at Magellan Health, and in senior leadership positions at PSA Behavioral Health Agency and Hamilton Choices.
Andrew holds a master’s degree in business administration, healthcare management from the University of Phoenix and a bachelor’s degree in anthropology from Arizona State University.
Justin joined Parkland Community Health Plan in 2019 with more than 15 years of progressive leadership experience in Medicare and Medicaid. Before joining PCHP, Justin ran acquisition strategy and implementation for a multi-state Blue Cross Blue Shield plan, as well as marketing and strategy for a top Medicaid plan. He has overseen successful product launches and expansions in both Medicare and Medicaid, with significant enrollment growth while achieving multiple government quality bonus improvements. In addition, Justin has managed multiple award-winning projects, such as websites, marketing automation programs, call centers, analytic platforms, and CRMs.
With a distinct focus on customers, Justin credits much of his success to direct interaction with the membership early in his career, something that he has never stopped doing. "Talking with thousands of people with Medicare and Medicaid showed me the good, the bad and the ugly of insurance, as well as the unique circumstances that these special people are faced with every day," he says. "Because of these interactions, I do my best to always think of the impact on the customer with each decision or recommendation that I make. Our customers have enough stress and challenges in their daily life – their insurance does not need to be another."
Justin combines his health insurance experience with an expertise in consumer behavior and a willingness to explore new marketing approaches, with a goal of clear results and analytics to make sure he and his team consistently push for measurable improvement. He is excited to play a key role in driving PCHP forward, saying, "One of the things that excites me the most about this role is that we get to build something great. When you factor in the knowledge we have from Parkland Health & Hospital System, coupled with what we know and will expand for health insurance, we will be able to make a huge difference in the lives of our current and prospective customers, as well as their communities. I look forward to working with everyone to build a team that helps set that strong foundation."
Justin holds an MBA from Waynesburg University and a BSBA with a dual major in Marketing and Multimedia from Duquesne University. Before joining PCHP, Justin was based in Pittsburgh, Pennsylvania, with his wife, Dr. Mandi Skerbetz, an Ed.D. from the University of Pittsburgh in the Education of Students with Mental and Physical Disabilities.
Nakia has more than 20 years of experience in regulatory compliance, health plan management, and Medicare and Medicaid managed care. In her current role, she is responsible for developing, implementing, and overseeing the compliance and integrity program for Parkland Community Health Plan. This includes maintaining a system for confidential reporting and investigation of compliance concerns, in addition to overseeing auditing processes and strategies to evaluate the health plan's internal control structures and ensuring compliance with contracts and state and federal laws.
"It's important that as an organization, we are setting a high standard for compliance with the laws and regulations that govern our industry," she says. "We take our responsibility seriously and are dedicated to ensuring that our members get the care they need, and that any concerns they may have are addressed promptly."
Nakia has extensive experience in meeting federal and state compliance standards in both for-profit and not-for-profit environments. Over the years, she has strengthened her skills in medical management, risk management, and process re-engineering by leading numerous initiatives within quality, NCQA accreditation, and health plan operations. Before joining PCHP, Nakia served as compliance officer and director of government programs for Care N' Care Insurance Company, an affiliate of Southwestern Health Resources; previously, she was the compliance officer for Kaiser Permanente, Georgia Region, the only five-star plan in the state of Georgia.
Nakia holds a Master of Business Administration from Troy State University and a Bachelor of Science in Healthcare Management from Clayton State University. She is an active member of the Health Care Compliance Association and is Certified in Healthcare Compliance (CHC). Possessing a passion for service and community involvement, Nakia is a former board member of the Gwinnett County Coalition for Health and Human Services and a member of the United Way of Tarrant County’s Area Agency on Aging Advisory Council.
In her role, Paula strives to make a difference for patients and their families by developing processes, systems, partnerships, and new ventures that the strengthen the business of the organization.
She notes, "I have a passion for facilitating care for women and children and finding innovative ways to eliminate barriers to care, including financial, language, health literacy, and housing challenges."
Paula has more than 30 years of experience in the healthcare industry. Previously, she served as the vice president of hospital operations and administrator of Women and Infant’s Specialty Health (WISH) at Parkland Health & Hospital System. She oversaw operations for one of the largest maternity services in the United States, including the entire continuum of care – ambulatory, emergency, inpatient, and ongoing care for women and their infants. She served as chair of the Texas Women’s Health Advisory Committee from 2015-2017, working with providers throughout Texas to design, implement, and expand programs like Healthy Texas Women and Breast & Cervical Cancer Screening.
Paula was instrumental in the design and construction of the new Parkland Hospital facility and the Moody Center for Breast Health, and she played a key role in completing the System Improvement Agreement (SIA) and Corporate Integrity Agreement (CIA) from 2013 to 2018.
"Joining PCHP allows me to expand the impact of my work to the members we serve throughout the Service Delivery Area and contribute to the growth of Parkland’s health plan as we launch new programs and lines of business," she says.
Paula was a 2018 Texas Hospital Association Leadership Fellow and has co-authored several journal articles in collaboration with UT Southwestern physicians. She is board certified in healthcare administration by the American College of Healthcare Executives and holds a Master of Healthcare Administration from Trinity University and a Bachelor of Business Administration from the University of Arkansas. Paula and her husband, Tom, a software architect, have two children, Alex and Mia, and have fostered nine golden retrievers.
Peter provides financial leadership for Parkland Community Health Plan's operational and clinical management functions including network strategy, hospital, physician, and ancillary contracting, network management, risk contract reporting, medical cost containment, and growth. He also works with providers to find innovative ways to address the social determinants of health and foster greater coordination of care within the overall provider network.
"The provision of health benefits to the underserved in the Dallas County community is priceless," he says. "Helping members seek and establish continued primary care is crucial to maintaining a healthy lifestyle."
Peter brings 25 years of progressive leadership experience in finance from both the healthcare and financial service industries. Prior to joining PCHP, he served as the CFO at Umpqua Health and the CFO at Cascade Comprehensive Care, both in Oregon.
"I got into healthcare to make a difference in the lives of others," Peter says. "I joined PCHP because I was attracted to the mission of Parkland and the potential of growing the health plan to complement this mission."
Prior to working in healthcare, Peter managed a financial advisory firm that specialized in M&A transactions, recapitalizations, debt restructuring, investment management, and emerging market opportunities. He also worked for global entities such as GE Capital and Ernst & Young and national banking firms such as PNC and KeyCorp, where he focused on investment and corporate banking, structured finance, and private equity. He began his career with the Institute of European Finance in Great Britain as a consultant to international banks.
Peter holds a master’s degree from Case Western Reserve University and a Bachelor of Arts (Hons) in international banking & finance from the University of Wales, Great Britain.
In his spare time, when Peter is not hiking nature trails and generally exercising outdoors, he keeps busy by reading and traveling.