Susan Cimbalo

Founder, President and CEO

Susan Cimbalo is the founder and President of Health Risk Partners. Susan has 17 years of experience working with enrollments and payments in Medicare Managed Care, and healthcare operations. She has been a leader in Medicare compliance and revenue recovery projects since 1998 for some of the most successful health plans in the United States, including HIP Health Plans of New York. She managed a Medicare Choices demonstration program for the University of Virginia Medical Center and a claims system conversion for George Washington University Health Plan.

Prior to working in Medicare, Susan was the pension and benefits manager for Harvard Management Company. Susan has her MBA from Boston University specializing in Public Management and a bachelor’s degree, magna cum laude, in Accounting and Finance from the University of Alabama.

Rob Cook

Senior Vice President, Information Technology

Rob Cook is the VP of Information Technology for HRP. Rob is a Microsoft Certified Professional with over 10 years of experience in information technology. Rob was the lead developer for ReconEdge™, a Medicare reconciliation system developed for Health Risk Partners by NT Concepts.

He has developed web applications for high profile companies such as Price Waterhouse Coopers and the US Air Force. He has also held a Department of Defense federal security clearance. Rob has a degree in Computer Information Systems from Strayer University.

Marc Wise

Senior Vice President, Business Development

Marc Wise has over 15 years experience in building business service organizations. Before joining Health Risk Partners, he served as Chief Operating Officer for FedMed, Inc. a provider of network whitespace outsourcing based in Rockville, MD. He spent the eight years prior to FedMed as a Senior Vice President for NCO Group, Inc., a global business process outsource solutions company.

Prior to 1995, Mr. Wise worked for DiMark Inc., a preeminent health care and insurance direct marketing company, where he provided direct marketing consulting services. Marc holds a Bachelor of Business Administration from Delaware Valley College.

Brian Boyce, CPC, CPC-I

Director, Coding Services

Brian Boyce holds multiple certifications which include a Certificate in Clinical Bioethics from Georgetown University, a certificate in Total Quality Management from the US Air Force, a certificate in Medical Survival from the USAF School of Aerospace Medicine, and a Medical Service Specialist certificate from the US Air Force. He was also trained in Six-Sigma through the Juran Institute. He is a veteran of the US Air Force where he began his healthcare career in Aeromedical Evacuation (flight nursing). He has over 16 years of clinical nursing experience and trained corpsmen in clinical procedures when in the military.

Brian has over 10 years of experience in Healthcare Operations and Physician Practice Management and is very knowledgeable in JCAHO, HIPAA, CLIA, & OSHA. He is an approved PMCC coding instructor and teaches new coding students at “Practice Integrity”. He has a strong interest in ethics, patient safety, and clinical issues. He is a member of the Medical Group Management Association and the American Academy of Professional Coders.

Holly Killian

Director of Operations

Holly Killian is Director of Operations for HRP. She has extensive hands-on experience in operations, revenue enhancement and management. Before joining the HRP team, Holly worked at HealthPort, a healthcare information technology company, for twelve years. During the last eight years, Holly served as Operations Director where she was instrumental in the start-up of Inova Health Systems, HealthPort’s largest ROI partner site, and managed profit and loss control both external and internal.

Holly received her degree from DeVry Institute of Technology.

Brandy Hylton

Director, Client and Data Services

Brandy Hylton is a Director of Client and Data Services for HRP. Brandy has extensive experience in the healthcare industry including physician practice management. For 6 years Brandy worked as a senior analyst in the Actuarial Department of a national health plan that serviced over two million Medicare and Medicaid beneficiaries where she was instrumental in the preparation of bids for Medicare Parts C and D.

Brandy received her bachelor’s degree in Finance from the University of South Florida.

Lydia Huber

Senior Healthcare Consultant

Lydia Huber is a Healthcare Consultant for HRP. Lydia has 12 years of experience in health care administration. She has spent the past five years consulting for various health care organizations including hospitals and Medicare, Medicaid and commercial health plans. Lydia was instrumental in starting both a Medicare and Medicaid managed care product for HealthNet of Kansas City and was responsible for all aspects of these product lines.

