Disclaimer: This information was obtained from publicly available sources online and is believed to be accurate at the time of publication. Valimates collects this information with proprietary technology and cannot guarantee the accuracy or completeness of the data. The purpose of the data is to inform the reader about the expertise of the individual and should not be used for any other purpose. Valimates does not have any affiliation with the individual.

Tom Standring
Tom Standring Sr. Counsel at CVS Health

Tom Standring's professional trajectory is marked by a solid background in health services and legal expertise, exemplifying a distinguished career that aligns with the complex and evolving landscape of wellness and fitness services. With a robust network of 1,299 LinkedIn connections, they have built a reputation for driving innovation and operational excellence within the health sector. Their tenure at CVS Health as a Sr. Counsel in Buffalo Grove, Illinois, since March 2020, underscores a commitment to integrating legal acumen with strategic business initiatives. Here, Tom has been instrumental in the transition of IlliniCare into Aetna, while also focusing on contracting to bolster CVS Caremark’s prescription benefit management.

Before joining CVS Health, Tom cultivated their skill set across several prominent health organizations. Their notable tenure as Divisional Vice President of Medicare at Blue Cross and Blue Shield (from 2018 to 2019) spotlighted their ability to drive growth and financial excellence across multiple states. At Molina Healthcare, Tom served as Vice President of Medicare Administration, wherein their leadership from 2011 to 2018 led to significant growth, improved regulatory confidence, and enhanced Star ratings. Prior to these roles, they offered legal support to Medicaid plans and managed acquisition transactions at Molina Healthcare and gained early legal experience as an associate with law firms specializing in healthcare.

Educationally, Tom boasts a solid foundation with a B.S. in Business Administration from the University of California, Berkeley's Haas School of Business, and a Juris Doctorate with a business concentration from UCLA. This educational background provided a springboard for their expertise in managed care, Medicare, and healthcare law, driving their ability to deliver connected patient care and effective management solutions in the complex health care environment.

More about this expert

Full name
Tom Standring
Location
Buffalo Grove, Illinois, United States
Title
Sr. Counsel
Company
CVS Health
Industry
Wellness and Fitness Services
LinkedIn Connections
1299
Summary
After business roles the better part of nine years, I joined CVS Health's legal team to support the company's transition and integration of IlliniCare into Aetna. My current role focuses on contracting in support of CVS Caremark's valued prescription benefit management clients. Introducing CVS Healthspire, our new brand that brings together our health care delivery, pharmacy and health services solutions, including: CVS Caremark and CVS Specialty; MinuteClinic, Oak Street Health and Signify Health; and Cordavis. CVS Healthspire will enable us to deliver connected patient care, pharmacy benefits and innovative provider support solutions in communities across the country, making expert care simple, more accessible and more affordable. From driving lower prescription drug costs to millions of Americans every day through CVS Caremark, to a fully integrated care delivery ecosystem utilizing digital, community, home-based and traditional channels, were transforming care to drive superior health outcomes and a seamless consumer experience.
Skills
Managed Care Medicare

Education

University of California, Berkeley, Haas School of Business
B.S.
Attended in 1992
Field of study: Business Administration
UCLA
Juris Doctorate
Attended in 2000
Field of study: Business Concentration

Positions

CVS Health
Buffalo Grove, Illinois
Sr. Counsel
Mar 2020 - Present

Health Services segment (Oct. 2022 - present)
Health Care Benefits segment (Mar. 2020 - Sept. 2022)
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Chicago, Illinois
Divisional Vice President, Medicare
Sep 2018 - Aug 2019

As a consultant to government programs, I led development of manual testing processes for quality of clinical decision making and a hospital roster process in support of member care transitions, and helped develop appeals and grievances dashboard reporting in Tableau and processes to test MAPD audit universes. As an employee, I was responsible for growth, P&L, product design and marketing of HCSC's individual senior products in Illinois, Texas, Oklahoma, New Mexico and Montana. Accomplishments include restored bid profitability of MAPD products in the largest markets and improved DSNP market position. The role was eliminated in a reorganization.
Molina Healthcare
Long Beach, California
Vice President, Medicare Administration
Jun 2011 - Aug 2018

General manager responsible for growth and financial performance of duals and senior products in twelve states. I lead and managed teams responsible for product cycle, compliance, appeals and grievances, sales, pharmacy, operational compliance, analytics, reporting and network support. Accomplishments include restored confidence of regulators and the board of directors, improved Star ratings, grew membership at a 26% CAGR (from 2011-2018), and improved financial results from roughly break even in 2011 to 4.8% after-tax profit in 2018.
Molina Healthcare
Sacramento, California
Assistant General Counsel
Jan 2005 - Jun 2011

I provided general legal support to Medicaid plans in Ohio, Texas, and Florida, and led or contributed to Medicaid RFP responses and protests in multiple states. Nationally I supported duals products and was responsible for the Caremark PBM agreement. I was second chair for M&A transaction documents and first chair for M&A regulatory approvals. Accomplishments include closed about a dozen health plan acquisitions in new and existing markets and obtained HMO certificates of authority in what were at the time new markets of Florida, Illinois and Nevada.
Epstein Becker & Green, P.C.
Los Angeles, California
Associate
Jan 2004 - Jun 2005

Full-service law firm focused on health care & life sciences, employment and litigation. 350 attorneys in 19 offices.
Locke Lord LLP
Los Angeles, California
Associate
2001 - 2003

Full-service law firm focused on managed care and insurance law. 640 attorneys in 18 offices. Formerly K&R.