Peter Borans is the CEO of AMS (Advanced Medical Strategies) a company he co-founded in 2003. Peter, alongside his partner and sister Dr. Stacy Borans, conceptualized and created AMS’ Predict Platform which includes PredictDx, PredictRx, PredictIx, Profiler, CensusRater, and FACS. AMS’ AI-powered Predict Platform combines clinical insights and financial analysis of the costliest and most complex medical diagnoses to guide enterprise-wide initiatives.

Prior to AMS, Peter held executive roles with Sierra Atlantic, an Oracle consulting company based out of Boston that was ultimately acquired by Hitachi, as well as of Sceptre Database Consultants where he had a key role in building the privately owned 8-person Oracle outsourcing and consulting company into a 25-person, multi-million-dollar organization that was ultimately bought by Sierra Atlantic.

Peter also enjoyed a long career with Back Bay Restaurant Group rising from Assistant General Manager to Vice President of IT/IS. As a member of its executive committee Peter was responsible for growth and strategic direction of the 35 unit, $100 million, multi-concept restaurant company.

Peter is a 1993 graduate of the Whittemore School of Business & Economics at the University of New Hampshire.

Nic Andre is AMS’ Vice President of Product Development. Having worked at AMS since his first year of college, Nic’s skillset is finely tuned to the self-funded industry. He leads a nimble team within AMS that is responsible for the conception and creation of the next generation of AMS products, such as Predict FACS, Profiler, and CensusRater. This team also assists in the maintenance of AMS’ Predict Suite as well as devising new ways to make use of AMS’ ever-growing claims data warehouse.

A Certified Self-Funding Specialist (CSFS), Nic is also a member of HCAA’s Emerging Leaders Program.

Nic holds a degree in finance from the Isenberg School of Management at UMass Amherst.

Outside of AMS, Nic plays the keyboard, drums, and is an expert skier. Nic also enjoys mountain biking, reading philosophy, and working on cars that are older than he is.

Stephanie Belschner is AMS’ Vice President of Client Relations. Stephanie has been with AMS since 2013, developing the organization’s client management division. As part of the executive team, Stephanie promotes the company’s products, services, and accomplishments by directing sales and marketing initiatives.

Stephanie’s team is dedicated to supporting the Predict Suite member community. In addition to spearheading relationship management and outreach, she cultivates strategies for pursuing new business, delivers educational presentations, and determines short and long-term resource requirements. Stephanie is a Certified Self-Funding Specialist (CSFS) whose top priority is building trust, confidence, and goodwill with AMS' clients.

Stephanie’s formidable client relations, public speaking, networking, and leadership skills developed from her career experiences both with private firms and more than a decade of public service in the state of Massachusetts from which she possesses a vast knowledge in the handling of medical malpractice, personal injury, workers compensation claims as well as other areas of litigation.

When Stephanie is not supporting the Predict Suite member community, you can find her cooking up something delicious in the kitchen, organizing a family event, or planning AMS’ Annual Conference.

Vladimir N. Cadet is AMS’ Executive Vice President of Business Development & Partnerships. Prior to joining the AMS team, Vlad served on its Board of Directors for nearly 5 years. Vlad’s passion and focus to AMS’ policymaking strategies makes him an integral part of the executive team.

With an extensive experience in the medical device industry and in healthcare analytics, Vlad provides clients with a unique insight into provider operations and pricing.

Vlad earned a Master of Public Health with a concentration in Health Administration, Management, and Policy at Morehouse School of Medicine (MSM) in Atlanta, Georgia. He also completed several years of coursework and clinical rotations in MSM’s Medical Doctorate (MD) program. Vlad graduated from The Johns Hopkins University with a Bachelor of Arts in Public Health Studies in 2004.

Feel free to ask Vlad about his passion for fitness, as he has been a personal trainer and wellness coach for the past 15 years.

Heather Fox is AMS’ Vice President of FACS (Financial And Clinical Surveillance). Heather began her journey at AMS as a Clinical Review Nurse and now leads her team of clinical staff to integrate PredictDx, PredictRx, PredictIx, and policy-specific rules/edits to AMS’ FACS members. The rules/edits that she both creates and vets provide for a quick and easy pull of claims on the subscriber end that have clinical, financial, policy and/or code specific issues that merit a review.

For over 18 years Heather has been a nurse with a specialization in Medical-Surgical, Critical Care and Surgery. Heather first made the cross over to non-clinical nursing as a Cost Containment Nurse with an insurance organization focused on the development, underwriting and servicing of alternative risk products, including captives and specialty insurance programs.

Heather earned her Bachelor of Science Degree in Nursing from Indiana Wesleyan University.

In Heather’s free time you can catch her kayaking, hiking, and biking along the Ohio trails with family and friends.

Alice G. Jamba is AMS’ the Vice President of Clinical Integration & Services. Alice joined AMS in 2014 and has been indispensable in the upkeep and expansion of AMS’ PredictDx module.

Alice has worked in health care since 1974, starting as a staff nurse in Emergency Services at New York-Presbyterian University Hospital of Columbia and Cornell in New York. Subsequently, Alice garnered additional experience in the fields of maternal-child, occupational health, and psychiatry/substance abuse, bolstering her already-solid clinical background.

In 2003, Alice entered the insurance arena at Health Market in Norwalk, CT in the small group underwriting division. From there she gained insight into provider perspective, tackling utilization review in the areas of mental health. Alice moved into the stop-loss industry in 2007 working at Greenwood International Insurance, an MGU in Boston, Massachusetts. She worked actively with Greenwood’s underwriting team on cost projections and high-risk liability for full groups as well as individual clients. In addition to underwriting, Alice managed the clinical progress of active clients by advising on payment of high dollar claims.

