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PHX Executive Team
Robert C. Malone
President and Chief Executive Officer
Robert C. Malone has a successful track record as an insurance executive in the
health care arena that spans over 18 years. Malone spearheaded his career as Regional
Sales Vice President for Boston Mutual Life Insurance Company. After earning a strong
reputation for innovative advancements for the healthcare industry, his accomplishments
led him to becoming Chief Marketing Officer and Executive Vice President for Amalgamated
Life Insurance Company in addition to President of Amalgamated's Alicare (TPA).
This experience was pivotal in Malone securing the position of Chief Operating Officer
at Willis North America, Global Specialties. Willis has an impressive reputation
as the third largest worldwide insurance broker with over 17,000 employees, and
more than 400 offices in 80 countries.
As President and CEO of PHX, Malone oversees all aspects of the company's business
operations. He is also responsible for cultivating strategic business alliances
and managing corporate financial affairs.
Malone earned a B.S in Economics and Finance from College of Staten Island/CUNY,
and a M.B.A in Economics and Finance from The Stern School of Business, New York
University.
Contact Robert Malone
Lori Sempervive
Chief Operating Officer
Lori Sempervive, a founding member of PHX, has more than 10 years experience in
the healthcare industry. Sempervive's extensive knowledge of healthcare cost containment
has provided her the ability to manage such areas as fee negotiations, bill audit,
PPO re-pricing, provider relations, client services and overall operations of PHX.
Prior to joining the healthcare industry, Sempervive was employed in the financial
planning and investment banking industries. Her background includes human resource
management, accounting and overall management of mid-size companies.
Contact Lori Sempervive
John
Powers
Chief Marketing Officer
John Powers is one of the most visible spokesmen for the fraud investigative industry.
He has been interviewed by several television programs including A & E's Investigative
Reports and 20/20. He has lectured on fraud across the nation, as well as at international
conferences on three continents. John is the coauthor of Surveillance Risk Management
101. He is widely known as one of the most successful investigators in
the industry having conducted investigations in all 50 states and over 60 countries
internationally.
Powers earned a B.S. in Political Science with a concentration in Economics from
Millikin University.
Contact John Powers
Armando
Santos
Chief Information Officer
Armando Santos joined PHX in 2008. Santos has over 20 years of information technology
experience utilizing a wide range of technologies including the Web, EDI, client/server
development, and relational databases. He also has more than 10 years of information
technology experience in the healthcare arena within the cost containment, PPO network,
and managed care sectors. In addition, he over has 20 years of software development
and IT operations experience in the banking and financial services industry arena.
At PHX, Santos’ responsibilities include overseeing the technology infrastructure,
integration, coordinating IT support between clients and the sales team, and managing
HIPAA compliance matters.
Santos holds a BBA in International Business Management, Master of Science in Computer
Information System and a MBA with concentration finance from St. Mary’s University
in San Antonio, Texas University.
Contact Armando Santos
Mathew
Lawrie
Director, Fraud and Abuse Division, Special Investigations Unit
Mathew Lawrie has over 19 years experience conducting and managing complex fraud
investigations in both the public and private sectors. Mr. Lawrie’s law enforcement
career includes working as a criminal investigator for 8 years in the Fraud Bureau
of the New Jersey Division of Criminal Justice including several years focused exclusively
on insurance fraud investigations.
For the past 11 years, Mr. Lawrie worked as an insurance fraud investigator, Manager
and most recently, Director of the Special Investigations Unit for AmeriChoice,
A UnitedHealth Group Company. In addition to a degree in Criminal Justice, Mr. Lawrie’s
years of training and experience conducting health insurance fraud investigations
has earned him the highly respected designation as an Accredited Health Care Fraud
Investigator (AHFI) from the National Health Care Anti-Fraud Association. Additionally,
Mr. Lawrie is an active member of the Association of Certified Fraud Examiners.
At PHX, Mr. Lawrie’s responsibilities will include detecting potentially fraudulent
activity through the review of claim information and medical documentation to determine
the most effective method of investigation for each individual case. Mr. Lawrie
will direct all prospective and retrospective investigations including the preparation
of comprehensive written reports detailing investigative findings, including referrals
to appropriate regulatory and law enforcement agencies.
Contact Mathew Lawrie
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