Lydia has her Masters in Health Administration from Cornell University and a bachelor’s degree in Industrial Engineering from Kansas State University.

Pamela Price

Senior Healthcare Consultant

Pamela Price is a Senior Healthcare Consultant for HRP. Pam has 18 years of experience within the Healthcare industry. Prior to joining HRP, Pam was the Vice President of Finance for a Florida HMO, where she led the Risk Adjustment efforts and focused on all aspects of the Revenue Cycle. She ran various data validation and medical record review projects Prior to that, Pam spent three years as the Chief Financial Officer of a Physician Group practice that also provided laboratory services and offered a Medicare Supplemental Cost plan Pam also spent twelve years in the Pharmaceutical industry, working for Bristol-Myers Squibb. During that time, Pam worked in the following capacities: mergers and acquisitions, joint ventures, internal audit, strategic planning, budgeting, Rx-to-OTC switches, new product development, and brand management.

Pam has her Masters degree in Finance, International Business and Management from New York University’s Leonard N. Stern School of Business and a Bachelors degree in Business Economics from University of California at Santa Barbara. Pam is a Certified Public Accountant.

Bob Malloy

Senior Healthcare Consultant

Bob Malloy is a Senior Healthcare Consultant for HRP. Bob has 10 years of experience in health care operations and administration. Most recently, Bob was the Senior Director of Operations for a national health plan where he was responsible for the Underwriting, Legal Compliance, Actuarial and Benefit Implementation work units. In this role Bob successfully implemented Medicare Part D plans and executed disease management, pharmacy benefit, and Life and Disability programs. He spent the five years prior as a Compliance Manager for AARP’s Pharmacy Service where he was responsible for clinical and financial systems.

Bob has his bachelor’s degree in Business Administration from George Mason University, and holds project management certification.

Jamie Wells

Senior Vice President of Operations

Jamie Wells is Health Risk Partners’ Senior Vice President of Operations. Jamie has extensive healthcare and disease management expertise, with specific areas of focus in performance improvement, quality, data management, metrics management, application development, reporting, and business intelligence. Prior to joining HRP, Jamie held Vice President positions with one of the nation’s largest health plans, as well as with a Fortune 500 national and international IT services company. With over 30 years of business management and information technology experience, he has streamlined operations and delivered solutions to government and commercial clients across the U.S. and abroad.

Jamie holds a bachelor’s degree in Business Administration from Kennedy-Western University.

Dr. Daniel Lyons

Chief Medical Officer

Dr. Daniel Lyons is Health Risk Partner's Chief Medical Officer. Following a distinguished career in clinical practice, Dr. Lyons has been a contributor to the health insurance industry for over two decades having held two positions at Independence Blue Cross, a large regional health insurer in southeastern Pennsylvania. In his role as Senior Vice President, Government Programs for IBC, he was responsible for IBC’s insured government and social mission programs. Collectively these programs provided comprehensive benefits to over 500,000 members through a variety of health plan options, and garnered over $2.5B in annual revenues. Under Dr. Lyons' leadership, IBC introduced a number of innovative products, becoming the first health plan in the nation to participate in the Medicare Special Needs program. Dr. Lyons was also founding President and CEO of Veridign Health Solutions, LLC. Veridign provided comprehensive Medicare Advantage outsourced marketing and administrative services to insurers and providers.

Dr. Lyons serves on a variety of industry councils, is a member of the Board of Visitors of Temple University School of Medicine, the Board of Advisors of the University of the Sciences in Philadelphia, and Adjunct Faculty to the School of Public Health at Jefferson University. He recently held a federal appointment to the CMS Advisory Panel on Medicare Education, and Chaired the panel. He is presently on the editorial board of The American Journal of Medical Quality, the Medicare Advantage Newsletter, and Medicare Patient Management, and has been a frequent invited speaker to Medicare industry conferences.

Dr. Lyons holds a Master’s Degree in Public Health from the Medical College of Wisconsin, an M.D. degree from Temple University, and a B.A. from the University of Virginia. During his clinical career, he was a board-certified family practitioner and geriatrician, practicing in central Pennsylvania. He served on physician quality committees for several health plans, and was a physician reviewer for Pennsylvania's QIO.