Our Team

Our Commitment to You

  • We understand that healthcare services are based on trust.
  • We are a privately owned company run by healthcare experts who desire to make a difference by advocating for fair and reasonable costs on behalf of our clients.
  • We will persistently reduce costs to save you money.
  • We will treat your healthcare relationships as if they were our own.
  • We will keep your medical and financial information confidential.
  • We will navigate the cost and complexity of healthcare so you can focus on the health of your family or business.
  • Our focus is on you—to help you realize more value from healthcare.

Derek Fitteron

Chief Executive Officer and Founder

As founder and CEO of Medical Cost Advocate, Derek is responsible for strategy, general management, service development, and quality delivery of MCA’s services. Prior to founding MCA, Derek was an operating advisor for two private equity firms: Chief Operating Officer of Best Manufacturing Group, a global healthcare and hospitality garment manufacturer, and Senior Manager in Arthur Andersen’s Strategic Services Consulting Practice. He is also a co-founder and board member of TruckTractorTrailer.com and Eventerra Health. Derek holds an MBA with honors from Columbia Business School, a BS from Lehigh University, and is a Certified Public Accountant.

Annemarie Brana-Todd, Esq.

VP, Claim Management and Legal Services

Annemarie has been negotiating healthcare cost for more than 25 years and has been the lead negotiator for Medical Cost Advocate since our inception. She is responsible for overseeing the firm’s data-driven, professional negotiation processes and continues to negotiate complex claims herself. She graduated magna cum laude from Fairfield University and received her JD from Fordham University School of Law. Prior to joining MCA, she worked at Simpson, Thacher & Bartlett in the New York health practice. She also practiced law in New Jersey, at Breslin & Trovini and the Law Office of Rosemarie Arnold, with a concentration in insurance defense and personal injury.

Pam Divino

VP, Accounting and 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 finance from Villanova University.

Bill Darron

Technology Management

Nancy Howard


Sarah Carrano

Senior Advocate,
Insurance and Billing

Kelly Aranda

Senior Advocate,
Insurance and Billing

Erina Murcia

Senior Advocate,
Insurance and Billing

Michelle Tierney

Senior Advocate,
Insurance and Billing

Kathleen Yenco

Senior Advocate,
Insurance and Billing

Matthew Shumway

Senior Advocate,
Negotiation and Bill Assist

Our Advocate Staff

Our Senior Advocate Team is supported by a staff of subject matter experts, licensed health benefits professionals, and billing, coding, and claims payment specialists. Their goal is to help clients reduce costs and navigate the most difficult and complex issues related to healthcare.

Our Investors & Advisors

MCA’s Investor and Advisory Team consist of leaders in the Insurance, Consumer Health Care, Private Equity, Management Consulting, and Direct Marketing fields.

Our Team Is Expanding - Careers at Medical Cost Advocate

Are you interested in becoming a part of a dynamic and growing team of healthcare advocates? If you have at least 15 years of experience in health insurance, employee benefits, medical billing, and account management, please feel free to send us your resume and a brief introduction. Please send to Inquiry@medicalcostadvocate.com.