CommunityCare of Oklahoma

Type: Managed care organization / health plan (HMO, PPO, Medicare Advantage) HQ: Tulsa, OK Ownership: Jointly owned by Ascension St. John + Saint Francis Health System Founded: 1993 Employees: ~500 Products: Employer group, individual, Medicare Advantage, Dual Complete, workers' comp Note: Oklahoma's largest locally owned health plan

Prior Relationship

None. Never contacted. Clean slate.

C-Suite

NameTitle
Josiah SuttonPresident & CEO (new, 2025)
Amy Collins, MDCMO
Ryan ZiemannCFO
Rusty WyrickChief Technology & Transformation Officer
Andrew HillGeneral Counsel & Clinical Operations

What's Going On

  • New CEO (2025): Josiah Sutton appointed after interim period. Leadership transition = openness to new vendors.
  • "Transformation" in CTO title: Signals active technology modernization
  • PBM switch to Navitus (Jan 2026): Willingness to change vendors
  • Oklahoma is a CMS WISeR pilot state: AI-driven prior auth is becoming regulatory reality in their market
  • Health Plan Alliance member — peer network of regional plans

Who to Email

Amy Collins, MD — CMO. At a ~500-person health plan, the CMO almost certainly owns UM directly. New CEO focused on "system improvements" + CTO&T role = organization is open to modernization. Lead with the WISeR pilot context — AI-driven UR is coming to Oklahoma whether they adopt it or not.

Good fit: Regional plan, right size to move fast, payer (not provider), clear UM need.

Daisy

v1

What do you need?

I can pull up the fundraise pipeline, CRM accounts, hot board, meeting notes — anything in the OS.

Sonnet · read-only