Our Team

The expertise of our team is what sets us apart.

Robert Murphy
ROBERT MURPHY
Chief Executive Officer

Reimbursement & Revenue Management Market Access-Contract Strategy and Product optimization and Pull Through-Sales Leadership

Robert brings 30 years of experience in the Healthcare industry across the reimbursement spectrum that will benefit clients interest in achieving revenue stability and maximization. Importantly, Robert has dedicated a significant proportion of his career in finding “A BETTER WAY” to help his customers. He believes that the “Middlemen” stand in the way of improved margins for practices and the complex nature of the system makes it almost impossible for a practice to get the comprehensive picture of their purchasing options. His in-depth knowledge of reimbursement policies and manufactures limitations has allowed him to build a highly efficient model in which customers have access to a broad range of products with the most productive net cost recovery.

Roberts’ vision is to make procurement more comprehensive, transparent, and beneficial to the stakeholders and is the driving force behind the creation and foundation of Carneros Healthcare Management.

Kent Wheeler
KENT WHEELER
National Accounts – Strategic Advisor

Healthcare Revenue management, Practice Financial strategic planning, pharmaceutical contract management 

Kent has established himself as a leader with 25 years of healthcare market access and revenue management  in oncology, infusion, infectious disease, hospital pharmacy, IDN & 340B segments, as well as a founder of several pharmacy businesses.

Kent is a Co-Founder & Co-Owner of Sunflower State and Show Me State Vital Care, a multi-state home & specialty infusion company. Kent is an industry leader and understands that collaboration between the provider, clinical staff and patients makes all the difference.

Kent envisions a healthcare system where financial stewardship is seamlessly integrated with patient care. Kent is commitment to optimize financial resources, enhance transparency, and ensure sustainable growth for his clients. Kent states “By achieving financial excellence, we empower our organization to deliver high-quality healthcare services, improve patient outcomes, and positively impact the well-being of our communities. “ Kent is a key contributor towards the successful creation of Carneros Healthcare Management vision.

Lance Dible
LANCE DIBLE National Account Director (Carneros Healthcare)
National Account Management

Strategic Contract Development and Negotiation – Reimbursement Strategist  – GPO Management – Sales Leadership

Lance has realized 20 years of national  Healthcare reimbursement experience with all stake holders across the financial spectrum of healthcare products and services.  Lance has excelled  in complex areas of healthcare strategic contracting and account management with  large IDN’s and Community Practices.  Lance has a broad spectrum of therapeutic category experience in multiple therapeutic areas including, Oncology/Hematology, Biosimilars, Infectious Disease, Rare Disease, Neurology, Rheumatology, Gastroenterology, Psychiatry and Cardiology.

Moreover Lance has gained unparalleled insights and relationships with  national level  leading clinics and programs in Oncology and Infectious Disease customers and group physician organizations.  Lance has extensive experience in Buy and Bill, Specialty Pharmacy (MID), 340B, Long Term Care, Home Infusion, Corrections and DOD channels. 

 Lances’ vision is to bring his success in strategic revenue management to his customers and enables data to efficiently make his customers successful. Lance continues to simplify information towards actionable results for his customers.  Lance champions customer service and satisfactions and contributions this attribute to the foundation of Carneros Healthcare Management. 

Dr. M. Bottner
Chief Medical Officer

Dr. Melvin Bottner, MD, acts as the CHM Medical Director, bringing a unique skill set as an accomplished medical practitioner and a commercial lead within a medical organization.

Dr. Bottner is a graduate of the University of Toronto Medical School with 43 years of private practice in Scottsdale, Arizona. Moreover, Dr. Bottner acted as the Chief Resident in family practice at Mount Sinai Hospital in Toronto, Ontario. Dr. Bottner invested his time as a medical professional as a Lecturer and part-time Clinical Teacher for the FP residency program with the Scottsdale Honor Health system from 1980 to 2012. Dr. Bottner also acts as a Lecturer for various Pharma companies.

Dr. Bottner realized his first sale of his practice to a large hospital corporation in 1996, becoming a Co-Medical Director of the hospital’s 120 physicians and 10 acquired medical private healthcare provider clinics. Dr. Bottner continued his part-time clinician activities during this period. The hospital realized its management style did not align with private practice and returned all the practices to the physicians. Dr. Bottner subsequently applied his commercial interest, along with his clinical acumen, and built up the practice to be sold a second time in 2016 to a different hospital corporation.

Additionally, Dr. Bottner has a successful history of being contracted by a private corporation to assist in building their family practice clinics as a source of patient referrals for their specialists.

