President and Chief Executive Officer
Mr. Durkalski became CEO of Sendero Health Plans in September of 2014, after serving as COO since March of 2014. He originally joined Sendero as CFO in February 2012, and helped lead the company through the 2012 launch of its Texas STAR & CHIP products. Later he led the successful implementation of its Federal Marketplace IdealCare products. As COO, Mr. Durkalski repositioned Sendero’s presence in the community, supporting closer working relationships with providers, community partners, and area residents.
Sendero is a non-profit health plan started by Central Health, the Travis County Healthcare District, to coordinate healthcare coverage for those with need in the local community.
Prior to joining Sendero Health Plans, Mr. Durkalski was the Chief Financial Officer for Amerigroup in Austin and San Antonio. During his tenure, he delivered the best performance in the state against budgets and assisted in the turnaround of the lowest performing market in the company. Earlier at Amerigroup, he developed and implemented the company's first successful company-wide provider profiling program, which utilized quality, acuity, and financial data to improve evidence-based care delivery.
Chief Financial Officer
Mr. Ginés became CFO at Sendero Health Plans in September, 2014. He joined Sendero in July 2011, first as Medical Finance Director and then as Director of Finance and Informatics. He has over 10 years experience in finance, operations, analytics, and management.
Prior to coming to Sendero, Mr. Ginés was a Clinic Manager for the El Buen Samaritano Episcopal Mission where he managed the Clinic with a $2.5 million budget and 17 administrative and medical employees. He oversaw the clinic during a period of unprecedented growth, led the entire EHR implantation project, created performance metrics and dashboard for monitoring clinic quality and quantity, created and managed patient and financial data reports to provide daily, weekly, and monthly analysis and recommendations to internal and external stakeholders including the Executive Director, the Board of Directors, funders/investors, staff, and collaborating organizations. He trained as NextGen EMR Supervisor and database manager including payer contract database management, EMR troubleshooting, and was the clinic onsite IT liaison. He also trained on MIP Accounting software and was the accounting services backup for the entire 48-employee organization.
Mr. Gines’ prior experience also includes Director at Intercultural Center for Health and Wellness where he led overall business operations, developed a service package to enhance patient experience, managed the semiannual health fair projects for 3,000+ participants, prepared financial statements, negotiated pricing contracts with major vendors, and made strategy recommendations to the Board of Directors based on patient trends, ad hoc reports, etc. He has also previously served as a New Business Consultant with the Norsan Group and as a Community Outreach Coordinator Intern with Dia de la Mujer Latina, Inc. in Atlanta, Georgia.
Mr. Ginés received a BBA in Management from Kennesaw State University – Michael J. Coles School of Business and an MBA in Management from Georgia University‘s Terry College of Business. He is certified in HER solutions by the American Health Information Management Association and is a member of the American College of Healthcare Executives and the National Society of Hispanic MBAs.
Chief Operations Officer/Compliance
Connie McFadden is a health care professional with over twenty-eight years of experience in government programs such as Medicaid and CHIP. Her areas of expertise include health care compliance and regulations, quality improvement, Medicare and Medicaid (STAR/STAR+ PLUS), CHIP, and Texas Health and Human Services Commission (HHSC), Texas Department of Insurance (TDI) and Centers For Medicare & Medicaid Services (CMS) reporting requirements.
Connie was born and raised in San Antonio, Texas and attended San Antonio College before moving to El Paso, in October 1987, where she attended El Paso Community College, and University of Texas in El Paso. While in El Paso, Connie worked for the Texas Department of Health. She moved to Austin in April of 1996 and began working for the Health and Human Services Commission (HHSC) in the Managed Care Operation Division and attended Austin Community College. Connie continued working in Managed Care Operations, later known as Health Plan Management, until she retired in June 2010.
To utilize the vast Medicaid/CHIP and managed care operations knowledge and experience she had acquired during her employment with HHSC, Connie form Dynamic Consulting Services in August 2010. She provided consulting services to multiple health plans, assisting them to prepare for HHSC’s operational readiness reviews. She developed and/or updated health plans’ policies and procedures, developed training curriculum and conducted training for Call Center and Service Coordination staff, assisted in network development and conducted mock audits. Connie began her career in the managed care arena in September 2011 as Director of Government Program and became Compliance Director at Sendero Health Plans in January 2014. In this capacity Connie was responsible for health plan compliance with all state and federal regulatory requirements, including contractual requirements in the HHSC Uniform Managed Care Contract and Uniform Managed Care Manual, Texas Department of Insurance regulations and CMS requirements. In June 2015, Connie became Sendero’s Chief Operations Office overseeing Member Services, Network Management, Vender Relations, Marketing and Outreach as well as Compliance.
What is Obamacare/The Affordable Care Act?
Obamacare, officially known as The Affordable Care Act, was signed into law on March 23, 2010. The law significantly reforms our health care system and aims to ensure affordable health coverage is available to those who don't receive it through an employer. The law mandates that Americans must purchase health insurance, but some people will qualify to get help paying for it if they meet certain criteria. The majority of the reforms begin in 2014, though it won't be completely rolled out until 2022.