University of Maryland Medical System Health Plans
Kristen Kilgannon has extensive experience in clinical operations and utilization management, currently serving as a Coordinator in Utilization Management III at CareFirst BlueCross BlueShield since October 2020. In conjunction with this role, Kristen is also a Clinical Operations Coordinator at Carefirst of Maryland, Inc. and at the University of Maryland Medical System Health Plans, both positions held since October 2020 and September 2016, respectively. Prior to these roles, Kristen worked as a Case Manager at American Substance Abuse Professionals from May 2012 to September 2016. Kristen holds a Bachelor's degree in Criminal Justice and Psychology from Lycoming College, obtained in 2011, and graduated from Mercy High School.
University of Maryland Medical System Health Plans
University of Maryland Medical System Health Plans, Inc. (UMMSHP) was formed in 2015 when University of Maryland Medical System (UMMS) acquired Riverside Health, Inc. Since 2013, Riverside Health has participated in Maryland’s HealthChoice Program as a Medicaid Managed Care Organization (MCO). In the first two years the health plan grew to over 25,000 members and served all but the three western Maryland counties. In 2016, UMMSHP launched University of Maryland Health Advantage (HMO/HMO-SNP Plan) on Riverside Health’s platform. Today, UMMSHP operates both University of Maryland Health Partners (formerly Riverside of Maryland) and University of Maryland Health Advantage (a Medicare Advantage Prescription Drug Plan). UMMSHP builds upon Riverside Health’s early successes in the managed care industry and continues bridging the gaps between providers and health insurance plans. The UMMS providers, facilities and health plans work together as Maryland’s Home Team for Health to create healthier communities.