About Us
In 1999 several large progressive-thinking employers approached GM&A because they felt victimized by the increasingly hyper-expensive healthcare industry. They wanted to know if we could help arrest the growth of soaring medical expenditures.
GM&A orchestrated a plan that drastically reduced employers' healthcare spending without changing benefits. Since that time, GM&A has reduced health care costs for those companies by millions of dollars annually.
Michael Jenike, CEO
Mr. Jenike has a Masters in Hospital Administration and over 30 years of experience in Health Care Administration. This includes the position of Chief
Executive Officer in Acute Care Hospitals and Managed Care Organizations. His tenure in hospitals led not only to their financial success but to innovations
in health care delivery.
Mr. Jenike has owned or managed Health Maintenance Organizations, Physician Hospital Organizations, Independent Physicians
Associations and Preferred Provider Organizations. His experience includes providing consulting and management services for employee benefits and diverse
insurance services for large and small employers in both the private and government sectors. Mr. Jenike's knowledge and robust negotiation skills aided in
the development and management of health care insurance products that were beneficial to both the employers and their employees.
He is licensed as a General
Lines Insurance Agent.
David Herbert MD, President, Medical Administration
Dr. Herbert is Board Certified in Emergency Medicine and also Health Care Quality and Management. He has practiced Medicine for over 30 years. Dr. Herbert
has served as the Chief of Staff in a Hospital and as a Hospital Board Member. He is experienced in General Medicine and Medical Utilization Review.
Dr. Herbert
has also served as a professional consultant for the Texas Medical Board. He brings a wealth of experience in Hospital negotiations.
Dr. Herbert has played a
major role in assuring GM&A's clients that their contracted rates are well below national network rates. As a fellow physician, he understands the needs of
medical providers in the contracting process.
Dr. Herbert also plays a large role in the management of large medical claims and directing members to the most
cost effective care. He holds a Texas Medical License and is an active member of the American Medical Association and Texas Medical Association.
Dr. Herbert
is also licensed as General Lines Insurance Agent and is a principal in GM&A, Inc.
Miriam Alvidrez-Pendleton, Vice President of Client Services
Ms. Pendleton has over 16 years of experience working in the healthcare industry. Prior to joining, GM&A, she developed and implemented the strategy for the Medicare & Medicaid Secondary Payor Recovery Audit Contractor Demonstration Project for the State of California. Its successful implementation led to identification of over $100 million in overpayments and its approval by Congress for national implementation.
Ms. Pendleton has also managed large private insurance companies, served as a medical coder for a large physician group, provided consulting services and performed independent Third Party Administrator audits.
Based on her experience, Ms. Pendleton has a thorough understanding of insurance procedures, regulations, customer service, quality assurance and medical claims coding. This insider experience allows her to a ssist employers to quickly identify opportunities for process improvements, inappropriate claim payments and to navigate the health insurance industry, subsequently reducing costs.
Ms. Pendleton is bilingual and a licensed General Lines Insurance Agent.
Linda Ross MS, RN, Vice President of Operations
Ms. Ross has over 30 years experience in nursing and healthcare/nursing administration. Prior to joining GM&A and the nursing faculty at the local university
in the Fall of 2005 she was Administrator of a multi-specialty physician clinic.
Ms. Ross previously worked in various areas of hospital and nursing administration
including risk management, utilization/case management, and quality improvement. She also served as clinical faculty for The Joint Commission for ten years teaching
courses throughout the United States.
Ms. Ross is a licensed General Lines Insurance Agent and is also a Certified Professional in Healthcare Quality (CPHQ) and a
Fellow of The American Board of Quality Assurance and Utilization Review Physicians (HCQM) with sub-specialty certification in risk management. She utilizes her
diverse experience in the health care industry to assist self insured health plans reduce costs.
Ms. Ross analyzes proposals, works closely with utilization review
companies to review health plan member's course of treatment plans and she assesses cumulative data to direct care for maximum plan efficiency.
Hurb VandenHoogen, Vice President of Corporate Accounts
Mr. VandenHoogen has over 25 years experience in the hearing health care industry. He began his career in 1983 working for Beltone Electronics Canada.
Mr. VandenHoogen was very successful at dispensing hearing aids and became Beltone's top 3rd sales consultant nationally. Due to his success and experience Philips Electronics contacted him to start and head up their hearing aid division and soon after due to their increased sales growth expanded into the United States market.
In 1991 Mr. VandenHoogen was recruited by Starkey Labs., the world's largest hearing aid manufacturer and relocated to the United States where he spent almost 15 years working for Starkey Labs specializing in business development, sales and marketing.
In 2005 Mr. VandenHoogen started his own consulting company helping audiologists and doctors with marketing and business development to help grow their practices. Part of Mr. VandenHoogen's vision is to help large employers lower health care costs including hearing aids so decided in 2005 to join GM&A to train and learn their system of lowering overall health care costs without changing benefits. Mr. VandenHoogen has been working with GM&A in all aspects of marketing and business development.
Jessica Clark, Contract Development Manager
Ms. Clark has over 5 years of experience in customer service, claims processing and quality assurance. She is an expert researcher and a strong advocate for the
members of the employer health plans she serves. Prior to joining GM&A, Ms. Clark provided billing and transcription services for a large physician group. She was
actively involved in the timely and accurate resolution of disputes. Ms. Clark has demonstrated her skills by consistently identifying opportunities to improve processes
and strengthen provider networks.
Cooper Price, IT Manager
Mr. Price has a Bachelor of Science in Computer Science with an emphasis in programming and Human Computer Interfaces. Further he has received a Master of Science
in Occupation and Human Resources Development with a strong emphasis in mediation and conflict resolution. This unique combination of differing fields of education
has allowed Mr. Price to fulfill a wide range of duties spanning from technical support and programming to contract negotiation and customer service.
He maintains and
oversees the development and programming of the GM&A hardware and software. Mr. Price offers his technical support and analytical skills to the GM&A staff, the clients
we serve and on occasion to third party administrators. He is well versed in eligibility management and claims processing procedures which contributed to developing user
friendly website interfaces and report management tools for the clients he serves.
Mr. Price is a licensed General Lines Insurance Agent.
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