Our Leadership Team

John Adler President

John Adler is the President of ELMCRx Solutions

John is President of ELMCRx Solutions. He is a nationally recognized PBM contract expert who has reviewed, analyzed, and negotiated PBM contracts for plans ranging from 1,000 members to more than 1.2 million members. John joined the ELMC family of partner companies in 2016, when Adler Rx Consulting became an ELMC member company. John is known for his work with health care purchasing coalitions, including several of the larger Mid-Atlantic purchasing coalitions. In his role as a PBM consultant, John has led the evaluations of RFPs for active employees, Med D, Medicaid, and Workers’ Compensation PBMs for self-funded plan sponsors, labor coalitions, individual Taft Hartley Funds and private employer plans. John has been a featured speaker at many of the industry’s top benefits conferences.

Mary Ann Carlisle Chief Executive Officer

Mary Ann Carlisle is the Chief Operating Officer of ELMCRx Solutions.

Mary Ann joined ELMC in 2015 as Executive Vice President focused on Marketing and Operations. She has extensive experience as a senior operations, 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 a Philadelphia area MGU, where she met Richard Fleder. She 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 is working to launch ELMC’s prescription drug benefit products. Mary Ann also serves as the Chief Executive Office of RxReins, LLC. She received a Bachelor of Arts degree in history and sociology from Mount Holyoke College.

Michael Collins Senior Vice President

Michael Collins is the Senior Vice President of ELMCRx Solutions.

Michael Collins is Senior Vice President at ELMCRx Solutions. He has thirty years of experience in the healthcare benefits industry, the last fourteen of which have been in pharmacy benefits management. Michael has held senior positions at both Express Scripts and CVS/Caremark. He joined Adler Rx Consulting, now ELMCRx Solutions, as Lead Financial Analyst in 2010. Michael brings strong, detailed knowledge of PBM contracting, claims payment and rebate strategies to the company. Michael helps lead ELMCRx Solutions’ practice by providing full service to clients, including PBM implementation, pharmacy benefit program vendor analysis, on-going management program analysis, and strategic guidance. He is a graduate of the University of North Texas.

Vaughan M. Reale Sr. Vice President

Vaughan M. Reale Senior Vice President of Sales at ELMCRx Solutions

Vaughan M. Reale has more than thirty years of experience in the healthcare benefits industry. As a regional VP for Oxford Health Plans, Vaughan helped pioneer the growth of managed care in the early 1990s. He has led employee benefits brokerage and consulting practices for more than 15 years and is an authority on self-funding, risk management solutions, vendor negotiations, plan implementation and employee communications. Vaughan is a graduate of the Wharton School of Business and a frequent public speaker with many published articles. He served for four years as Mayor and Commissioner of Revenue and Finance for Margate City, New Jersey. Vaughan has holds both the CEBS and CLU designations.

Sunny Kelkar Director of Strategic Initiatives

Sunny Kelkar Director of Strategic Initiatives of ELMCRx Solutions

Sunny Kelkar has over thirteen years of experience working in the PBM industry. Beginning his career with Operational roles, Sunny first gained four years of experience in PBM operations. These Operational roles were all client facing, which then allowed Sunny to move to Client Services roles for the remaining 8+ years of his career. Sunny brings a wealth of knowledge and skills from working for a small PBM, a mid-level PBM, and one of the largest PBMs in the US to help ELMCRx Solutions support clients. Sunny’s experience in Strategic Account Management and Operations brings support in implementation, long term client goal management, and overall satisfaction of ELMCRx Solution’s clients.

Richard Fleder President ELMC Risk Solutions

Richard Fleder is the President ELMC Risk Solutions.

Which he co-founded in 2013. ELMC is the latest venture in a series of successful insurance related entities he has created including Comprehensive Benefits (CBSC), in 1978, and Thesco Benefits, LLC, in 1995. Since 2013 Richard has built ELMC through the acquisition of best-in-class MGUs with funding partnership from the international investment firm J.C. Flowers & Co.

Richard is a graduate of Franklin & Marshall College. He is a member of the Board of Directors of Unimerica Insurance Company of New York (Executive Committee member). Richard is a past member of the HMO Board of Directors of Oxford Health Plans and the National Advisory Councils of Aetna, CIGNA, HealthNet, and UnitedHealthcare. He is a former member of the Legislative Council of NAHU and the founder of the Empire State Healthcare Coalition.

Crystal Williams President, RxReins

Crystal Williams is the President of RxReins, LLC.

Crystal is a thought leader in stop loss insurance for self-insured prescription drug plans. Crystal leads RxReins, a stop loss Managing General Underwriter (MGU) for prescription drug plans founded in 2009. Crystal and her expert team consult on cost containment strategies and underwrite risk for employers and coalition prescription benefit programs.