Torrie Fields, MPH

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Founder & CEO

Torrie Fields serves as founder and CEO of Votive Health where, since 2019, she has led the serious illness management services company. As CEO, Torrie supports community home and hospice providers by providing administrative, operational and technological infrastructure so providers can focus on clinical care with little administrative burden. She leverages new and innovative payment models and policy opportunities to increase access to and engagement in serious illness management services, creating value for patient and families, their providers and the overall health care system. 

Prior to Votive Health, Torrie was Director of Palliative Care at Cambia Health Solutions and a consultant for health plans, purchasers, and academic centers evaluating the impact of palliative care on achieving the Institute for Healthcare Improvement’s Triple Aim. She has led development of highly successful palliative care initiatives including benefit design, case management, caregiver support, medical home development and policy and engagement efforts. She has also worked as an actuary and health services researcher in a variety of settings, including health plans, health delivery systems and local and federal health departments. She has extensive experience in health policy development and implementation, translating evidence-based research into legislative concepts and regulatory change. 

Torrie holds a master’s degree in public health in health management and policy from Oregon Health and Sciences University, a certificate in gerontology from Portland Community College, a bachelor’s degree in sociology from Portland State University and a bachelor’s degree in communication theory from the University of California, San Diego.

Jim Sapienza, FACHE

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Chief Operating Officer

Jim brings a career of healthcare operations, finance and marketing skills to the Votive Health Executive Team where he serves as Chief Operating Officer. He is Lean Certified in quality and performance improvement, Board Certified and a Fellow of the American College of Healthcare Executives. Jim has led and presented topics on healthcare strategy, marketing, alignment and collaboration, and the application of evidence-based medicine, quality, and Lean process improvement to improve healthcare delivery and outcomes.


His healthcare career has spanned a variety of health system/hospital/ambulatory care and clinic leadership roles. Jim cites his health system and provider group experiences with radiologists, surgical and medical leaders as key preparation for his work with serious illness and palliative care systems and processes. In addition to his executive roles, Jim has served on numerous business, educational and professional association boards, including serving as President of the WA state healthcare executive's group, and the only non-Radiologist on the RSNA Quality Improvement Committee. 


At the University of Minnesota, Jim received his MHA in health strategy and policy from the School of Public Health, and an MBA from the Carlson School of Management. Additionally, he has his master’s degree in English from Indiana University, and as a Senior Fellow, obtained his bachelor’s degree in English and economics from Dartmouth College.

Csaba Mera

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Executive Medical Director

As Executive Medical Director for Votive Health, Csaba brings twenty-three years experience as a practicing clinician and twenty years as a physician executive. Having worked in both provider and payer capacities, he is uniquely suite to manage all aspects of medical management, cost management and healthcare quality. He is an accomplished, experienced, outcomes-driven healthcare leader with skills built on a foundation of quality, evidence-based medicine, cost efficiency, innovation and performance excellence.


Csaba has built innovative medical management health plan programs with robust returns on investment for commercial, Medicaid and Medicare lines. In addition to significant success as a health plan physician executive, Csaba has been a key consultant to Fortune 500/100 companies, including Time Warner, Dow Chemical, Xerox, AT&T and American Airlines.


Csaba has successfully led a number of healthcare organizations through URAC, JCAHO and NCQA accreditation at the highest levels. As a Malcolm Baldrige National Quality Award Examiner, he has engaged with the nation’s highest quality healthcare organizations, annually recognized by the President of the United Sates and the Secretary of Commerce.


While at Cambia Health Solutions, Csaba built the nation’s first palliative care program that got the attention of Capitol Hill and convinced CMS to address a number of issues around reimbursement for end of life care.

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Tres Cossaboom

Chief Financial Officer

Tres Cossaboom joined Votive Health as CFO in August of 2020, supporting the vision of Votive's technology-enabled services.


Tres comes to Votive Health with ten years of finance experience in the venture-backed and start-up space.  In addition to the years he spent working to build firms from within, he also spent 5 years at Propeller Industries, a leading CFO services company, where he wore many hats.  While with Propeller, he worked on over 100 clients, in 11 major industry verticals, allowing him an impressive breadth of experience.


Tres holds a master's degree in finance from Louisiana State University and a bachelor's degree in finance also from Louisiana State University.

Mark Morse, MBA

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Technology Advisor

Mark Morse is a technology advisor to Votive Health where he provides strategic input on technology platforms, tools and analytics.


In his current role, Mark serves as CEO at Enclara Pharmacia.  Enclara is the nation’s largest hospice PBM providing services to over 450 hospice organizations and their patients across the country.  In his role, Mark is responsible for all aspects of the company’s strategy development and execution, operational performance, sales and P&L.


Prior to his role as CEO, Mark held several roles in the company include leading Pharmacy Service Operations, PBM sales and client services of integrated medical/Rx business, Corporate Sales Director for National & Major Account and product innovation work focused on consumer driven solutions.


Prior to joining Humana in 2001, Mark spent six years with UnitedHealth Group serving as the business owner for its consumer portal and operations director for health plan and systems migration.  

Tom Wortman, FSA, MAAA

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Actuarial and Pricing Advisor

Tom Wortman is a financial advisor to Votive Health, where he provides strategic input for the Company’s financial, actuarial, and data analytics functions. Tom is committed to achieving Votive Health’s vision of vastly improving care for people with serious illness by providing a higher quality experience for members, their families, providers and health plans. 

Tom brings a wealth of health care industry knowledge and leadership to Votive.  Prior to joining the company, he held various Actuarial/Financial leadership roles with Cambia Health Solutions / Regence Blue Cross Blue Shield, the last several years as VP of Government Programs Actuarial.  Tom was a consultant at Milliman USA prior to joining Cambia. Tom holds a Bachelor’s of Science in Mathematics from the University of Idaho, and is a Fellow of the Society of Actuaries (FSA).

Arif Kamal, MD, MBA, MHS

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Clinical Quality Advisor

Arif Kamal MD, MBA, MHS, FACP, FAAHPM, FASCO is an Associate Professor of Medicine, Business Administration, and Population Health Sciences in the Division of Medical Oncology and Section of Palliative Care at Duke University.  As a fellowship-trained palliative medicine physician and medical oncologist, Dr. Kamal studies the link between delivery of high-quality palliative care and improved patient, caregiver, and health system outcomes.  


He has received research funding from the Agency for Healthcare Research and Quality (AHRQ), Gordon and Betty Moore Foundation, National Cancer Institute, and Alliance for Clinical Trials in Oncology.  He has published over 165 peer-reviewed manuscripts on palliative care, oncology, and healthcare quality in JAMA, Annals of Internal Medicine, Journal of Clinical Oncology, Lancet Oncology, and others.    


Dr. Kamal serves in several national capacities in the areas of healthcare quality and palliative care.  He serves on the American Academy of Hospice and Palliative Medicine (AAHPM) Board of Directors, National Quality Forum (NQF) Geriatrics and Palliative Care Standing Committee and American Board of Internal Medicine (ABIM) Hospice and Palliative Medicine Test Writing Committee.  He was named a national “40 under 40” in palliative care, and honored as an Academy Visionary by AAHPM.  


Dr. Kamal completed Internal Medicine residency and Hospice and Palliative Medicine fellowship at the Mayo Clinic – Rochester, MN and Hematology/Oncology fellowship at Duke University.  He holds a Masters in Health Sciences in Clinical Research (MHS) from the Duke Clinical Research Training Program and a Masters in Business Administration (MBA) from the University of Massachusetts – Amherst.  

Robin Shah, MBA

Product Advisor