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Leadership Team

Vigilant Health Austin Triggs

Austin Triggs

Position: Executive Chairman

Austin Triggs is executive chairman of Vigilant Health. Previously, he served as Senior Vice President and Chief Development Officer of Renal Care Group, Inc., a leading national provider of dialysis services to individuals with chronic kidney disease. At Renal Care Group, he was primarily responsible for dialysis programs and developing joint ventures with physicians, hospitals, and university medical centers. Following Renal Care Group, he worked as a strategic advisor to B. Braun Melsungen AG (a German medical and pharmaceutical device company), academic medical centers, and private equity funds.

Earlier in Triggs’ career, he served as a senior executive and board member at companies providing general and specialized home care services. Triggs received his undergraduate degree from Duke University and his juris doctorate from the University of Mississippi Law School. He practiced corporate and securities law for nine years in Nashville, Tennessee. His prior civic activities include serving as chair of the advisory board of the Duke University Institute on Care at the End of Life, principal advisor to the Center for Theology and Health at the Duke Medical Center, board member of the American Council on Germany, and board member of Aquinas College.

Austin Triggs

Executive Chairman
Vigilant Health Marshall Bouldin

Marshall J. Bouldin, IV, M.D.

Position: Vice Chairman, Chief Medical Officer

Marshall Bouldin, IV, M.D., is the co-founder and Chief Medical Officer of Vigilant Health. Previously, he was Chief Medical Officer of the Delta Health Alliance, a federally funded not-for-profit corporation responsible for improving health and wellness in the Mississippi Delta region. Dr. Bouldin was also Associate Professor of Medicine at the University of Mississippi Medical Center, where he was Director of the University of Mississippi Diabetes and Metabolism Center. While at University of Mississippi Medical Center, Dr. Bouldin founded and directed the Delta Diabetes Project, sponsored by the Health Resources and Services Administration (HRSA), the Centers for Disease Control and Prevention (CDC), the Delta Health Alliance, and the University of Mississippi Medical Center. Dr. Bouldin’s work at the Delta Health Alliance and the Delta Diabetes Project are the foundation of both Diabetes Care Group and Vigilant Health.

Earlier in his medical career, Dr. Bouldin practiced internal medicine in Vicksburg, Mississippi. He completed his residency in internal medicine at the University of Virginia and medical school at The Johns Hopkins University School of Medicine. He earned his bachelor’s degree from the University of Mississippi. He was also awarded a bachelor’s degree from Oxford University, where he was a Rhodes Scholar.

Marshall J. Bouldin, IV, M.D.

Vice Chairman, Chief Medical Officer
Vigilant Health Karen Utterback

Karen Utterback, RN, MSN

Position: Chief Executive Officer

Karen Utterback, MSN, RN, is the CEO of Vigilant Health, a company focused on “rethinking healthcare” that offers technology driven team-based health care to at risk payers including employers to not only bend but break the health care cost curve.

Utterback was responsible for establishing McKesson’s Extended Care Solutions (Home Health, Hospice, and Remote Patient Monitoring Solutions) strategic direction for products and services. She joined the McKesson team in 2004 and brings many years of home care experience to the role, including patient care, clinical supervision, project management, and operations. Utterback has served as President of the Board of Directors for the Mississippi Nurses Association, as a member of the Department of Health & Human Services Secretary’s Advisory Committee on Regulatory Reform, and a member of the Board of Directors for the Mississippi Association for Home Care.

Karen Utterback, RN, MSN

Chief Executive Officer
Vigilant Health Keith Rye

L. Keith Rye

Position: Chief Operating Officer

Keith Rye serves as Chief Operating Officer of Vigilant Health, a technology enabled service company focused on transforming current provider clinic models to patient-focused, valued-based operating models.

