Management Team

Mr. Ciaramicoli joined Tri-County Medical Associates in 2001. He served as chairman of the board of Tri-County Medical and as a trustee of Milford Regional Medical Center before taking the helm at TCMA. In his role, Phil is responsible for the operations and financial stability of the company. He serves as the link between Tri-County Medical Associates and Milford Regional Medical Center. He is also the liaison between Tri-County Medical Associates and Partners Community Healthcare, Inc., (PCHI). He spends much of his time on physician recruitment and retention.

Phil received his Bachelor of Science in economics from the College of the Holy Cross, his MBA from the University of Massachusetts, and a Master of Science degree in taxation from Bentley College. His professional career began at Deloitte & Touche, where he worked in both the audit and tax departments over a ten-year period. Prior to joining Tri-County Medical, Phil was a tax partner and Director of Tax Operations with Carlin, Charron & Rosen LLP, a regional public accounting firm. Over his career, he has worked with many clients in the health care industry.

Phil is a Certified Public Accountant and is a member of the American Institute of Certified Public Accounts and the Massachusetts Society of Certified Public Accounts. He is also a member of the Medical Group Management Association.

Nancy has been a member of the Milford Regional Healthcare System since 1987. During that time, she held several essential positions in the Hospital’s Human Resource Department including: Human Resources Assistant, Employment Manager, and Senior Human Resources Manager. Nancy participated in the growth of Tri-County Medical Associates from its infancy in 1992 where she supported the Benefits, Employee Relations, and Compensation functions. It was a natural progression for Nancy to join Tri-County Medical Associates in 2002 as the Director of Human Resources, where she developed the existing department.

In 2007, Nancy was promoted to Chief Operating Officer. Nancy has overall responsibility for Operations, Physician Billing Services, Human Resources, Purchasing, Marketing, and Information Systems. Nancy also serves as the Associate Director for our PCHI Regional Service Organization. In this role, she is responsible for implementing systems and monitoring processes related to our PCHI Program Standards, Core Functions, and overall targets.

Betsy joined Tri-County Medical Associates in January, 2008. She manages the Coding Department, Claims Department, Cash Office, and Credentialing. She is responsible for researching current regulations and trends in the medical industry, continually monitoring charges and reimbursement to ensure optimum payment for all claims, educating staff and physicians in the areas of electronic practice management usage, coding, billing, reimbursement, and effectively implementing and maintaining our electronic practice management systems.

Betsy has over 25 years of experience in the medical billing and coding industry. Before joining TCMA, she was employed by Brigham and Women’s Physician Organization, Brookline, MA in various capacities including Coding & Compliance Manager, Revenue & Operations Manager, and Coding Specialist. She was also the President and Owner of a Medical Billing & Collections Agency for five years, and she spent ten years at UMass Medical Center in several positions in Billing and Financial Services.

Martha was hired as the Billing Manager for Tri-County Medical in 2000 and she also served as our Operations Manager for three years. Currently, Martha is responsible for our regulatory requirements including HIPAA, OSHA, and risk management. She has been instrumental in the design and implementation of our Electronic Medical Record system which we converted to in 2007. She continues to work with the various interfaces, specialty specific enhancements and product upgrades as they become available.

Before joining Tri-County, Martha worked for Hawthorn Medical Associates, a group similar to TCMA, as the Billing Manager. She also brings with her experience as an Office Manager in both primary and specialty care, and worked in both provider relations and claims at Blue Shield and Tufts.

Carman has been the Controller for Tri-County Medical Associates since 2001. She manages the Finance Department which includes a Staff Accountant, Payroll and Accounts Payable Coordinator and a Finance Assistant. The Finance department prepares the annual operating and capital budgets, as well as monthly financial statements for the organization, for each site and each physician. The Finance department is also responsible for the payroll and accounts payable functions for the organization.

Carman has a Bachelor of Science degree in Accounting from Boston College. Prior to joining Tri-County Medical, Carman worked in the healthcare finance environment for eighteen years at MetroWest Medical Center and St. Elizabeth’s Hospital.

Bob was hired as our Director of IT in 2001. He is responsible for developing policies and procedures for the IT Department, working on contingency plans, and creating reports for the administrative staff. He spends much of his time looking at ways for the company to increase our efficiency, become more automated, protected and educated in relation to our systems. Bob manages our IT Supervisor, a Senior Support Technician, two Technical Specialists, and the Information Systems Assistant. Bob also works with Milford Regional’s IT Department to coordinate common goals.

Before officially joining TCMA, Bob worked for Milford Regional’s IT Department for thirteen years. Bob advanced within the department and became responsible for maintaining the hospital network. In 1992, when Tri-County Medical was created, Bob began handling much of the data communication needs for TCMA.

Gloria was promoted to Practice Manager at Tri-County Medical Associates in 2004. In this role, she is responsible for the operations of twelve physician practice sites. Working with the Office Managers, she assesses staffing needs and works on staff development, manages work flow to enhance office operations, and monitors the financial status at each site.

Gloria has over 24 years experience in the healthcare industry. She has worked for many years as an Office Manager with Tri-County Medical, and she was also a Site Manager for Partners Community HealthCare in Natick, MA.

Cathy joined Tri-County Medical Associates in January, 2008. In her role as Practice Manager, she is responsible for the day-to-day operations of ten of our practice sites. Working with the Office Managers, she assesses staffing needs and works on staff development, manages work flow to enhance office operations, and monitors the financial status at each site.

Cathy brings with her over 24 years experience in the health care industry. Prior to joining Tri-County Medical, Cathy was the Manager of the Bulfinch Physician Medical Group at Massachusetts General Hospital for twelve years. She also worked for ten years as the Manager of Employee Health Services for Massachusetts Eye and Ear Infirmary.

In 2006, Zofia joined Tri-County Medical Associates in the newly created position of Training Manager. She is responsible for all aspects of training and staff development at TCMA. For new employees training focuses on learning our Electronic Medical Record system and all office based applications, and for all staff, training is provided for application upgrades. As part of the Compliance Committee, she ensures annual training requirements for safety and compliance are completed. She and her staff develop and maintain training materials, and Zofia writes a monthly newsletter for both our internal float staff and our providers. She is the TCMA representative to PCHI for NoAH.

Zofia has over 25 years experience in the healthcare field. She graduated from Boston College with a Masters Degree in Social Work and Bryant University with a Masters Degree in Business Administration. She worked as the Director of Clinical Social Work for Landmark Medical Center for thirteen years and she was appointed their first Corporate Compliance Officer. In 2002, Zofia launched an independent consulting business, ZB Management Consulting, specializing in organization and operation analyses to assist organizations attain national accreditation.