Tom Peterson
President and CEO
Tom has more than 20 years of experience working with data for health care companies and the Medicare Program, from both the FFS and managed-care perspectives. Prior to co-founding CVInfosys, he held several key positions: in IT at Blue Shield of California, as a Medicare Auditor for Blue Cross of California, and as a Reimbursement Specialist for Cedars-Sinai Medical Center. Tom has an extensive background in clinical data related to risk adjustment, including system design and analysis, provider outreach and training program development. Tom has chaired a variety of team activities for the Industry Collaboration Effort (ICE), and has participated in the development of many training forums and best-practice presentations on risk adjustment for the industry.

Pam Klugman
Vice President and COO
Pam has more than 20 years of experience in health care and Medicare, with both providers and health plans. Prior to co-founding CVInfosys, Pam was manager of IT, Medicare Revenue Improvement and Recovery, for Blue Shield of California. She has also held roles as Senior Medicare Auditor for Blue Cross of California, Reimbursement Specialist for Cedars-Sinai Medical Center, and Finance Coordinator for Northridge Hospital. Pam has worked on many system development and data analysis projects, including the optimization of tracking and reporting of encounter and claims data used in compiling submissions under the CMS risk adjustment model. She is also very experienced in contract utilization data, HIPAA compliance and risk settlements. Pam has been active in ICE since its inception in 1998, and has co-chaired the ICE Risk Adjustment Data Acquisition and Reporting (RADAR) team for several years. Pam has given best-practice presentations for ICE and has presented information to CMS. She is considered to be an industry expert on risk adjustment.

Donovan Ayers
Vice President of Regulatory Compliance
Donovan has more than 20 years of experience working for health plans, a management company, and an ERISA self-insured employer group plan. He developed focused Medicare compliance expertise working on Medicare risk activities at three health plans prior to starting the Medicare Advantage consulting division for CVInfosys. Donovan is certified in health care compliance, and has been very influential in regulatory reform and in setting direction for compliance and operational activities, on both the health plan and employer sides. He was the Medicare Compliance Officer for Blue Shield of California for eight years, and also filled the role of General Manager, with sales and profit/loss responsibility, for state programs. Donovan worked with CMS to develop and rollout various compliance training programs for health plans and provider groups in California. In addition, he testified at HHS subcommittee hearings on the compliance burden placed on plans and providers due to provisions in the Balanced Budget Act, and has prompted regulatory reform and changes related to the Medicare appeals process. Prior to Blue Shield, Donovan was Director of Statewide Provider Operations, and Ancillary and PPO Contracting, for Prudential HealthCare. Donovan also held management roles at Health Net, Southern California Edison and Maxicare, and worked in provider contract administration at PacifiCare and SelectCare Management Company.

Doug Carvalho
Vice President of Sales and Marketing
Doug has more than 28 years of sales experience in the health care industry. Eighteen of those years have been exclusively working with government programs including Medicare, Medicaid and CHIP. Doug comes to CVInfosys from Molina Healthcare, where he served for the past 3 years as Associate Vice President of the National Enrollment Growth department for all government products across 10 states. Doug’s career started at Blue Cross of California and has included sales and management positions at Health Net, Prudential, SecureHorizons and Blue Shield. Doug specializes in helping health plans collaborate with their provider partners to develop relationships that lead to mutual success. This ability to bring together organizations and share best practices is a perfect match for the type of clients served at CVInfosys.

Kathy Young
Director of Account Management
Kathy brings 25 years of customer service, administrative and office management experience to CVInfosys. As member of the Mergers & Acquisitions and Financial Planning & Analysis Departments, she has performed extensive research and analysis projects for public utility companies. She specialized in facility operations and records management, and served as Site Administrator for various schools in Southern California. As part of the CVInfosys team, Kathy is responsible for customer service development, account management, service coordination, customer satisfaction, and day-to-day client operations.