About us

Meet our team.

Nanette Poserina – Chief Executive Officer and Founder

Nanette Poserina established Health Insurance Solutions, Inc., an employer benefits consulting firm and third party administrator, targeting groups in the insurance market. Having 40 years of experience developing risk management programs for the prescription drug marketplace, she carries a multitude of solutions to deliver lower cost pharmacy benefits and innovation.

Pioneering the specialty pharmacy cost saving concepts, Nanette has grown Health Insurance Solutions, Inc. and driven the introduction of LowerRx Solutions, servicing employer group’s high-cost specialty drugs. Nanette and her team have earned the rank of No. 2510 on the 2021 Inc. 5000 list of the fastest-growing private companies in America.

Continuing the company’s growth, Nanette has a rarefied reputation in the industry, “Success is not about fitting in, it’s about standing out.”

Nanette spends her limited down time with family, friends, and her love for the beach.

Tom E. Poserina – Vice President

After Tom’s 35-year railroad career including passenger and freight train service, Tom focused on supporting and focused on the formation of Health Insurance Solutions as the Vice President.  Coming from the transportation industry, he utilized his operational skillset towards the start-up of the company.

In addition to being the Vice President of Health Insurance Solutions, Inc., Tom is also the President and docent of the Reading Railroad Retiree Organization, managing over 500 retirees from the industry. Tom is an avid vintage car collector and enjoys spending time with family and friends.

Thomas R. Poserina – President & Chief Operating Officer

Thomas has over a decade of experience in the transportation industry as a locomotive engineer. Joining the organization as Chief Operating Officer and President, he brings a variety of new field concepts, practices, and techniques to Health Insurance Solutions, Inc. while continuing to implement and improve operational strategy. As a strategic shareholder, he continues to drive the expansion of the company.  In his free time Thomas enjoys fabricating and rock crawling in his Jeep.

Shelby Fahrni – Human Resources & Marketing Manager

Shelby has over a decade of experience working as a professional Chef in the restaurant industry. She was an award winning professional by the age of 22 and has appeared on the Food Network. Shelby carries human resource skills, problem solving, and attention to detail. Shelby is responsible for all of HISI’s human resources and marketing campaign. Shelby is an avid gardener and golfer.

Juliana Pash – Account Executive

Juliana joined us after a 20-year career in the employee group health and pharmacy benefit industry. She carries negotiation, alternative funding recommendations, and benefits compliance experience for medium and large-sized employer groups. Juliana has the expertise to collaborate with our trusted advisors who partner with HISI for their employer prescription programs.  Her role includes coordinating and servicing self-funded pharmacy benefits, focusing on solutions to reduce specialty drug utilization.  Juliana enjoys the beach, bike riding, and is an avid exercise enthusiast.

JoAnn Emery – Corporate Accountant

JoAnn joined the HISI team as our Corporate Accountant, handling our vast financial responsibilities. Knowledgeable in a full range of accounting, her history and experience in the nursing home industry has provided the diversity we were looking for.  JoAnn is furthering her corporate taxation knowledge by several continuing education courses. JoAnn is an avid kick boxer and feels best when walking.

Alexis Oswald – Associate Account Manager

Alexis has been in the insurance industry since 2009. HISI is her first journey into the health insurance sector after many years as an underwriter in both commercial and personal lines. Her experience in the insurance industry has provided her the ability to pivot into providing solutions to our Medicare, fully insured groups, and self-funded clients.  Alexis enjoys traveling, hiking, and spending time with her Blue Point Siamese rescue cat.