Our leadership team is dedicated to the highest standards of quality for our customers. Together, they represent over 25 years of continuous service in healthcare claims administration, operations management and government contracting.
President & Chief Operating Officer
Mike Skarupa began his career in the healthcare industry over 39 years ago as a management intern for the Government Programs division of BlueCross BlueShield of South Carolina (BCBSSC), and has held numerous leadership positions with progressively greater responsibility. He has over 30 years’ experience in guiding PGBA in the CHAMPUS/TRICARE claims and service center operations to include oversight of numerous large regional/Managed Care Support contracts.
Over the years, Mike has successfully assisted the Department of Defense (DoD) and other government agencies with complex initiatives, including the introduction of paperless claims processing; the implementation of new systems integration interfaces (such as DEERS, HCSR and TED); the implementation of new alternate pricing methodologies (such as DRG and CMAC); and the directing of several managed care demonstrations.
Mike is currently responsible for the oversight of PGBA, which encompasses all claims processing and service center operations for the TRICARE T2017 West Region Managed Care Support contract, and numerous other programs. These include the VA Choice Program contract with the Department of Veterans Affairs, the Federal Bureau of Prisons contract with the Department of Justice, the North Carolina Department of Public Safety contract, the South Carolina Department of Health and Environmental Control contract, as well as all of the PGBA support operations.
Mike is a proud alumnus of the University of South Carolina, where he graduated with a Bachelor of Science in business administration.
Vice President, Operations
Kay Andrews has over 30 years’ experience in TRICARE operations. She is responsible for performance and compliance with government and contractual requirements for the TRICARE T3 South Region, TRICARE T2017 West Region and SC DHEC contracts. Kay maintains and enhances business relationships with existing business partners, develops and manages the annual budget, maintains and enhances company profitability, ensures all contractual obligations are met on contracts and subcontracts, and plays a key role in TRICARE procurement efforts and new business development initiatives.
Kay was responsible for the implementation and administration of the TRICARE 2/5 Regional contract, the South Region contract under TNEX, the South Region contract under T-3, and most recently, the West Region contract under T2017. She has played an integral role in PGBA’s procurement efforts.
Since 1985, Kay has held various management positions at PGBA. In 1994, as assistant vice president, she was responsible for service operations for the CHAMPUS Mid-Atlantic and Northern Six-State contracts, as well as claims and customer service for Tidewater and Fort Bragg Behavioral Health subcontracts.
Starting in 1997, as vice president, she provided executive oversight for administrative areas supporting TRICARE lines of business, including systems testing, quality assurance, reporting and medical affairs. In addition, she coordinated PGBA strategic planning initiatives.
Kay’s role expanded in 2001 to include acquisition and management of PGBA’s Medicare Advantage line of business. She led PGBA’s initial entry into the Medicare Advantage market in 2002 with implementation of an administrative services contract for Humana Gold Choice. She directed further expansion in 2007 with implementation of two additional contracts for Medicare Advantage administrative services, including the BlueCross BlueShield of Michigan contract.
In her current role, Kay provides executive-level oversight for claims processing, customer service, provider data management, technical support, reporting, and medical affairs operations while ensuring adherence to government programs and corporate compliance programs.
As an active member in the Florence, South Carolina community, Kay serves as a board member for the Pee Dee Chapter of the United Way.
Vice President & Chief Financial Officer
Mike Gurrera began his career in the health care industry over 35 years ago as a staff accountant with BlueCross BlueShield. At PGBA, Mike has held numerous positions – progressively gaining greater responsibility – within the company’s fiscal service division, including accounts payable, corporate cost and the budget department.
In 1999, Mike was promoted to assistant vice president, cost and budget. In that position, he was responsible for directing the plan’s cost and budget department – providing complex product profitability reporting, budgeting and financial analysis, government accounting contract compliance, development of business proposals for government contract acquisitions, and preparation of government program division financial statements.
In 2006, Mike was promoted to his current position of vice president and chief financial officer of PGBA, a wholly owned subsidiary of BlueCross BlueShield of South Carolina. In this role, he is responsible for all financial and accounting operations for PGBA, including financial reporting, and implementing and monitoring internal controls relating to expenditure, recoupment and other financial activities associated with the fiscal administration of the health care benefit costs for each contract held by PGBA.
Mike received his Bachelor of Science in accounting from West Liberty State College and continued his education with a Master of Science in business administration from the University of South Carolina. He also obtained his Certified Management Accountant and Certified Public Accountant licenses with designations.
