Meet Our Leadership Team

Jackson’s career has focused on health care transformation through integrated care delivery and financing. He’s held leadership roles in health plans, physician groups, clinical service lines, and strategy. As CEO of Health Plan Products, he oversees Sutter Health Plus, a commercial HMO; SutterSelect, Sutter Health’s self-insured plan for employees; and the Sutter Health | Aetna joint venture.

Jackson spent nearly 30 years with Washington-based Providence St. Joseph Health, the nation’s third largest not-for-profit health system that includes a successful health plan covering more than a half-million members. After leadership roles in Providence Health Plan, Jackson moved into medical group management. He served as Chief Operating Officer of Providence Medical Group and was promoted to Vice President of Physician Services at the system’s corporate office. Jackson concluded his tenure at Providence as the Chief Integration and Transformation Officer for Providence’s California region. Jackson served as President and CEO of Oregon’s Health CO-OP, a nonprofit, consumer-oriented and operated health plan, before joining the Sutter team. Jackson earned a bachelor’s degree from Portland State University and a master’s degree from the University of Texas at Austin.

Rob Carnaroli serves as vice president of Sales for Sutter Health Plus. Prior to joining the health plan in November 2014, Carnaroli served as Health Net’s Northern California director of sales and Health Net’s Western Region director of major accounts for Arizona, California, Oregon and Washington. As the primary lead for Health Net of California, he managed and coordinated the CalPERS bid, and also built and expanded the company’s participation in private insurance exchanges.

Since his start at Health Net in 1993, Carnaroli served in a number of positions including business manager, team leader, account executive, project manager and market analyst. His work with a wide-range of employers includes Fortune 500 companies, school districts, municipalities, retirees and union groups. He also has extensive experience with building, negotiation and integrating private health care exchanges.

Brian Fellner has more than 25 years of leadership experience within the financial services, insurance and health care industries. He brings a wide range of knowledge about actuarial pricing and product, underwriting, financial and strategic planning, regulatory and managerial reporting, treasury, investments, health economics, internal controls and risk management.

Prior to joining Sutter Health Plus, Fellner was the chief financial officer at Blue Cross of Idaho, where he developed pricing, product and market strategy. He formerly held the offices of executive vice president and chief financial officer at Blue Cross Blue Shield of North Dakota; senior vice president and chief financial officer at American Enterprise Group in Des Moines, Iowa; and vice president at Great-West Financial (Great-West Healthcare) in Denver, Colorado. Fellner is a certified public accountant and holds a Bachelor of Science degree from the University of Colorado and a Master of Science degree in accounting.

An attorney with over 20 years of legal and legislative experience, Lachance has built her career on providing advice and counsel to health care organizations. As assistant general counsel for Sutter Health, she is responsible for the legal and regulatory affairs of Sutter Health Plus.

Prior to joining Sutter Health, Lachance served as associate general counsel for a large California health plan, vice president of legal and regulatory affairs for the California Association of Health Plans, and as counsel to multiple health care organizations while working in several area law firms. Before becoming an attorney, she served as a lobbyist, representing medical groups and other various clients. A graduate of the University of California, Davis, Lachance earned her Juris Doctor degree from the University of the Pacific, McGeorge School of Law.

With more than 25 years of experience in the health care industry, Monica Majors has built a career in managed care, operations, sales, marketing, business development and benefit administration. Her area of expertise includes individual family and employer group sales; brand management; consumer, broker and employer marketing; digital marketing; and internal and external communications.

A licensed insurance broker, Majors’ broad experience includes working for large insurance organizations and start-up ventures in local, regional and national markets. In 2013, Majors joined the health plan and was instrumental in laying much of the foundation to create Sutter Health’s provider-sponsored health plan—including choosing a name and introducing the brand in Northern California. Prior to joining Sutter Health Plus, she served for five years as Sutter Health’s director of Employer Products and Sales, partnering with brokers and employers across Northern California.

Dr. Nuovo is an experienced senior medical director with a passion for and focus on quality improvement, compassionate and cost-effective practice of medicine. She has broad and detailed experience implementing change and process improvement at private practices, medical groups, hospitals and health plans.

For 20 years, she’s served in medical director roles responsible for developing and implementing programs to improve member choice and engagement, provider incentive programs, case management and disease management programs to proactively identify high risk members for support. A graduate of Barnard College, Columbia University and the University of Vermont College of Medicine, Dr. Nuovo is an internist and endocrinologist with 20 years of experience in private and group practice.

For more than 17 years, Poole has served in a number of health plan leadership roles and gained a considerable amount of experience in operations, customer relations and compliance. Over the years, he’s focused his skills on regulatory affairs, policy analysis, plan products, process improvement and change management.

In prior roles, Poole was responsible for ensuring health plan compliance with federal and state regulatory requirements, and overseeing statewide compliance programs. He was also responsible for the complex task of ensuring compliance with the many requirements ushered in after the passing of the Patient Protection and Affordable Care Act.

Jennifer (Jenn) Schirmer has more than 15 years of experience in the California managed care arena. Her areas of expertise include contracting, enrollment, claims and encounters, information technology, data management, customer service, premium billing, and reporting and analytics.

Prior to joining the Sutter Health Plus team, she held positions as the director of provider network management, regional network manager and contract negotiator at a multistate health plan. Schirmer has extensive experience with and knowledge of multiple health plan products, including commercial HMO/PPO, Medicare Advantage and Medi-Cal. Her business savvy, passion and knowledge are instrumental in Sutter Health Plus’ activities to establish versatile processes and platforms to serve members, employers and providers, and meet the health plan’s not-for-profit mission.