PETER GOLDSTEIN is CEO of LTCG, a leading provider of administrative and clinical services within the long term care (LTC) insurance industry. His 22 years of decisive leadership have helped LTCG adapt to a changing industry environment and have transformed the organization into a premier partner for LTC insurers. LTCG serves all of the top LTC carriers, and is the largest third-party claims payer in this space. Peter’s strategic vision for the company has transformed LTCG from a TPA focused on processing capabilities into an organization dedicated to proactive, holistic risk management for its customers. As part of this transformation, Peter has assembled a management team comprised of some of the most respected leaders in LTC insurance while executing on strategic acquisitions to broaden the company’s capabilities. He has also directed significant investments in technology to build a state-of-the-art claims processing system and has brought new capabilities to market around provider contracting and management, wellness and recovery solutions. By executing this strategy, Peter has played a significant role in growing LTCG from a start-up in the 1990s with 25 employees serving one customer to more than 1,200 employees who support more than 90 insurers today.
Peter is a recognized thought leader on topics ranging from next-generation claims management to the public policy changes needed to ensure a sustainable future for this industry. Thanks to his expertise on these topics, he has been featured in a variety of wide-reaching business publications including the Wall Street Journal, Bloomberg, Mergermarket, Think Advisor, Business Week and many others. Peter has also contributed his insight within specialized forums including advisory committees, industry boards and national events. These have included The Intercompany Long-Term Care Insurance Conference (ILTCI), The National Organization of Life and Health Insurance Guaranty Associations (NOLHGA) and Drinker Biddle’s Long Term Care Insurance Summits, among others. He also been actively involved in industry trade organizations, serving as the President and board member for the Inter-Company Marketing Group and on the Board of Directors for LTC Financial Partners.
JAMES GAIN, Chief Technology Officer, is a seasoned innovator and senior leader with 20 years of experience building technology solutions, implementing new processes and developing products for Fortune 50 organizations in the healthcare, management consulting and financial sectors. In his current role at LTCG, James defines and delivers on IT strategy and capabilities across the enterprise. In this capacity, he provides complete oversight of the entire IT organization including application development, enterprise architecture, systems infrastructure, project management, enterprise risk management and IT security, quality assurance and business analysis. James comes to LTCG with a wealth of healthcare technology experience, most recently as CTO of Allscripts/EPSi, where he led the company’s transformation to a cloud-based SaaS platform. He also served as CIO of PatientPoint, where he assisted in the buildout of a comprehensive care coordination platform, an interactive patient engagement solution for the exam room and several mobile products, all while also focusing on enhancing internal IT operations. Prior to his tenure at PatientPoint, James spent almost seven years at Optum as VP of Engineering, assisting in the development of teams, processes and products to power the company’s offerings in the consumer, payer, provider and government markets. He obtained his BS in Computer Science from Ohio University.
DENISE LISTON, Senior Vice President, has more than three decades of experience within the healthcare and insurance industries. She is responsible for the strategic implementation of all clinical assessment services offered through the company, delivering insights which are used by leading insurers to inform their underwriting and claims decisions. In this capacity, she oversees a team of skilled account management staff charged with working directly with customers, as well as a nationwide network of nurses and support staff who deliver best-in-class face-to-face and telephonic assessments. Denise is a registered nurse, earning her degree from Peter Bent Brigham Hospital School of Nursing. She received a BS in Health Care Management from Lesley University and an MBA from Rivier College.
MATT CAPELL, Senior Vice President of Provider Solutions, brings more than 20 years of experience in general management, business development and investing in the healthcare, financial services and technology sectors to his position at LTCG. In his role, Matt is responsible for developing and executing an integrated provider strategy that delivers additional value for the company’s clients. This includes the expansion of many early innovations developed by LTCG, such as its contracted and credentialed providers, several pilot programs to promote recovery and reduce rates charged by home care providers, and initiatives to reduce fraud and leakage. He also oversees LTCG’s entire provider management team including individuals responsible for provider credentialing, eligibility and contracting. Prior to joining LTCG, Matt served as CEO and Board Member of FHS SeniorCare Payment Solutions, a revenue cycle management company that helped senior care providers manage billing and collections with over 400 third party payers. He is a frequent speaker for industry organizations such as the Private Care Association, Home Care Association of Florida, and Pennsylvania Homecare Association. Matt earned his MBA from the Stanford Graduate School of Business and holds degrees in economics and psychology from the University of North Carolina at Chapel Hill.
SHARON REED, Senior Vice President, is an accomplished industry leader with over 30 years of LTC insurance operations, claims expertise and healthcare experience. She is responsible for the claims and care management division, overseeing risk decisions and claims processing, and leads LTCG’s customer experience initiative. In addition to her LTC insurance industry acumen, Sharon is a registered nurse and brings more than 10 years of clinical experience managing the care of senior individuals in acute, LTC facility and community-based home care settings to her role at LTCG. Previously, she served as Senior Vice President at Penn Treaty where she held various executive positions spanning strategic operations, policyholder and corporate services, claims and care management and customer experience initiatives. She is an active industry leader, serving as the ILTCI Conference Chair, ILTCI executive committee member, Claims Advisory Group Chair, and a Society of Actuaries LTC Council representative. Sharon completed her RN degree at Abington Memorial Hospital School of Nursing and Pennsylvania State University.
TERRI JUDGE, Senior Vice President of Operations, brings more than two decades of experience in the LTC industry. The majority of her career has been spent at John Hancock, one of the industry’s most respected and well-known insurers. There, she was part of the group LTC insurance business startup and held roles of progressive responsibility which culminated in her leadership of all LTC operations including claims. Prior to joining LTCG, Terri also consulted with a number of organizations focused on LTC insurance including Accenture, Capgemini, and New York Life. She has led many successful initiatives over the past 20 years including the implementation of multiple systems, installations, and ongoing administration for hundreds of group clients, as well as consistent delivery of outstanding operational results. In her role at LTCG, Terri leads all front-end operations, an area which includes application processing, underwriting, policy issuance, policyholder services and the company’s call center operations. Terri attended Colorado College and received a degree in Economics and leadership training from Babson College.
SCOTT SYKORA, Senior Vice President of Client Engagement, brings more than 20 years of operational and IT management experience in the insurance and technology industries to his role at LTCG. He is responsible for all account management functions at the organization, overseeing the successful strategic and tactical execution of client priorities. Scott leverages his in-depth understanding of emerging insurance products, industry trends and the competitive environment to identify opportunities to improve the financial and operational performance of LTCG’s customers. He also works closely with operational, IT and business leaders at the company to ensure that all projects are implemented in accordance with service level agreements and that all performance guarantees are achieved. Prior to joining the organization in 2003, Scott served as head of operations for a leading supercomputer solutions provider. He has since held numerous senior and executive leadership positions within LTCG. These include roles as Senior Vice President of Operations and Director of Operations. During this time period, Scott has gained a deep understanding of the LTC insurance marketplace while building key strategic relationships throughout this space. Scott holds a degree in Business Management from the University of Wisconsin Eau Claire and is Six Sigma certified. He is a frequent speaker at insurance industry events including the ILTCI conference and the Long Term Care International Forum (LTCIF).