President & CEO
Sri Swarna serves as the President and Chief Executive Officer of Agadia. His primary focus is on building solutions that enable Agadia’s customers to grow in their marketplace. In addition, he provides technical and operational leadership across all product development and consulting practices.
Prior to starting Agadia, Sri has provided hands-on leadership and direction to business and application teams in developing enterprise solutions. His experience includes automation of mission-critical back-office operations and implementation of various regulatory standards for the healthcare, pharmaceuticals and financial industries.
Sri was directly involved in creating the draft for the electronic prior authorization (ePA) workflow as a part of the NCPDP task group.
Scot A. Lovejoy
Chief Pharmacy Officer & Chief Compliance Officer
Scot Lovejoy currently serves as the Chief Pharmacy Officer and Chief Compliance Officer for Agadia Systems, Inc. He provides clinical and operational leadership for product development activities, the consulting practices and is responsible for both Agadia’s HIPAA Program and Compliance Program administration.
Scot is a Pharmacist with more than 40 years of experience in Pharmacy and the Pharmacy Benefits Management industry. He holds degrees in Chemistry and Pharmacy from Montclair State University and The Ohio State University respectively. In addition, he is also a Software Engineering Management Certified Professional and holds Certifications in Health Care Compliance (CHC) and Health Care Privacy Compliance (CHPC) designations.
Scot’s previous experience includes developing, enhancing and implementing mission-critical processes, clinical and operational systems and programs.
Scot is a member of the Academy of Managed Care Pharmacy(AMCP) , the National Council of Prescription Drug Programs (NCPDP), the Health Care Compliance Association (HCCA), and the Society of Corporate Compliance and Ethics (SCCE).
Chief Technology Officer
Bala Nagarathnam serves as the Chief Technology Officer at Agadia, playing a pivotal role in steering our IT department and ensuring we remain at the forefront of technological innovation to meet the ever-evolving needs of our clients. With a deep commitment to creating the best customer experience, Bala leads the charge in delivering high-quality technical solutions.
One of Bala’s primary areas of focus is technological innovation, where he continuously seeks creative and cutting-edge solutions that drive the company’s progress. In parallel, he maintains an unwavering commitment to operational stability, ensuring that the systems we rely on function seamlessly and reliably, ultimately enhancing our client’s experience.
With over 25 years of experience in the technology realm, Bala brings a wealth of knowledge to his role. He boasts expertise in critical areas such as Data Management, Infrastructure, and Application Delivery. Before joining the Agadia team, Bala held senior IT leadership positions in various large healthcare and insurance organizations, where he gained a profound understanding of the complexities of the industry.
Bala’s strategic vision, technical acumen, and extensive experience make him a linchpin of Agadia’s IT department, driving us to continue innovating and meeting the dynamic needs of our clients while ensuring the highest standards of quality and reliability in our technical solutions.
SVP of Sales
Ross Loomis is an integral part of Agadia’s dynamic team, holding the position of Senior Vice President of Sales. In this crucial role, Ross leads and oversees all business development activities within the Health Plan and PBM marketplace. His expertise and dedication are paramount in driving Agadia’s growth and ensuring our solutions meet the evolving needs of our clients.
With a career spanning over 17 years in the PBM and Health Plan industry, Ross brings a wealth of experience to the table. He has held numerous key sales, provider, and client management positions within industry giants like Express Scripts and Centene. This extensive background equips him with a deep understanding of the intricacies of the field and the ability to navigate its complexities effectively.
Ross’s commitment is not limited to achieving short-term gains; he is dedicated to identifying creative, customized solutions that foster long-lasting client relationships. His strategic approach and forward-thinking vision align seamlessly with Agadia’s commitment to delivering innovative, client-centric solutions.
Ross earned his bachelor’s degree from the University of Missouri and went on to further enhance his expertise with an MBA from Webster University. His academic achievements mirror his dedication to continuous growth and learning, qualities that are invaluable in driving Agadia’s sales efforts and ensuring we remain at the forefront of the industry.
VP of Clinical Solutions
Tom is a pharmacist with over 25 years of experience in the pharmacy and PBM industries. Throughout much of his career, Tom spent time in leadership roles focused on prior authorization operations, PA platform/ePA development, implementations, as well as formulary and MTM program management. Prior to joining Agadia, Tom most recently served as Senior Director of Prior Authorization Programs at a major ePrescribing vendor where his prior authorization expertise helped significantly grow their ePA adoption and EHR-based ePA presence.
Tom’s past retail and hospital pharmacy experience paired with his passion for innovation allow him to take a uniquely comprehensive and inclusive view from a physician, patient, pharmacist, and client perspective in delivering clinical products. Tom received his pharmacy degree from Ohio State University.
Dr. Nishi Goel, PharmD
VP of Customer Experience
Dr. Goel serves as the VP of Customer Experience at Agadia. She uses her process re-engineering skills to collaborate with customers to be able to use PAHub to its fullest capacity. Dr. Goel is committed to ensure the internal teams have the resources and knowledge they need to foster deep customer relationships. Dr. Goel has held multiple roles at Agadia including clinical account manager and PAHub Product Owner.
