Your Expert Medical Cost Reduction Partner
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                                                                                                  Our Team

Medical Cost Advocate has an accomplished management and specialist team to serve all your health care financial needs


Derek J. Fitteron – Founder and Chief Executive Officer

As founder and CEO of Medical Cost Advocate, Derek is responsible for strategic direction, general management and quality delivery of MCA services. Prior to founding MCA, Derek was a senior manager in Arthur Andersen’s Strategic Services Consulting Practice and the Chief Operating Officer of Best Manufacturing Group, a global health care and hospitality garment manufacturer/distributor. He is also the founder of Eventerra Health, a health care focused business consulting firm. Derek is an operating advisor to two private equity firms-- Long Road Asset Management and Main Street Resources. He holds an MBA with honors from Columbia Business School, a BS from Lehigh University and is a CPA.

Douglas R. Swankie – Vice President, Sales and New Business Development

Doug is responsible for leading Medical Cost Advocate’s strategic sales efforts, providing a wide range of medical cost reduction solutions to corporations and their employees and developing new business through strategic partnerships. Doug joined MCA following 15 years of progressive sales experience. Through his selling efforts, the company has realized substantial growth in the financial services, insurance and employee benefits consulting sectors. He has held senior sales positions for companies such as Ceridian Human Resource Solutions, Bank of America, Fleet Insurance Services and Compaq Services.

Annemarie Brana-Todd, Esq. – Vice President, Negotiation Operations

Annemarie has been negotiating health care cost for more than 17 years and has been lead negotiator for Medical Cost Advocate since the company’s inception. She is responsible for enhancing the firm’s data driven, professional, negotiation process. Annemarie manages and trains our negotiation team and continues to negotiate complex bills herself. She graduated magna cum laude with a BA in English from Fairfield University and received her JD from Fordham University School of Law. Prior to joining the company, Annemarie practiced law at Breslin & Trovini, and the Law Office of Rosemarie Arnold, with a concentration in insurance defense and personal injury.

Pamela R. Divino – Vice President, Administration

Pam manages Medical Cost Advocate’s accounting, human resources and general administrative functions. Prior to this role, Pam served as a Vice President and Senior Credit Officer for Deutsche Bank and Bankers Trust Company where she was responsible for ongoing credit analysis, business due diligence, loan origination and risk management for the bank's leveraged finance and lending platforms. Pam holds a BS degree in business finance from Villanova University.

Negotiation Specilalists & Advocates

Medical Cost Advocate negotiation specialist and health advocate professionals are attorneys and industry experts with at least 10 years experience in health care billing, negotiations and administration. MCA professionals brings to bare years of experience, win/win negotiation techniques, proprietary data and continuous training to ensure the best level of service for our clients.

Investors & Advisors

MCA’s Investor and Advisory Team consists of leaders in the Consumer Directed Health Care, Medical Practice, Private Equity, Consulting, Direct Marketing, Insurance and Finance fields. MCA’s Advisory team is active in supporting the business and in seeding new service opportunities that increase the efficiency with which healthcare is transacted.