Our Leadership Team

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.

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.

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.

Bob (Robert) Eisendrath Managing Director, ELMCRx Solutions, LLC

Bob (Robert) Eisendrath is the Managing Director of ELMCRx Solutions.

Bob Eisendrath joined ELMCRx as Managing Director in late 2021 from EPIC Brokers where he served as National PBM Practice Leader. Bob is a nationally recognized healthcare executive with strong relationship, sales, analytical, and quantitative skills. While at EPIC, Bob deployed his skills in problem resolution, efficiency improvements, financial modeling, forecasting and strategic planning to help EPIC expand their national pharmacy practice. During his 25 years of experience in the PBM industry, Bob has held numerous senior leadership positions in consulting and at national PBMs including as a Vice President at CVS and Senior Sales director at the Blue Cross Blue Shield Association. While at CVS/Caremark, Bob led a team of more than 20 sales professionals who negotiated contract terms and financial aspects for large coalitions and high-profile national clients. He also developed an industry leading client service model, improving the client satisfaction scores for hundreds of clients. In his role as Sr National Sales director at BCBCA, Bob worked with large national clients in navigating the association’s 95+ networks to meet their healthcare needs. During his tenure, he was the national sales leader for two consecutive years. Bob holds a Bachelor of Science degree from the University of Wisconsin, Madison

Rajesh Thomas PharmD. Director of Clinical Pharmacy

Rajesh Thomas PharmD. Director of Clinical Pharmacy of ELMCRx Solutions

Raj Thomas serves as ELMCRx’s Director of Clinical Pharmacy. In this capacity, he is responsible for the clinical activity within Tesser 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 one of 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. Raj served as a senior member of the PBM's P&T committee where he helped secure PBM and mail order URAC accreditation. 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.

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.

Michael Aschi Director of Strategic Accounts

Michael Aschi is the Director of Strategic Accounts at ELMCRx Solutions

Michael Aschi is the Director of Strategic Accounts at ELMCRx Solutions. He has over 22 years of experience working in the comprehensive benefit and healthcare industry. For over 18 years, Michael held a Senior Account Executive position with Express Scripts, where he worked with a “premier” client with 441K members and a revenue of over $600M. He briefly worked for RxBenefits as a Strategic Account Executive in 2021, before joining ELMCRx. His earlier work included positions at CIGNA Healthcare, Princeton Medical Management Resources, JSA Healthcare Corp., and 49th St. Medical Clinic, all located in Florida. Michael’s known for managing large, diverse, high-profile clients through complex changes and installation initiatives. He offers high-capacity leadership experience in key account growth, customer relations, and industry networking initiatives. Michael has received numerous awards and recognitions for his outstanding performance, and he holds a Master of Business Administration from the University of Sarasota, Florida.