Following a nationwide search, Heather Thiltgen has been named president of Boston Medical Center (BMC) HealthNet Plan and Well Sense Health Plan, both not-for-profit managed care organizations operating in Massachusetts and New Hampshire respectively. The organizations are part of BMC Health System, an academic medical system dedicated to underserved populations and anchored by Boston Medical Center, the primary teaching affiliate of Boston University School of Medicine.
“Heather’s track record of leading high performing teams that anticipate and take advantage of emerging healthcare trends will be invaluable as we look for opportunities to continue to leverage our expertise in new models of care, like Accountable Care Organizations, in order to enhance the health of our patients, members and communities,” said Alastair Bell, MD, MBA, executive vice president and chief operating officer, Boston Medical Center Health System.
As president of BMC HealthNet Plan and Well Sense Health Plan, Ms. Thiltgen will lead and direct the overall financial and administrative operations throughout both organizations, which have approximately 400,000 members collectively, and work closely with state and federal government entities, regulatory groups, healthcare providers, and other external agencies.
“Leading a mission-driven organization, and working with people who have set such a high bar for managing the care of vulnerable populations, is a great honor,” said Ms. Thiltgen. “BMC HealthNet Plan and Well Sense Health Plan’s commitment to providing people with high quality healthcare by addressing both their medical and social needs is driving the company to transform how it cares for and serves its members. I look forward to collaborating across our organization to continue to find new ways to help members get and stay healthy.”
Most recently Ms. Thiltgen served as senior vice president of strategic markets for Medical Mutual of Ohio, the state’s oldest and largest health insurer. In that role, she oversaw all product lines, which drove over $1.2 billion in annualized premiums. In addition, Ms. Thiltgen launched the company’s Medicare Advantage program in 2016, the largest new plan entrant nationwide that year. Previous to that she held senior leadership positions at CUNA Mutual Group, United Services Automobile Association, and the M/A/R/C® Group. Ms. Thiltgen received her bachelor of arts from the University of Texas at Austin, and her master of business administration from Vanderbilt University.
About BMC HealthNet Plan and Well Sense Health Plan
Boston Medical Center founded Boston Medical Center Health Plan, Inc. in 1997 as a not-for-profit managed care organization doing business in Massachusetts as Boston Medical Center (BMC) HealthNet Plan. Outside Massachusetts the business name is Well Sense Health Plan. BMC HealthNet Plan currently has nearly 310,000 members in Massachusetts through product lines that include MassHealth, Accountable Care Organization, Qualified Health Plan, and Senior Care Option. In addition, BMC Health HealthNet Plan’s Medicaid HMO was rated 4 out of 5 according to the National Committee for Quality Assurance’s (NCQA) Medicaid Health Insurance Plan ratings 2019-2020 and has achieved Commendable Accreditation. BMC HealthNet Plan’s Qualified Health Plan (QHP) program has been awarded Accredited status from NCQA, the highest accreditation level available at this time for QHP plans. Well Sense Health Plan currently has over 85,000 members across New Hampshire. Well Sense Health Plan’s Medicaid HMO has received Commendable Accreditation status and is rated 3.5 out of 5 among Medicaid plans in the U.S. according to the National Committee for Quality Assurance’s (NCQA) Medicaid Health Insurance Plan ratings 2019-2020. For more information, go to bmchp.org or wellsense.org. For more information about BMC HealthNet Plan Senior Care Options, go to seniorsgetmore.org.
