About ELMCRx Solutions

We're a team of innovators protecting groups financially and clinically through our growing portfolio of PBM point solutions.

Two colleagues, a man and a woman, looking at a laptop screen in an office.

“Americans pay higher prices for prescription drugs than any other country in the world, with prescription drug prices in the U.S. more than 2.5 times as high as those in other similar high-income nations. Prescription drug price increases create affordability challenges for patients.”

U.S. Department of Health and Human Services

Who We Are

Founded in 2023, ELMCRx Solutions owns, manages, and acquires
cutting-edge pharmacy benefit point solutions that specialize in clinical
review and prescription cost containment for self-funded health plans.

ELMCRx is a growing portfolio of PBM services built around a central mission
of minimizing rapidly escalating prescription prices and maximizing
pharmacy benefits value. Through our suite of services, we deliver proven
technological and clinical healthcare expertise.

Our decades of analytical, pharmaceutical, and healthcare industry
experience translate into significant cost-savings for plan sponsors and
members while TPAs and brokers gain enhanced services and increased
transparency.

Our Leadership Team

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Richard Fleder

Principal Owner, Co-Founder, & CEO

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Richard Fleder is an active leader in the health insurance industry with almost 50 years of experience and a passion for innovating cost-containment solutions. Richard has recently purchased and is growing his latest project, ELMCRx Solutions, a consolidator of Rx service point solutions.

Richard began his career in 1975 at Tanenbaum-Harber, a New York City based insurance broker. Richard’s journey as a healthcare leader began in 1978 with the creation of Comprehensive Benefit Service Company, which would grow to be the largest TPA in the Northeast before its sale to EBP Healthplans. Then, in 1995, Richard developed Thesco Benefits, one of the largest independent benefit broker/consulting firms in the country. With an investment from Olympus Partners, he merged Thesco into the T&H Group and successfully exited this business after a 2010 sale to Blackstone. Most recently, Richard created, operated and in 2023 sold ELMC Risk Solutions which had consolidated stop-loss and HMO reinsurance MGUs.

Richard graduated from Franklin & Marshall College in 1976. Shortly thereafter, he received the CLU designation from the American College. Richard has been a member of the Board of Directors of Oxford Health Plans New York HMO as well as Unimerica Insurance Company of New York, a subsidiary of UnitedHealth Group. He has been a member of the National Advisory Councils of Aetna, CIGNA, HealthNet and UnitedHealthcare. Richard is experienced in working with Private Equity and serves on the Board of Directors of S&S Healthcare (a portfolio company of Lovell Minnick Partners) and The Difference Card (a portfolio company of Northlane Capital).

Outside of work, Richard enjoys playing golf, keeping up with his favorite New York sports teams, and spending time with his grandchildren.

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Mary Ann Carlisle

CRO, COO, & Co-Founder

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Mary Ann joined ELMC in 2015 as Executive Vice President focused on Marketing and Operations. She has extensive experience as a senior operation, relationship management, and strategy professional responsible for driving opportunity in a variety of industries. Mary Ann began her insurance career in the legal compliance department of Comprehensive Benefits, where she met Richard Fleder. She also joined him at Thesco/T&H Group where she remained for 12 years, becoming leader of the Benefits practice. Mary Ann worked in financial services for several years before moving into the non-profit sector as Executive Director of BLOCS, a Philadelphia area scholarship organization. From there she was recruited to build the corporate sales channel at a large local communications company. Mary Ann has led the prescription drug companies at ELMC since 2018. She has built out the specialty drug programs and overseen the growth in these programs. Mary Ann also managed the rebuild of the Tesser platform. She received a Bachelor of Arts degree in history and sociology from Mount Holyoke College.

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Amy Gasbarro

President

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Amy Gasbarro serves as the President of ELMCRx Solutions, a leading provider of pharmacy benefit management and prescription drug services. With a distinguished career in healthcare management, Amy brings a wealth of experience in operational excellence, client relations, and strategic development to her role. Appointed to spearhead ELMCRx’s next phase of growth, she works closely with co-founders Richard Fleder and Mary Ann Carlisle to enhance the company’s service offerings through innovative solutions and strategic partnerships.

Prior to her current role, Amy held various executive positions where she was instrumental in driving organizational growth and fostering innovation within the healthcare sector. Her visionary leadership at ELMCRx is focused on pushing the boundaries of traditional pharmacy benefit management, improving access to and the value of prescription drug point solutions for employers, brokers, and TPAs.

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Riyaad Seecharan

CTO

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Riyaad Seecharan serves as ELMCRx’s Chief Technical Officer. He leads the strategy for technology platforms, partnerships, and external relationships. A veteran serial entrepreneur, he has served on the management teams of numerous startups and been involved in multiple “exits.” He is an expert at designing, creating, and building software, having developed products for NASA Kennedy Space Center. One of Riyaad’s core interests is in using behavioral science to lower pharmacy costs for self-insured employers. At ELMCRx he drives a vision of delivering innovative patient-centered health care experiences through technology. In addition to creating health care products, Riyaad worked at the Developmental Cognitive Neuroscience Laboratory at Florida International University and various South Florida Hospitals and has been a speaker at the South Florida Business Journal Healthcare Series, Ignite Miami, Web Congress, Health 2.0 Miami, AARP Innovation 50, Employee Healthcare & Benefits Congress, and the Global Wellness Institute Round Table. In addition to Riyaad’s roles at Tesser Health, he currently serves on the corporate advisory board for Zagada. Previously, he was on the corporate board for Apptimum, prior to its acquisition by Microsoft. He has consulted with Fortune 500 companies such as Wal-Mart, American Express and TradeStation and organizations such as Dell, IBM, and Intel. Riyaad studied computer science at Florida International University.

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Raj Thomas

Director of Clinical Pharmacy

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Raj Thomas serves as ELMCRx’s Director of Clinical Pharmacy. In this capacity, he is responsible for the clinical activity within ELMCRx’s specialty and non-specialty programs, including all prior authorization reviews, non-specialty cost containment, and clinical consulting activity. Raj brings more than twenty years of clinical and pharmacy leadership experience to his role at ELMCRx, including more than a dozen years of experience in pharmacy management in managed care, long-term care, and retail pharmacy settings, and senior clinical responsibility at the largest national hospice PBM. Raj’s clinical experience is complemented by pharmacy operations experience. He oversaw home delivery and clinical support operations for a large national PBM, including mail-order, specialty, hospice, and manufacturer programs. He has extensive experience in contract reviews and the creation and implementation of clinical programs. Raj obtained a Masters in Science at the University of Florida, Gainesville, and a doctorate in pharmacy at Midwestern University in Arizona.

The ELMCRx Family of Brands

On our mission to create an ecosystem of cost containment solutions that enables employers to get the most out of their Rx dollars, we've acquired several leading players in the industry.

Tesser Health Logo

Our Partners

Our platform provides access to a wide variety of cost-containment and pharmacy benefit management solutions providers.

Tell Us About You!

We’re always looking to bring in the best people. Even if you don’t see a position that fits your specific skillset, we invite you to send us your resume and share your background with us.

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