Dr. Goel is a pharmacist with 12 years of Managed Care experience. Her most recent role as lead pharmacist with a free & charitable clinic serving a large refugee population leveraged her operational skills as well as compassion for patients. Prior to Agadia, she was a clinical pharmacist for a health plan providing her with experiences in managing the prior authorization team and working closely with a claims processor. While there, Dr. Noel implemented and used PAHub so brings a unique customer perspective to her current role as she works with prospective, new and current customers at Agadia.
She earned her Doctor of Pharmacy degree from the University of Texas at Austin College of Pharmacy and completed a managed care pharmacy residency at Baylor Scott & White Health Plan. Dr. Goel also has a Bachelor of Science in Biology and a Bachelor of Arts in Psychology from Brandeis University in Waltham, MA.
Sr. Director, IT
Murali Ailey, the Senior Director of IT at Agadia, has been an integral part of the company since its inception in 2006, initially joining as a dedicated Project Manager. Throughout his tenure, Murali has exemplified exceptional leadership and a deep commitment to Agadia’s progress, steadily advancing through various roles within IT Delivery to achieve his current position as Senior Director of IT.
With his extensive experience and strong industry knowledge, Murali has played a pivotal role in shaping and bolstering Agadia’s technological infrastructure and capabilities. His unwavering dedication to the company’s growth and development has been instrumental in establishing Agadia as a leader in the industry. Murali’s strategic foresight and innovative approach continue to drive Agadia’s technological advancements, ensuring the delivery of cutting-edge solutions to our valued clients.
Director of Strategic Accounts
Anu Vantipalli serves as the Director of Strategic Accounts, where her responsibilities include leading Agadia’s key clients and assisting them in meeting their operational and compliance needs. With over 20 years of experience in all aspects of account and project management, and as one of Agadia’s first emoployees, she is a strong advocate for exceptional client services aimed at enhancing satisfaction and boosting client retention. Anu excels in building robust relationships with key leaders and is deeply passionate about automation, focusing on improving operational efficiency for both internal and external teams.
For the past 17 years, she has been a valuable member of the Agadia team, managing clients from various health plans and pharmacy benefit management companies. Anu has also played a significant role in several of Agadia’s global initiatives.
Anu graduated from Hofstra University in Hempstead, NY, with a bachelor’s degree in business computer information systems.
Director, Implementations & Client Services
Meera Vyas has been an invaluable part of the Agadia team since its inception over 16 years ago and now serves as the Director of Implementations and Client Services.
Meera has a Master’s in Computer Science. In this role, Meera oversees all implementation activities including assisting customers with PAHub workflow questions, providing solutions and recommendations to gain overall operational efficiencies.
Over the past 14 years, she has worn many hats and has worked with over 40 Agadia customers and implemented over 30 customers which includes Health Plans (regional and national) and PBMs.
Additionally, Meera serves as a PAHub Product Subject Matter Expert for our existing customers.
She is a passionate, dedicated and hardworking individual with a solid work ethic.
Director IT, Customer Success
Prithvi Kotishwaran is the Director of IT, Customer Success at Agadia, where he has dedicated 16 years of his career to driving excellence in technology and customer satisfaction. As one of Agadia’s first employees, serving as a Technical Lead, Prithvi has consistently demonstrated his deep expertise in IT and a strong commitment to the success of Agadia and its clients.
Prithvi holds a Bachelor’s degree in Technology from Jawaharlal Nehru Technological University, a testament to his solid educational foundation. With his extensive experience, technical prowess, and a passion for customer success, Prithvi plays a pivotal role in ensuring Agadia’s clients receive high-quality, technology-driven solutions and unparalleled support.”
Director, IT Product Delivery
Parthiban Natarajan serves as the Director of IT Product Delivery at Agadia. In this role, he is responsible for efficiently delivering high-quality products.
With over 25 years of experience in the software development life cycle, Parthiban has specialized in architecting and developing solutions for healthcare, eCommerce, and manufacturing domains. He is deeply passionate about integrating state-of-the-art technology to produce high-quality products that are delivered on time and within budget.
Parthiban earned his Bachelor of Engineering degree from the University of Madras.
Director of Data & Infrastructure
Gaurav Trivedi, the Director of Data and Infrastructure at Agadia, has been an instrumental part of the company’s journey since its inception in 2006, initially joining as a Senior Solution Architect. Through his unwavering dedication and strong industry knowledge, Gaurav has progressed steadily within the organization, earning his current role as the Director of Data and Infrastructure.
With a bachelor’s degree in Computer Application and Computer Software Engineering, as well as a postgraduate degree from The Royal College of Canada in Computer Software Engineering, Gaurav brings a robust educational background to his leadership role. His deep understanding of the industry’s intricacies has been crucial in shaping Agadia’s data and infrastructure landscape, paving the way for technological advancements and sustainable growth. Gaurav’s commitment to excellence and his forward-thinking approach continue to drive Agadia’s success and reinforce its position as a pioneering force in the industry.