He is an experienced advisor focused on strategic direction, business development, and M&A opportunities in the population health/patient engagement sector. Prior to joining Vigilant Health, he served as advisor for TWN and Granite Bridge Partners. He is a seasoned health care executive, thought leader and strategist with more than 25 years of experience in the industry. He is a visionary in developing industry-leading models for population health and execution in early stage ventures. He has in-depth knowledge and understanding of how health care provider organizations, community health, and information technology intersect to improve individual and population health. He led highly successful business development strategies for a number of start-up and merger/acquisition ventures in the health care services sector, including CivicHealth and Strategic Health Services.

Rye’s experience includes leadership positions in some of the nation’s largest health care provider systems, including Columbia/HCA and HealthTrust Inc. His first start-up venture was serving as a co-founder, director and investor of Gordian Health Solutions, Inc. He holds a dual degree in mathematics and business administration from The Citadel, as well as an MBA degree from Belmont University.

L. Keith Rye

Chief Operating Officer
Vigilant Health Paul Boykin

Paul Boykin

Position: Chief Information Officer

As Chief Information Officer, Paul Boykin plays a crucial role in data integration, analysis, and programming for Vigilant Health. Previously, he served as Director of Information Systems for Diabetes Care Group, where he was responsible for creating Vigilant Health’s core “operating system” software and IT support for the multi-clinic organization. In this role, he developed and implemented a web-based application (ASP .NET, MySQL, jQuery, JavaScript) to integrate electronic health records (EHR), practice management software (PM), medical claims, and operations data into a streamlined decision support tool.

Prior to joining Vigilant Health and Diabetes Care Group, Boykin was Process Engineering Manager for Diversified Technology, Inc., a designer and manufacturer of embedded computer systems. During his 16 years with Diversified Technology, Boykin utilized web-based and local application architectures to develop shop-floor control and data analysis systems to support continuous process improvement. In addition, he served various roles in manufacturing and manufacturing engineering, including managing capital expenditure projects, new product introductions, and an electronics repair lab. Boykin received his BS in Industrial Engineering from Mississippi State University.

Paul Boykin

Chief Information Officer
Stacey Holt Vigilant Health

Stacey Holt

Position: Chief Financial Officer

Stacey Holt is the Chief Financial Officer of Vigilant Health. He has two decades of experience in finance and accounting, with more than ten years in senior leadership roles. He began his career in public accounting with Ernst and Young and then moved to the private sector, with experience in the health care distribution and telecom industries.

Holt’s background includes serving as Chief Financial Officer and Board Member of national distributor First Choice Medical Supply. During his eleven-year tenure, he was integral in expanding the business from four to nine locations while growing revenues from $50 million to $170 million. Holt is a Certified Public Accountant and received his Bachelor of Science in Business Administration from Mississippi College.

Stacey Holt

Chief Financial Officer

Management Team

Vigilant Health Laura Nail

Laura Nail, C-FNP

Position: VP of Clinical Operations

Laura Nail is a board-certified family nurse practitioner with nearly two decades of nursing experience. Her background includes family practice, cardiology, and chronic pain management. Since joining Vigilant Health in 2015, Laura has been named the Vice President of Clinical Operations and has helped develop the Nurse Practitioner Navigator role, a role specific and central to the success of the company. The Nurse Practitioner Navigator provides high-quality care as well as direct communication to patients regarding their health and navigation of the health care system. This combination of open communication and outstanding care has been proven to enhance overall health of the patient and decrease health care costs to the client. Nail’s role is to ensure standardization of practice through training and building close relationships with the Nurse Practitioner Navigator at each location.

Nail received her BSN from Mississippi College and MSN from University of South Alabama. She enjoys endurance sports and has completed four full marathons and multiple triathlons over the years, including four half ironman distance triathlons.

Laura Nail, C-FNP

VP of Clinical Operations
Vigilant Health Autumn Myhand

Autumn Myhand

Position: Implementation & Training Manager

Autumn Myhand serves as the Director of Project Management for Vigilant Heath. She is a registered dietitian and certified diabetes educator with more than two decades of experience. She leads all components of Employee Health Management Programs and onboards educators and providers to deliver care plans.