Dr. Bottner notes “Understanding the economics of practice management, as well as the need for excellence in medical care, allows one to establish the backbone of a lucrative medical practice. We are not discussing cutting corners to achieve financial success, but rather utilizing sound practice management and building skills to optimize and achieve economic rewards for one’s efforts.”

Dr. Bottner will utilize these skills for various medical start-ups but is especially excited to introduce multiple clinics to the financial benefits of the Carneros Business Model.

Dustin McNutt
DUSTIN MCNUTT, Partner 20-20 Accounting
Acting CFO

Dustin is the founder and Partner of 20-20 Accounting Solutions and is commissioned, with his team, to undertake the financial accounting roles for Carneros Healthcare Management. 

Dustin McNutt has worked as a CPA in Birmingham Alabama since 2005 and has worked with businesses of all sizes.  In December of 2013 he and his brother, Darren, struck out on their own with the vision to provide unparalleled service to their clients.  He focuses on helping his clients reduce taxes, improve cashflow, and maximize their profits.   Dustin has partnered with numerous businesses across many industries, with a concentration in the medical space.

Additionally, Dustin is a Co-Owner and Chief Executive Officer of Vital Care of South Dallas, a specialty pharmacy based in Cedar Hill, TX.  As CEO, Dustin is responsible for setting and executing the strategic direction for Vital Care of South Dallas.  He ensures the company delivers the highest quality patient care while meeting growth objectives and oversees all aspects of the company’s operations and strategic growth.

Carneros benefits from Dustin’s stewardship of our day to day corporate financial management, and brings his firm Medical industry skill set to aid in any of our clients additional financial planning and accounting challenges. 

Gabriel Imperato
GABRIEL L. IMPERATO, Partner Nelson Mullins
Acting General Counsel

Gabriel is a Partner of the Fort Lauderdale office of Nelson Mullins and is commissioned, with his team, to undertake the general council role for Carneros Healthcare Management. 

Gabriel’s personal practice includes representing individuals and organizations accused of healthcare fraud and assisting and advising healthcare organizations on corporate governance and compliance matters. Gabriel is board certified as a specialist in Health Law by the Florida Bar. He is also certified in Health Care Compliance (CHC) by the Society of Corporate Compliance and Ethics and the Health Care Compliance Association (SCCE/HCCA). This national accreditation reflects a professional level of competence and experience in compliance processes sufficient to assist healthcare business organizations to understand and address legal obligations and to promote organizational governance and integrity through the operation of effective compliance programs. Gabriel served as Interim General Counsel of the North Broward Hospital District, the tenth largest health system in the United States. He was also the Deputy Chief Counsel for the United States Department of Health and Human Services’ Office of the General Counsel in Dallas. He has served as a longtime member of the Board of Directors and Past President of the SCCE/HCCA.

Gabriel has criminal and civil trial and appellate experience in federal and state courts and administrative forums, and he has personally handled leading national cases concerning criminal and civil healthcare fraud and abuse and healthcare law and policy. He has vast experience in the defense of allegations involving the False Claims Act against health care organizations and has litigated and settled many of these cases with the Department of Justice and the Office of Counsel to the Inspector General, as well as State Medicaid Fraud Control Units.

Gabriel has also handled numerous matters involving the formation of integrated delivery systems and managed care organizations. Gabriel is considered a national leader in healthcare fraud, abuse, and compliance as well as healthcare reform matters. He lectures and publishes numerous articles on these subjects.

Carneros benefits from Gabriel’s stewardship of our day-to-day corporate management and compliance, and brings his Legal Medical industry skill set to aid our clients additional Healthcare legal questions or challenges.

Elaine
ELAINE
Regional Account Manager

Elaine possesses an impressive array of skills and experiences acquired over her two-decade tenure in healthcare marketing, management, and ownership roles. Her expertise spans various sectors including Specialty Pharmacy, Community Oncology Clinics, Hospital Systems, and Urology offices in the Southeast region. With a keen eye for relationship-building and a track record of pushing boundaries, Elaine consistently seeks innovative solutions to complex challenges. She has experience in resource management allocation, promoting products, and educating Healthcare professionals in Solid Tumors, Pain Management, Nephrology, Orthopedics, Hematology, Cardiology, Gastroenterology, and Immuno-Oncology. Elaine is strategic, accountable, and effective at Product Launch Excellence. She has implemented efficient operational processes, ensuring compliance with industry regulations and optimal patient care. Elaine’s skills include Healthcare Reimbursement, Claim Processing, Billing and Coding, Compliance and Auditing, Team Leadership, Payer Negotiations, Process Improvement, Communication, and Interpersonal Skills. She has in-depth knowledge of pharmaceutical regulations, ensuring the adherence of business operations to the industry standards and compliance requirements.

