At Citra Health Solutions, we are a team of innovators that equip our healthcare partners with the tools to stay focused on patient experience and engagement while delivering the very best in quality coordinated care, improved population health management, and increased efficiency to reduce costs and promote financial success.

Executive Team


Howard Buff
Chief Executive Officer and Founder
As CEO and Founder, Howard is passionately leveraging his unique entrepreneurial skills and disciplined Fortune 500 company successes. For 20 years, his Executive leadership focus has been in all aspects of healthcare and financial services within UnitedHealth Group, Paychex and Insperity. Howard led and drove numerous enterprise-wide organizational efforts that resulted in double/triple digit growth, industry leading customer/consumer satisfaction outcomes, high levels of employee engagement, while expanding profit margins and improving shareholder value. Howard is very focused on improving and eliminating all Childhood Cancers and improving the overall US healthcare system.

Howard’s personal passion for improving healthcare stems from his son’s diagnosis with childhood leukemia. With a commitment to give back to other families experiencing a catastrophic pediatric illness, The Buff Family founded Momcology, a national peer support organization. Howard and his wife Kimberly are committed to helping children and families affected by pediatric cancer by providing emotional support, funding clinical research and creating new programs that enable families to heal through community.

Currently, he serves on boards of two national organizations. He is the Treasurer for the Leukemia Lymphoma Society and Director, Board member for the national Momcology organization. He is dedicated to his loving family, wife Kimberly, son Matthew (Leukemia cancer survivor) and daughter Erikah.

Tom Gibson
Chief Financial Officer 

Tom has deep experience in accounting, finance, treasury, legal and compliance functions and prior to Citra was the Chief Financial Officer for Vivex Biomedical, Inc., a $50m Biotechnology company specializing in bone regenerative and wound healing products. He has spent 15 years with Big 4 CPA firms while working with the public and private sector. He has demonstrated a proven ability to construct operational finance processes and is an expert in complicated revenue recognition and contracting. He has also served in leadership roles in Accretive Health, Inc., Greenway Medical Technologies, and MedAssets. Tom played football for the University of Alabama during his college years and now enjoys watching his three children as they pursue their dreams.


Travis Hersom
Chief Technology Officer

Travis brings nearly 20 years of Healthcare Information Technology experience in his approach to protecting patient information and ensuring the highest levels of business continuity from a technical design and delivery perspective. His affinity for non-stop 24×7 operation and delivery of software and services that provide the industry with the opportunity to ensure patient safety and reduce overall healthcare costs have been the driving constant in his career. Prior to joining Citra, Travis was the Chief Information Officer at SironaHealth. Travis is a Six Sigma Green belt and has applied these process improvement fundamentals across the organization in operations efficiencies, SEO marketing strategies and quality improvement. Travis lives in Portland, Maine and spends his free time as a CrossFit enthusiast. He enjoys family time which includes his daughter, Amethyst, keeping him educated on the latest social media and marketing trends.

Michel Daley
SVP of Clinical Operations  

Michel has over 25 years of healthcare experience working in the payer space for large national healthcare companies and smaller regional plans. She served in leadership roles with UnitedHealth Group (including both UnitedHealthcare and Optum) and Blue Cross & Blue Shield Rhode Island. She also held multiple diverse clinical operational leadership positions aimed at advancing business objectives that deliver sustainable economic and clinical value. Most recently, Michel led Medical Clinical Operations for UnitedHealthcare of Rhode Island Community & State Health Plan where she was responsible for overseeing clinical operations to ensure that state contractual requirements and NCQA standards were met. Michel is an avid runner, lives in North Kingstown, Rhode Island with her husband Jay and enjoys spending time with her family who live in Buffalo, NY.

Board of Directors

Howard Buff — CEO, Citra Health Solutions
Adam Dolder — Managing Director, Great Point Partners
Hugh Greene — President and CEO, Baptist Health

Steve LaLonde – SVP and GM, Professional Physicians, Allscripts
Dr. Barry Straube, M.D. — Director, The Marwood Group
Karin Ajmani — President of Healthcare Services, Progyny

Citra Advisory Panel

Scott Bae — Heritage Provider Network
Sunil Cardozo — Innovista
Paul Costello — Public Consulting Group
Linda Deaktor — MedPoint Management
Craig Hewitt — Epic Management

Leo Icarangal — Healthcare Partners IPA
Chris Jioras — Humboldt-Del Norte Foundation
Stacy Marlin — Advanced Medical Management
Howard Mendel — Physicians Care Network
Craig Scarbrough — Synermed