Dr. Javier Muguerza, PharmD
Director of MTM & Star Ratings
Dr. Muguerza serves as the Director of MTM and Star Ratings at Agadia Systems, Inc. and is responsible for all core product enhancements associated with the RxMTM and RxSentinel application solutions. His focus is on improving and expanding the capabilities of these solutions to create leading edge applications that are catered to the PBM and Health Plan community.
Dr. Muguerza brings more than 9 years of experience in providing clinical programs/services in the PBM and Health Plan industry.
He earned a Doctor in Pharmacy degree from the Massachusetts College of Pharmacy and Health Sciences – Boston and is certified as an MTM provider by the American Pharmacists Association.
Dr. Jenna Heath, PharmD
Director of Formulary
Dr. Heath serves as the Director of FormularyHub at Agadia. In this role she serves as the subject matter expert to ensure Agadia’s formulary solutions meet the needs of an ever evolving marketplace.
Dr. Heath has more than a decade of experience providing formulary management solutions in the pharmacy benefit management industry. She brings her expertise and passion to work to provide streamlined and efficient solutions for formulary benefit design to her customers.
Prior to joining Agadia, Dr. Heath spent 9 years working for PerformRX and was responsible for formulary management for health plans that spanned Medicare, Medicaid, and Exchange lines of business.
She earned a Doctor of Pharmacy degree from Duquesne University in Pittsburgh and completed post graduate residency training at PerformRx in Philadelphia.
Product Owner, GrievancesHub & Compliance Manager
Stephanie Abell serves as Product Owner of GrievancesHub and as Compliance Specialist of PAHub at Agadia Systems, Inc. Her focus is on creating a solution for health plans and PBMS to help automate the grievance process as well as tracking regulatory compliance on prior authorizations and appeals.
Stephanie brings more than 18 years of experience with Medicare Advantage and Prescription Drug Plans. Prior to joining Agadia, she served as manager of Medicare products at a Blue Cross plan which included overseeing claims, enrollment, billing, grievances and CTMs. She was responsible for the selection, implementation, and oversight of multiple vendors including PBMs and TPAs. Stephanie managed the creation of member materials including summary of benefits, formularies, provider and pharmacy listings, ANOCs, EOCs, and CDAG and ODAG letters. She served as operations lead for CMS audits and supported the operational pieces of CMS bids.
Stephanie earned a Bachelor’s degree in Finance from the University of Arkansas at Little Rock.
Director, Account Management
Mike is the Director of Account Management at Agadia Systems, Inc., and a dedicated leader in our team. With seven years of invaluable experience at Agadia, Mike has a strong background in Account Management and Business Development. He brings over 12 years of expertise in Account Management within the Health Plan and PBM industry.
Mike’s primary focus at Agadia is managing our full Account team to ensure that we consistently meet and exceed the unique needs of our clients. His commitment to providing excellent customer service, driving client retention, and fostering customer growth has been instrumental in our success.
Mike’s educational background is equally impressive, having earned his MBA at Ramapo College of NJ, with a particular focus on leadership. His leadership skills and extensive experience are key assets that contribute to Agadia’s continued growth and client satisfaction.
Sr. Manager of Marketing & Business Development
Karen Apwah, the Senior Marketing & Business Development Manager at Agadia, brings over 15 years of marketing experience to her role. She has been at the helm of our marketing department for the past 8 years, driving our brand’s evolution and success. With a Bachelor’s degree in Marketing from Fairleigh Dickinson University, Karen’s extensive background in marketing positions her as a seasoned expert in her field.
Karen is a passionate advocate for bringing the Agadia brand to life, engaging with our valued customers, and continually evolving our brand to meet the ever-changing needs of our clients. Her dedication to delivering a brand experience that resonates with our audience and aligns with our mission is a testament to her commitment to Agadia’s continued growth and success.
Agadia is dedicated to
improving the quality of care and expediting the delivery of health care services by advancing and automating utilization management processes.
What Our Clients Are Saying
"“Agadia has been a fantastic partner for several years. As MedOne has grown as a market leader in medication stewardship, we have directly benefited from the efficiencies afforded through the PAHub platform. We would not have been able to enhance the level of care we provide to our members while scaling our operations without the support of the Agadia software and team.” " - Dr. Nathan Harold, RPh, PharmD., MedOne
"I wanted to pass along that the CDAG portion of our CMS audit last week went well and complement Agadia on the PAHub systems display. The ease of navigation through the full report helped us display the information very smoothly and precisely which is often half the battle in a CMS audit." - Manager - PBM
"I just wanted to drop a quick note letting you know how well PAHub has worked out for us. It has been instrumental in ensuring compliance with various regulations and increased the overall productivity of the Clinical staff. This is a terrific product that has allowed CMS audit events to go very smoothly. Thank you for helping us be successful!" - A.P.; SVP PBM
"Agadia has consistently lead product development with out-of-the-box thinking focusing on a replicable feature-sets to reduce our overall cost of ownership. Their commitment to project management best practices has allowed us to prioritize tactically and avoid potential budget escalations. Agadia’s growing market foot-print clearly demonstrates their commitment to innovation in the healthcare IT space and have been phenomenal to work with." - VP, Genetic Benefit Manager