Our Executive Team
Francis Afram-Gyening, FACHE
Chief Executive Officer
Francis Afram-Gyening, FACHE has extensive background in healthcare management and a proven track record in serving the health care needs of the medically underserved communities and vulnerable populations. Prior to assuming his current role at Care Alliance, he was the Operations Director for Memorial Primary Care Services in Florida. He also served as the President of South Florida Healthcare Executive Forum; Chief Compliance Officer and Vice President of Corporate Affairs for Economic Opportunity Family Health Center, a large federally qualified health center in Florida; and as the Board Chair of Camillus Health Concern.
Mr. Afram-Gyening received his master’s of public health (MPH) degree from Columbia University and master’s of business administration (MBA) degree from Cleveland State University. He has a bachelor’s of science (BS) degree in accounting, magna cum laude, from York College. He is board certified in healthcare management and a Fellow of the American College of Healthcare Executives (FACHE). In 2004, he received the ACHE Early Career Regent’s Award. He is a licensed health care risk manager by Florida Agency for Health Care Administration (AHCA) and holds the coveted Certified Public Procurement Officer (CPPO) credentials by the Universal Public Procurement Certification Council. Mr. Afram-Gyening serves on several boards and he is an adjunct faculty at Case Western Reserve University School of Public Health. Send Francis an e-mail.
Lisa Thomas, Ph.D.
Chief Operating Officer
Lisa Thomas, Ph.D., is a native Clevelander who has had a variety of careers in the public, private and not-for-profit sectors. She began her local government career working with Dennis Kucinich when he was Mayor of Cleveland. Her municipal experience also includes a seven-year stint as Building and Housing Commissioner under Mayor Michael White and tenures in Lakewood and North Olmsted as well.
In 1986, Lisa started a new career with the Federation for Community Planning (now The Center for Community Solutions) developing a program titled Health Care for the Homeless. From that modest beginning, Care Alliance grew. In 2008, she received her Ph.D. from Cleveland State University in Public Policy and Urban Affairs with a concentration in public administration theory. She has served on the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County and is adjunct faculty at the Levin College of Urban Affairs. Care Alliance is honored to have Lisa as an Executive Team Member. Send Lisa an e-mail.
Bruce Noll
Chief Financial Officer
Bruce Noll served as a member of Care Alliance’s Board of Directors for seven years before coming on board as the organization’s Chief Financial Officer in 2011. His career in financial stewardship spans 32 years. He has had a significant scope of strategic financial leadership experience at the most senior level for a nation non-profit, national consultant, large system non-profit provider, regional for profit provider, and as an entrepreneur.
Bruce has served as the point person for five enterprise-wide patient information system implementations, including an electronic medical record implementation. Send Bruce an e-mail
Daniel Meges, MD
Medical Director
Dr. Meges joined Care Alliance in January 2009 as a physician and became the acting Medical Director in August, 2010. Beginning November 1, 2010, Dr. Meges accepted the charge of continuing into the role of Medical Director. Dr. Meges has been dedicated to the practice of internal medicine in Cleveland for more than 30 years, spending the majority of his time (17 years) at Parma Hospital. His interests span the medical field and are highlighted by his work lecturing and teaching in hospitals. Dr. Meges is one of the founding memebers of INNOVA, an organization of medical professionals dedicated to the provision of affordable, comprehensive medical care to Cleveland residents.
His dedication to the provision of health care for the homeless and indigent populations led Dr. Meges to assume the position of Medical Director at the St. Malachi Center since 1992. At that point in his career he also began to serve patients of Care Alliance at the St. Malachi Center. We are grateful to have Dr. Meges on board at Care Alliance! Send Dr. Meges an e-mail.
Nicole Harris, DDS
Dental Director
Dr. Harris is a general dentist who has been practicing with Care Alliance since the organization launched its dental program in 2002. She is a graduate of the Case Western Reserve University School of Dental Medicine.
Prior to working with Care Alliance, she completed a one year Advanced Education in General Dentistry Residency Program with Case Western Reserve University School of Dental Medicine and University Hospitals of Cleveland. Dr. Harris is committed to providing patients with access to much needed dental care. Send Dr. Harris an e-mail.