Alice holds a nursing degree and a Bachelor of Science in Psychology.

Derek Moore is AMS’ Chief Growth Officer. Derek began his career at AMS in 2017 as Vice President of Business Development and now leads the sales division as CGO, accelerating and ensuring smart measurable growth of the organization. He is responsible for facilitating business growth by working together with clients as well as business partners.

Derek has more than 20 years of business development experience working in self-funding, benefit plan design, stop-loss, claims administration, cost containment, and provider network environments. His comprehensive knowledge of the managed care and employee benefits industry is extensive. Derek’s expertise in fostering relationships with large employers, third party administrators, labor unions, insurance carriers, HMOs, government employee health plans, brokers and benefit consulting firms is held in the utmost regard.

Find Derek on the green golfing when he is not at his desk.

Lee Patrick is AMS’ Vice President of Clinical Informatics. In 2017, she began her career as a Clinical Review Nurse supporting the AMS’ core services area and Predict Suite of products. Now, Lee leads a team that is responsible for the upkeep and development of PredictRx and its Oncology Treatment Module.

Lee is a detail-oriented nursing professional with extensive, progressive healthcare management expertise with proficiencies in the following areas: Risk Management and Patient Safety, Process Improvement and Case Management, Patient Satisfaction and Customer Service, Operations and Budgeting, Healthcare Informatics and Software Development, Organizational Restructuring and Integration, Administration, Grievances, Appeals, and Medical Review. Her experience encompasses the realms of acute care; physician office practice; acute, subacute, and post-acute physical rehabilitation; long term acute care and long-term care; managed care insurance; independent review organization external appeals; and healthcare information technology.

Lee is a certified professional in healthcare risk management (CPHRM) and has served on the Board of the Philadelphia Area Society for Healthcare Risk Management (PASHRM), a state chapter of the American Society for Healthcare Risk Management (ASHRM), as Secretary, Webmaster, and President. She is also currently on the Board of the Pennsylvania Association for Healthcare Quality (PAHQ) as Webmaster and is a member of the Greater Delaware Valley-American Nursing Informatics Association (GDV-ANIA), formally known as the Delaware Valley Nursing & Computer Network (DVNCN). She also holds a certification in healthcare environmental management (HEM) and is a certified professional in aging services risk management (CPASRM).

Fun facts about Lee: she won two beauty pageants as a teen and loves fancy, fast cars - especially Porsches.

Karen Giroux is one of AMS’ Clinical Review Nurses. Karen supports our PredictRx database by completing annual reviews of drugs and adding newly FDA-approved drugs. Additionally, she assists with AMS underwriting.

Karen has been in the stop loss and insurance industry for 18 years and in the Nursing field for 35 years. Prior to AMS she led a team of nurses conducting review of claims, pre-certification, utilization, and case management records to determine future liability and risk to stop loss.

She earned her Bachelor of Science in Nursing from Sacred Heart University in Fairfield CT

In Karen’s free time you can catch her hiking or walking the beautiful trails in Connecticut, or home with a pair of knitting needles working on a hand-knit project.

Jackie Clingman is one of AMS’ Clinical Review Nurses. Jackie focuses on the PredictDx directory, handles chat inquiries, and oversees a project team that specializes in costs.

She has been a nurse for over 20 years, specializing in critical care and made the cross over to non-clinical nursing three years ago when she joined the review team at AMS. Jackie earned her Bachelor of Science in Nursing from Indiana Wesleyan University.

In her free time Jackie enjoys reading, homemaking, travel, church, and playing with her dogs.

Jason Sinatra is AMS’ PredictIx Account Manager, or, informally known as our resident implant guru. Jason has been working with PredictIx since its creation, assisting in the module’s development over the last several years.

He also interfaces with PredictIx members daily through his continuous dialogues via module trainings, live chat and check-ins.

A fervid baseball fan, you are most likely to find Jason on the Cape where he frequents many Cape Cod Baseball League games.

Ryan currently serves as the vice president of government relations for the Self-Insurance Institute of America, Inc. (SIIA) where he heads up the association’s federal advocacy and political activities related to selfinsurance, stop-loss and other alternative risk issues. In this role, Ryan is responsible for developing and managing strategic outreach and policy development before Congress, the Administration and various federal regulatory agencies.

Prior to joining SIIA, Ryan directed government affairs activities for S&P Global, where he represented brands including Standard & Poor’s, Platts and J.D. Power. Ryan has served in a number of senior staff positions in the U.S. House of Representatives, most recently as Legislative Director for Rep. Cathy McMorris-Rodgers (WA). He previously served as Chief of Staff to Rep. Katherine Harris (FL) and in various staff roles with the Committee on Ways & Means and the Office of the Speaker of the House.

Leveraging years of expertise and domain knowledge in the payment integrity (PI) industry, David presently works with various health plans and companies to evaluate, advise and improve PI outcomes.

David is a Registered Pharmacist with an extensive 30+ year experience in the healthcare industry. He has worked in various key roles as a Provider, working in retail and hospital pharmacies, as a Payer, working for a large BCBS plan as well as a regional HMO in Cambridge, MA, and as an outsourced Payment Integrity Partner, working with dozens of health plans across the U.S. Most of David’s career has been dedicated toward developing and managing new, innovative payment integrity solutions for the Payer industry. He pioneered the first outsource audit service for specialty injectable overpayments as well as developed and managed Hospital Bill Review, DRG Validation, Home Infusion, Renal Dialysis, DME and Implant Audit and Recovery programs. Most recently, David helped to develop a unique transaction based delivery model to help automate a variety of pre-submission payment accuracy solutions.

David has a BS in Pharmacy from the Massachusetts College of Pharmacy, Boston, MA.

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