Karen Cox, CHCChief Executive Officer (316) 683-0665 Email
Karen Cox joined ProviDRs Care in 2009 and is the Chief Executive Officer. As CEO, she is responsible for the overall operations of the company including product development, strategic planning and financial performance.
Karen’s experience spans over 30 years in the healthcare industry including positions as Regional Manager at Blue Cross and Blue Shield of Kansas and Vice President of Employee Benefits at IMA of Kansas. Karen’s areas of expertise include managed care, self-funding, risk analysis, business development, product development and process management.
Karen is a graduate of Wichita State University with a BBA degree in marketing.
Justin Leitzen, MHAChief Operating Officer (316) 683-4111 Email
Justin Leitzen previously worked at ProviDRs Care from July 2013 through December 2015 as the Director of Contracting and Network Development.
Justin returned to ProviDRs Care in April 2017 and is the Chief Operating Officer. As COO, he is responsible for the overall business operations, development and implementation of network strategies and value-based care initiatives.
Justin has more than 14 years in the healthcare industry with expertise in managed care contracting, Medicaid managed care, program development, value-based reimbursement, patient-centered medical homes, and clinical operations management.
Justin is a graduate of Kaplan University and has his Master’s in Health Care Administration.
Bret EmbersonBusiness Development Associate (316) 221-9106 Email
Bret Emberson joined ProviDRs Care in 2019 as the Business Development Associate. Bret brings an extensive knowledge of the health insurance industry with his past employment at Cigna and Coventry Health Care. He has also worked as a broker and consultant with Truss LLC/Cretcher Heartland and Hardman Benefit Plans.
Bret will be responsible for the marketing and sales of a level-funded group plan administered by Medova Healthcare and accessing ProviDRs Care Network. Employers located in Sedgwick, Harvey, Butler, Reno, Cowley, Sumner and Kingman counties are eligible for ProviDRs Care NexUS Health Plans, a value-based, health care plan designed to lower costs and improve health. Employers located in Kansas outside of these seven counties are eligible for Lifestyle Health Plans. These plans are all available for employers with 4 or more enrolled employees.
ProviDRs Care NexUS Health Plans were recently selected as sponsored plans by the following chambers and associations: Sedgwick County Medical Society, Nonprofit Chamber of Service, Derby Chamber of Commerce and the Wichita Chamber. These plans can be written on member employer groups with 2 or more enrolled employees.
Bret will be assisting appointed agents in learning more about these level-funded plans and securing quotes for their clients
Nikki SadeDirector of Claims and Information Systems (316) 683-0805 Email
Nikki Sade joined ProviDRs Care in 2005 and is the Director of Claims and Information Systems. She manages the operations of the Claims Department ensuring customers receive the highest level of service across the industry. Nikki’s role also includes the management of ProviDRs Care’s Information Systems to maintain a high level of data integrity and support for both our partners and internal operations.
Nikki originally joined the ProviDRs Care team in 2005 where she learned repricing, later transitioning to a shared role within ProviDRs Care’s parent company, Medical Society of Sedgwick County (MSSC), providing Information System support to MSSC’s subsidiaries. Later, in 2010, Nikki returned to a full-time role with ProviDRs Care where she assumed the role of Director of Claims and Information Systems.
Jeanne HingstClaims Manager (316) 683-4111 Ext 234 Email
Jeanne Hingst joined ProviDRs Care in 2007 and is our Claims Manager. As the Claims Manager, she oversees the daily operation of the Claims Department. She is responsible for resolving claims and network related issues for providers, members and groups. Jeanne participates on the Fee Schedule and HIPAA Compliance committees as well. She works closely with our Director of Claims and Information Systems to continually improve quality and performance of the network.
Jeanne’s experience spans over twenty plus years in the healthcare industry, including working several years for a group of general-trauma surgeons as their certified coder/auditor, several years as a Senior Consultant providing consulting services to health care entities nationwide as it pertained to coding/billing/auditing/education and has worked as a Claims Department supervisor for a local hospital.
Nicole BuaProvider Relations Supervisor (316) 683-4111 Ext 239 Email
Nicole Bua joined ProviDRs Care in 2018 and is the Provider Relations Supervisor. She is responsible for managing all aspects of the relationships of participating network providers as well as recruiting new providers to the network.
Nicole’s experience in healthcare started at an early age growing up in one of the top OB / GYNs in NYC. She quickly learned the expectations of Medical Providers which made the decision easy to go into Medical office Management. She became the Billing Manager for that OB / GYN before becoming the practice administrator for a Physiatry Office with 5 satellite Physical Therapy offices and an Open MRI across the 5 boroughs. She was also the Practice administrator for 2 Urgent Care Centers in Ocean City, MD before visiting Wichita in 2013 and deciding, unexpectedly, to make Wichita her new home. Since 2013 she worked in Wichita billing, credentialing and contracting for local providers. She welcomes the opportunity to meet with providers in our network as well as providers who would like to learn more about ProviDRs Care, a Physician Owned Network.
Tina MartinCredentialing Supervisor (316) 683-0644 Email
Tina Martin joined ProviDRs Care in 2017 as the Credentialing Supervisor. She is responsible for ensuring compliance with all NCQA and ProviDRs Care standards related to credentialing and re-credentialing, including all department coordination, communication, education, and support. She works closely with our Provider Relations team to support our participating network providers.
Tina’s experience spans more than 20 years in the healthcare industry, including work in provider offices, and several years as a Director of Operations for a third party administrator, with a focus on training, client administration, billing, claims, customer service, appeals and auditing.
Mandi SensanithMarketing and Client Service Specialist (316) 683-0679 Email
Mandi Sensanith joined ProviDRs Care in May of 2019 as the marketing and client services specialist. She is responsible for providing communications consultation, including planning, writing and graphic design. In addition, she will support new business efforts and client services.
Mandi will be the liaison between our employer groups, payers, brokers and ProviDRs Care. She will also help coordinate request for proposals (RFPs), new group set-ups, renewals, group and payer contracting and customer service questions.
Mandi has more than six years of experience creating visual graphics for both companies and non-profit organizations alike. In addition she has a 2 years of experience as a marketing coordinator where she gained knowledge in corporate branding as well as how to conduct marketing communications.
Morgan Jarrard, RNCare Navigator (316) 221-2668 Email
Morgan Jarrard joined ProviDRs Care in October of 2018 as a Care Navigator. She has been working in health care for 12 years. She received an Associates of Science Nursing from Saint Catherine College in 2010 and by 2014 she received her Bachelors of Science Nursing from the National American University. As a nurse her career has spanned across different areas of nursing including neonatal intensive care, school nurse, nurse manager, clinic nurse, and now case management.
As our Care Navigator, Morgan will assist high-risk members by providing care management, coordination and education. Some examples of high risk members she would be managing would be those suffering from chronic illnesses such as asthma, heart disease, high blood pressure and obesity In addition, she will be helping physicians develop an individualized care plan, follow up on emergency room visits and hospital admissions as well as readmission.
“One of the most rewarding aspects of a career in nursing is the ability to connect with our patients on such an intimate level. I have often met my patient’s under difficult circumstances, being present as people face serious health challenges or injuries, witnessing the moment of birth or the end of life, I have gotten to know patients very quickly and have the opportunity to play an important role in their lives. I became a nurse so that I could have an impact on the lives of others and have a career that felt very meaningful. I believe that at the end of the day, no matter how challenging, I have impacted someone’s life for the better.” – Morgan Jarrard RN