ABOUT US

We’re in this together.

As a health plan, you have the unique privilege to impact entire communities. As managed care experts, we’re passionate about partnering with you to make a difference in the individuals you serve. 

With years of experience in the clinical operations of health plans, we’ll provide seasoned resources and tailor the industry’s best practices to your organization.

People first

We serve with humanity and empathy.

Best practices

We openly share our knowledge and extensive national experience.

Alignment

We align priorities and goals to strengthen your healthcare ecosystem.

OUR EXPERTS

We’ve been there.

Our team of physician advisors, senior nurse executives, frontline clinical operators, and other medical management specialists have been exactly where you are. We’ve experienced the challenges and opportunities you see and will serve alongside you to implement tailored, appropriate solutions to your organization.

350+

SMEs, advisors and operators

“In all moments, they truly live the ‘customer is always right’ philosophy with quiet humility.”

- Health Plan Executive

OUR LEADERSHIP TEAM

Sam Toney, MD

Mike Miniati

Chief Growth Officer
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Karen Edwards

Vice President, Finance
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Paulina Valdez

Vice President, Client Services
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Christie Gilli,
RN, PMH, BC

Vice President, Clinical Services
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Michael Jeffery

Vice President, Operations
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Betsy Seals

President LinkedIn

Helen Imbernino, MPH, APN-BC

Quality & Health Care Policy
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Charlotte Lowder

SVP Risk Management / Project Management
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Robert Lowder

SVP, Information Systems & Compliance Officer
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HOW WE GOT STARTED

A legacy of making a difference.

Founder Dr. Sam Toney began his career in private practice in adult psychiatry in the late 1980s. He soon realized he could only see so many patients a day. With growing expertise in integrated medical-behavioral health, he transitioned into population health where he could make a bigger impact. 

In 2008, Dr. Toney founded Toney Healthcare Consulting to serve health plans, mainly with physician review services. Gradually, he added like-minded managed care individuals, mostly clinicians, who wanted to make a difference in the healthcare ecosystem and people’s lives, at scale. As Toney Healthcare Consulting grew, it became evident that there were multitudes of clinically-oriented challenges that our team knew how to address, bringing perspectives from across the nation and from many population types. It was clear that there was a need to share our expertise while recognizing the uniqueness of each health plan and their own populations.  

Today, Toney Healthcare Consulting is now Toney Healthcare as consulting is only one aspect of what we do. In addition to providing guidance, we also work right alongside health plans to overcome challenges and transform their organization.

CAREERS

Ready to make a meaningful impact with us?

Toney Healthcare takes pride in being a place where our team members can apply their expertise and share their knowledge to make a lasting impact on our customers and the individuals that they serve. If you're driven by the desire to make a positive impact on the health and wellbeing of others, we invite you to explore the career opportunities at Toney Healthcare.

WAYS TO ENGAGE

Discover our tailored solutions.

From designing a program, to filling gaps in staff, to providing a full medical management team, we’re here to help with flexible service models.