Joe Boyle

Joe Boyle

President of Regulatory Solutions
Penstock
Joe Boyle

In his role as President, ClearFile Solutions at Penstock Group, Joe works directly with health plans to streamline their Qualified Health Plan (QHP) filing processes to ensure filings are completed correctly and on time to eliminate missed deadlines, state and federal fines and various compliance issues, by creating a seamless QHP member experience. He also leverages his knowledge of the QHP product to help health plans enter new markets and grow their QHP product lines. In addition, Joe works closely with the Penstock Regulatory Services team to develop new RaaS solutions that will alleviate the extensive filing and compliance burdens placed on plans.

Joe brings his years of QHP expertise from his roles at Aetna (CVS Health) and WellSense Health Plan (formerly Boston Medical Center HealthNet Plan) to the team. Most recently, as Director, ACA Federally Facilitated Marketplace Product Management at BMC/WellSense Health Plan, Joe was an invaluable contributor to the growth and development of their QHP product line. In his role he was responsible for managing all submissions and state relationships to ensure certification was achieved. Additionally, he has expertise in the areas of deductible over accumulation, pharmacy eligibility remediation and benefit optimization, state and federal audits, and QHP product strategy and development.

Previously, at Aetna, Joe honed his QHP expertise while managing Federally Facilitated Marketplace processes and requirements for over 20 exchange markets – expanding market share and growing Aetna’s QHP line of business.

Joe is a subject matter expert staying ahead of the ever-changing regulatory filing environment to educate his clients and assist them in the evaluation and implementation of various state and federal regulatory measures.

Joe Boyle
Quote or Impact Statement

“We understand every facet of the regulatory filing process, and we guarantee 100 percent success when it comes to QHP certification."

Expertise

Medium length section heading goes here

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique.

Medium length section heading goes here

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique.

Medium length section heading goes here

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique.

Medium length section heading goes here

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique.
Featured

Latest Insights

Check out the latest payment accuracy and regulatory insights from Penstock.
Join Us

Culture & Careers

Join our team—let’s continue to shape the future of healthcare, together!

Let’s get started

Ready to mitigate recurring, high-cost claim and regulatory filing errors? 

Payment Accuracy

From training and education to technology and scale, we’ll help your health plan transform into a payment integrity powerhouse.

Regulatory Efficiency

We understand every facet of the regulatory filing process. We’ll take care of your certification, while you focus on what matters most—your members.

We're always innovating.

Our team is continuously inventing and launching new solutions. Subscribe to our newsletter for the latest news & updates from Penstock.