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Leadership Team

Rajiv Patel, M.D.
Chief Executive Officer

Dr. Rajiv Patel joined Bluestone Physician Services as Chief Executive Officer in May 2023. As a MD/MBA physician executive, he brings extensive strategic and operational expertise with a deep understanding of value based care, Managed Medicare and Medicaid markets and significant experience in rapidly growing mobile, primary care provider groups that work with complex and vulnerable patient populations. 

Before joining Bluestone, Dr. Patel served as President of Centene Corporation’s Health Care Enterprises Provider Strategy where he led three of Centene’s Health Services and Provider based companies — Community Medical Group, Collaborative Health Systems and Bayless Integrated Health. During his time with Centene, Dr. Patel was also the CEO of US Medical Management, a mobile primary care practice that serves complex populations, where he led the company’s transformation into operating in value based care arrangements. Dr. Patel began his career as an internal medicine resident at SSM Health in St. Louis, Missouri, where he spent 17 years serving in several physician leadership roles.

Dr. Patel is a champion for population health care through primary care models that deliver high quality outcomes, increased value and better experiences for patients and health care givers and a proponent of pursuing health equity to improve the health of our communities. He is active in the industry and serves on the Board of the American Academy of Home Care Medicine.

In his spare time, Rajiv enjoys reading, cooking, outdoor activities and spending time with his family. 


  • Master of Business Administration, Health/Health Care Administration, Isenberg School of Management, UMass Amherst, Amherst, Massachusetts
  • Doctor of Medicine, Saba University School of Medicine, The Bottom, Saba, Dutch Caribbean
  • Undergraduate Studies, University of Florida, Gainesville, Florida

Nicole Beauvais, PA-C, MMS, MPH
Senior Vice President of Clinical Operations

Nicole Beauvais joined Bluestone Physician Services in 2022 as Senior VP of Clinical Operations. Her role includes overseeing the organization’s electronic health record and training programs, clinical support teams, and process improvement initiatives.

Nicole has been a licensed physician assistant (P.A.) for more than 20 years and has focused on medically complex patients, multi-disciplinary care delivery, healthcare equity, and quality improvement. Prior to joining Bluestone, she worked for several years at M Health Fairview (University of MN’s health system), most recently having served as their system Vice President of Quality and Health Equity. Previously, she worked at Northwestern Memorial Hospital in Chicago, both in quality improvement and in operations. Nicole has a passion for healthcare quality and is a six sigma black belt, and she believes strongly in patient-centered, inclusive care.

In her spare time, Nicole enjoys spending time with her family, distance running, playing her violin or oboe, or exploring new restaurants.


  • Master of Public Health, University of Illinois-Chicago, Chicago, Illinois
  • Master of Medical Science, Physician Assistant Studies, Midwestern University, Downers Grove, Illinois
  • Bachelor of Science, Chemistry and Humanities, Valparaiso University, Valparaiso, Indiana

Andrea Fuhrmannek-Kloubec, MPH
Vice President of Corporate Compliance, Compliance Officer

Andrea Fuhrmannek-Kloubec (Andi) is Vice President of Corporate Compliance. She is an operator at her core and brings compliance, privacy and revenue cycle perspectives to Bluestone Physician Services through the lens of a regulator, investigator and auditor.

Most recently, Andrea was interim Chief Compliance Officer for Hennepin County Healthcare (HCMC) where she was a member of the Executive Leadership Team and accountable for creating the organization-wide compliance strategy for the hospital, clinics, home care, hospice, research and revenue cycle.

Prior to HCMC, Andrea served as Compliance Officer at Park Nicollet and Hutchinson Healthcare. She also served in healthcare roles as directors of health care Business Office, Information Technology, HR, Credentialing, Admissions, Chargemaster (CDM), Telehealth Coordinator and Regulatory Change Management.

Andrea has served as a board member for Medicare Skilled Nursing Facilities and Assisted Living Facilities. She has also served on Joint Commission, Det Norske Veritas (DNV), Safety and Quality Committees. She is a contributor to industry publications and speaker at the regional Health Care Compliance Association of Corporate Compliance and Ethics (HCCA) Association.

Andrea enjoys spending time with her husband, nieces and nephews. Her favorite activities include reading, cross country skiing, water skiing, running and spending time on the lake.


  • Master of Public Health, University of Minnesota, Minneapolis, Minnesota
    • Research thesis: Patient E-Health Preferences in rural Minnesota
  • Credential of Advanced Studies in Healthcare Administration, Integrated Study Program (ISP), University of Minnesota, Minneapolis, Minnesota
  • Bachelor of Arts in Business Healthcare Administration, Concordia College, Moorhead, Minnesota

Brian Holsten, MS, SHRM-SCP
Chief Human Resources Officer

Brian Holsten possesses 30+ years of Human Resources experience across a variety of industries, including hi-tech, med-device, pharmaceutical, financial services and insurance.