Her strategic vision, coupled with hands-on tactical execution, has been instrumental in driving results throughout her career. Elaine has a knack for identifying emerging trends and anticipating customer needs, leveraging market research insights to tailor innovative marketing strategies to regional requirements. By staying abreast of industry regulations and competitive dynamics, she adeptly navigates challenges, steering organizations toward sustained growth and market leadership.

In her role as Regional Account Director for Carneros Healthcare, Elaine remains committed to driving meaningful change and positioning the organization as a trusted partner in healthcare innovation. Her visionary leadership and strategic acumen will continue to propel the organization towards sustained success and have a positive impact in the ever-evolving healthcare landscape.

Experts in Residence

Our Experts in Residence (EIRs) are a network of pharma executives, physicians, clinic practice management experts and legal council ​who consult on our clients (Community Practices and Hospital Systems/IDN’s and Pharma/Medical Equipment Manufacturers)  where they have significant experience​.​ Our EIRs provide CHM with cutting edge insights on clients business challenges and can also step in as business consultants or board members with CHM clients.

Kent Wheeler
KENT WHEELER
National Accounts – Strategic Advisor

Healthcare Revenue management, Practice Financial strategic planning, pharmaceutical contract management 

Kent has established himself as a leader with 25 years of healthcare market access and revenue management  in oncology, infusion, infectious disease, hospital pharmacy, IDN & 340B segments, as well as a founder of several pharmacy businesses.

Kent is a Co-Founder & Co-Owner of Sunflower State and Show Me State Vital Care, a multi-state home & specialty infusion company. Kent is an industry leader and understands that collaboration between the provider, clinical staff and patients makes all the difference.

Kent envisions a healthcare system where financial stewardship is seamlessly integrated with patient care. Kent is commitment to optimize financial resources, enhance transparency, and ensure sustainable growth for his clients. Kent states “By achieving financial excellence, we empower our organization to deliver high-quality healthcare services, improve patient outcomes, and positively impact the well-being of our communities. “ Kent is a key contributor towards the successful creation of Carneros Healthcare Management vision.

Dr. M. Bottner
Chief Medical Officer

Dr. Melvin Bottner, MD, acts as the CHM Medical Director, bringing a unique skill set as an accomplished medical practitioner and a commercial lead within a medical organization.

Dr. Bottner is a graduate of the University of Toronto Medical School with 43 years of private practice in Scottsdale, Arizona. Moreover, Dr. Bottner acted as the Chief Resident in family practice at Mount Sinai Hospital in Toronto, Ontario. Dr. Bottner invested his time as a medical professional as a Lecturer and part-time Clinical Teacher for the FP residency program with the Scottsdale Honor Health system from 1980 to 2012. Dr. Bottner also acts as a Lecturer for various Pharma companies.

Dr. Bottner realized his first sale of his practice to a large hospital corporation in 1996, becoming a Co-Medical Director of the hospital’s 120 physicians and 10 acquired medical private healthcare provider clinics. Dr. Bottner continued his part-time clinician activities during this period. The hospital realized its management style did not align with private practice and returned all the practices to the physicians. Dr. Bottner subsequently applied his commercial interest, along with his clinical acumen, and built up the practice to be sold a second time in 2016 to a different hospital corporation.

Additionally, Dr. Bottner has a successful history of being contracted by a private corporation to assist in building their family practice clinics as a source of patient referrals for their specialists.

Dr. Bottner notes “Understanding the economics of practice management, as well as the need for excellence in medical care, allows one to establish the backbone of a lucrative medical practice. We are not discussing cutting corners to achieve financial success, but rather utilizing sound practice management and building skills to optimize and achieve economic rewards for one’s efforts.”

Dr. Bottner will utilize these skills for various medical start-ups but is especially excited to introduce multiple clinics to the financial benefits of the Carneros Business Model.

Our Testimonials

What providers in our network had to say about working with Carneros Healthcare Management. We are the talk of the industry and we will be sharing more customer feedback soon!

“We know that we are not well represented at the negotiating table with Pharma. Carneros was able to secure several contracting opportunities that I did not know were available to our practice”

Oncology Office Central United States, Oncology Office Central United States

“I was not aware that I could reduce my expenditure on Buy and Bill products by this amount” Carneros was able to get pricing that my team was not able to secure!

Regional Health Plan, Regional Health Plan