Vice President, Operations
Jeff Littlefield began his career in 1981 with Blue Cross of Washington and Alaska in Seattle, where he held several management operational and contract positions in the administration of CHAMPUS, the Department of Defense’s military health care program. In 1989, he moved to work for the BlueCross BlueShield of South Carolina subsidiary, PGBA, to develop its new customer service call and inquiry center in Florence, South Carolina.
Jeff helped PGBA transition claims processing and customer service into the first TRICARE MCS contract and opened the PGBA offices in Surfside Beach, South Carolina in 1993. In his role as vice president of operations he pioneered a new team-based organizational model, designed to specifically meet the challenges of the military’s new managed care program. These changes improved operational efficiency and customer service.
In 1999, Jeff led PGBA’s development of myTRICARE.com®, the first claim-status and self-service Internet website for TRICARE beneficiaries and providers. Following the success of MyTRICARE.com®, in 2001 PGBA launched, under Jeff’s leadership, the first Internet-based claims processing system for TRICARE: XPressClaim®.
Today, Jeff is vice president for TRICARE T2017 West Region Operations and serves as executive sponsor for myTRICARE.com web development.
Jeff earned a Bachelor of Business Administration degree from City University and a Bachelor of Science in zoology from Weber State University. For many years, Jeff has enjoyed and contributed as an active member of his community by serving as board member for Horry county charities including United Way and March of Dimes.
Vice President, Administrative & Strategic Services
Mark MacDougal serves as vice president of administrative and strategic services at PGBA. In this capacity, Mark leads a business development team dedicated to identifying and pursuing new opportunities in the public sector at the federal, state and local levels.
Since joining PGBA in 1984, Mark has held positions in operations and customer service with increasing roles of responsibility. He has decades of experience in federal healthcare contracts, having worked on hundreds of contract proposals and dozens of contract transitions. As a result, he brings an extensive base of understanding of all components of claims processing and operational customer support.
Mark is a 1985 graduate of the University of South Carolina, where he earned his Bachelor of Science degree.
Vice President, Operations
With a nearly 30-year tenure at PGBA, Jamie Watson is responsible for performance and compliance with government and contractual requirements for TRICARE West Region, the Federal Bureau of Prisons and North Carolina Department of Public Safety contracts.
Since 1992, Jamie has held various management positions at PGBA. In 2006, she was appointed to assistant vice president with responsibility for overseeing PGBA’s Medicare Advantage operation, including both claims processing and customer service for the Humana Gold Choice Medicare Advantage Program. She subsequently assumed responsibility for the Deseret Mutual Benefits Administrators and BlueCross BlueShield of Michigan Medicare Advantage operations. Starting in 2012, as vice president, she provided executive oversight for the successful implementation and ongoing operation of the TRICARE West Region contract.
Jamie is currently vice president for the TRICARE West Region, Quality Assurance and Training operation, Federal Bureau of Prisons, and North Carolina Department of Public Safety contracts. Her responsibilities include providing executive-level oversight for claims processing, customer service, provider data management, technical support, reporting, quality assurance, and training, while ensuring adherence to government programs and corporate compliance programs.
Jamie earned her Bachelor of Science in workforce education and development from Southern Illinois University. She is a proud and active member of the Florence community and serves as a board member for the Pee Dee Coalition.
Assistant Vice President
Jordan Evans began his career over 30 years ago as a claims processer working in the CHAMPUS and TRICARE programs. During his tenure with the company, he has held numerous positions with progressively greater responsibility within the company’s operations center.
In 1996, Jordan assisted in providing director-level oversight for the PGBA transition and implementation of the first TRICARE MCS-based claims processing and customer service contract located at PGBA headquarters in Florence, South Carolina.
In 1999, Jordan was promoted to assistant vice president, operations. In this capacity, he has been responsible for a variety of functions including systems oversight and testing, government reporting, and operations management. Jordan was responsible for the profitability, performance and compliance with contractual requirements for the VA HERO, BlueCross BlueShield of Michigan Medicare Advantage and Deseret Mutual Benefits Administrators Medicare Advantage contracts. In this role, he provided executive-level oversight for claims processing, customer service and systems support.
Jordan provides executive-level oversight and management for profitability, performance and compliance with contractual requirements for PGBA's operational performance as subcontractor to the Health Net Federal Services VA Choice contract. In addition, he provides executive-level oversight of systems support and Electronic Data Interchange (EDI) support areas.
Jordan earned his bachelor’s degree in business administration from Francis Marion College. He is active in the Florence community through his service as a board member for Lighthouse Ministries, the Florence Breakfast Rotary and the American Red Cross Board of Directors.