Prior to joining Bluestone Physician Services in 2020, Brian was the VP of Human Resources for Perforce Software, Inc., where he led the global HR function for this enterprise software company. This included oversight of talent acquisition, total rewards, employee relations, M&A, HR technology and global payroll.

Brian has also used his extensive HR experience to teach undergraduate courses as an adjunct professor at Bethel University in St. Paul, MN.

In his spare time, Brian enjoys running, downhill skiing and a variety of other wellness activities.


  • Masters of Science, Organization Management and Human Resources, Capella University, Minneapolis, Minnesota
  • Bachelor of Science, Business Administration, The Carlson School of Management, Minneapolis, Minnesota

Nate Hunkins, MPH
Vice President of Value-Based Care
Executive Officer – Bluestone ACO

Nate Hunkins is Vice President of Value-Based Care (VBC) and the Executive Director of Bluestone’s Medicare Shared Savings Accountable Care Organization (ACO). He is accountable for the success of Bluestone’s value-based care strategy and oversees VBC contracts and collaborates across departments to help Bluestone deliver great outcomes to patients and health plans, and meet its financial performance commitments and growth aspirations. Under Nate’s leadership, his team works to identify and design utilization management opportunities, implement Bluestone’s risk adjustment strategy, develop economic models to bolster VBC interventions, manage VBC programs, quality measurement, and create reporting tools that enhance decision-making across the company.      

Before joining Bluestone in 2016, Nate was the Manager of Business and Systems Development for MN Community Measurement, a nonprofit accelerating the improvement of health by publicly reporting health care information. In this role, he developed healthcare quality measures and designed data collection systems for major government agencies and nonprofits in the healthcare industry.  

In his spare time, Nate enjoys going on adventures with his wife and two daughters. Together they spend time fishing, camping, hiking and short trips in their “not so new” RV named Prince Charming. Nate is an avid Minnesota sports fan, which means he only watches when they are winning. 


  • Master of Public Health Administration and Policy, University of Minnesota, Minneapolis, Minnesota
  • Bachelor of Arts, Political Science, Saint John’s University, Collegeville, Minnesota

David Nelsen, CPA
Chief Financial Officer

David Nelsen joined Bluestone Physician Services as CFO in 2017. Prior to Bluestone, he worked at American Dental Partners for 16 years, overseeing all financial operations and supporting the growth of the organization through both mergers and acquisitions activity and organic growth. He also held a variety of finance positions at The Pillsbury Company and was an audit manager with KPMG.

In his spare time, David enjoys traveling, running, hiking and watching college basketball.


  • Bachelor of Science, Accounting, Minnesota State University, Mankato, Minnesota
  • Certified Public Accountant (inactive status)

Josh Peters, MBA
Vice President of Growth

Josh Peters joined Bluestone Physician Services as Vice President of Growth in November 2023. Josh is responsible for stewarding relationships to bring the best of Bluestone to our regional and national health plan clients including our fee-for-service primary care services, value-based care clinical capabilities and population health programs across Medicare Advantage, Special Needs Plans and Medicaid Managed Care plans. 

Josh brings a wealth of experience in health care delivery optimization and product development and has a track record of driving growth and financial performance with leadership roles in sales at Coloplast as well as business development and strategy roles at Optum, part of UnitedHealth Group. He is a decorated combat veteran who served in the United States Army.

In his spare time, Josh and his family enjoy spending time outdoors, participating in community and school events, gardening and beekeeping.


  • Master of Business Administration, Carlson School of Management, University of Minnesota, Minneapolis, Minnesota
  • Combat Field Medicine, US Army Medical Center and School
  • Bachelor of Arts, Taylor University, Upland, Indiana

Jessie Waks, MSN, APRN, GNP-BC
Senior Vice President of Clinical Practice

Jessie joined Bluestone Physician Services as a Nurse Practitioner in 2009. Her experience in Critical Care and Hospice drew her to Bluestone’s innovative care model, where she could serve complex and vulnerable patients in the community setting.

Now with Bluestone for over a decade, Jessie has played an integral role in the expansion of Bluestone’s model of care. Provider on-boarding, advancement and education are a few of the many programs she has spearheaded in her tenure. Through her leadership, Bluestone has trained over 125 Nurse Practitioner and Physician Assistant students in conjunction with local universities. Her passion for quality patient care and provider excellence is clear to everyone, both in and out of Bluestone.

In her spare time, Jessie can be found doing anything (especially active) with her daughters, running up mountains, or traveling to anywhere Jack Johnson is performing.


  • Master of Science, Nursing, Geriatric Nurse Practitioner, University of Minnesota, Minneapolis, Minnesota
  • Bachelor of Science, Nursing, College of Saint Catherine, St. Paul, Minnesota
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