Her previous experience includes providing diabetes education for adults and children in a clinic setting and in industry. She is a frequent lecturer for patient and professional conferences in the diabetes community. Myhand has an extensive background in training and managing patients on insulin pumps and supporting providers with insulin pump therapy and continuous glucose monitoring. She has also worked in the university wellness space developing campus programs and delivering nutritional care. Myhand received her BS degree in dietetics from Nicholls State University and has been a Certified Diabetes Educator since 2003.

Autumn Myhand

Implementation & Training Manager
Vigilant Health Michelle Young

Michelle Young

Position: Director of Practice Management

Michelle Young brings more than 25 years of health care clinic operations to her role as Director of Practice Management for Vigilant Health. Young has extensive knowledge of HIPAA, CMS, payroll, accounts payable, and accounts receivable. Her previous experience includes meeting all requirements for accreditation and leading the development of two new ambulatory surgical centers. She also has experience preparing all necessary state and federal requirements for CLIA certification, reorganizing office staff, and restructuring protocol for efficient office flow.

Young’s recent previous positions include Executive Director/Surgery Center Administrator for Comprehensive Pain Pain Center of MS, PLLC, and Comprehensive Pain Center for Surgery, LLC, where she was responsible for operations, payroll, compliance with federal and state regulations, payroll tax, billing, scheduling accounts payable, and accounts receivable. She was also Administrative Officer/Surgery Center Administrator for NewSouth Neurospine, where she managed operations for its multi-specialty clinics and ambulatory surgery center, supervised more than 30 employees, and ensured all OSHA, state, and federal regulations, life safety codes, and emergency preparedness policies were followed and met. Young is a member of Medical Group Management Association and the Mississippi Ambulatory Surgery Center Association, and is a Notary Public.

Michelle Young

Director of Practice Management
Stephanie Clarke Vigilant Health

Stephanie Clarke

Position: Regional Account Executive

Stephanie Clarke is a seasoned business development executive offering over 20 years of commitment to managing the client experience. She has successfully implemented employee wellness, occupational health, and safety programs for hundreds of employer groups across the Southeastern U.S. She is an expert in managing and developing mutually beneficial relationships between providers and employers.

Clarke holds certifications as a Certified Sales Professional (CSP) and a Certified Self-Insured Workers’ Comp Professional (CSIWCP). She is a graduate of the Leadership of Mississippi program. Clarke is also a member of the Mississippi Economic Development Council, Mississippi Business Group on Health, Mississippi Association of Self-Insurers, and the Professional Women’s Association. Clarke received her Bachelor of Science degree in Social Rehabilitation from The University of Southern Mississippi.

Stephanie Clarke

Regional Account Executive
Steve Bethel Vigilant Health

Steve Bethel

Position: VP of Business Development

Prior to joining Vigilant Health, Steve Bethel was the President and CEO of Angel Eye Camera Systems, which provides real-time video and audio interaction between patients, family members, and caregivers in acute intensive care units. Bethel was part of the founding management team that helped commercialize this proprietary technology from the University of Arkansas Medical Sciences that is deployed in over 65 hospitals in the United States and the United Kingdom. Bethel has also served in leadership and operating roles in several health care services companies in the ambulatory surgery and clinical trials industries.

He has an extensive background in business development in the health care services sector and commercial and investment banking. He has held senior account roles at Citibank NA and was a Senior Vice President at Stephens Inc. in Little Rock. Bethel holds a Bachelor of Business Administration with a concentration in Finance from Southern Methodist University and an MBA from Cornell University.

Steve Bethel

VP of Business Development
Lori Young Vigilant Health

Lori Young, FNP-C, BC-ADM

Position: Manager of Quality

Lori Young is an experienced Nurse Practitioner and manages the high quality of services provided to Vigilant Health patients. She received her Bachelor of Science in Biological Sciences from Mississippi College and a Bachelor of Science in Nursing and Master of Science in Nursing from the University of Mississippi Medical Center in Jackson. She holds board certification in Family Nurse Practitioner from the American Association of Nurse Practitioners and is board-certified in Advanced Diabetes Management.

Lori Young, FNP-C, BC-ADM

Manager of Quality