Nicole Semeraro is a seasoned healthcare leader, entrepreneur, and passionate advocate for consumer-driven healthcare. With over 20 years of experience leading growth and transformation in both private equity-backed and Fortune 5 organizations—including Optum/SCA Health—Nicole has built a career around solving some of healthcare’s most persistent challenges with clarity, compassion, and bold innovation.

As the co-founder of a multi-million-dollar healthcare business known for its high-performing culture and client impact, Nicole understands what it takes to build with intention and lead with purpose. Today, as Founder & CEO of Karias Health, she is on a mission to rewrite the healthcare experience for small and mid-sized businesses—replacing outdated insurance models with an alternative that prioritizes affordability, transparency, and real-time decision support.

Under her leadership, Karias Health combines group captive structure with data-driven insights and hands-on concierge support to create a simpler, more empowering healthcare journey for employers and employees alike. Nicole’s work is grounded in the belief that healthcare should be clear, shoppable, and built with people in mind—not systems. Nicole lives in Charleston, SC, with her husband and three boys, and continues to champion access, innovation, and impact in every facet of life and leadership.

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Britt is a multi-expertise, consumer-first leader with 15 years of experience across growth strategy, brand, and experience design. Diagnosed with type 1 diabetes at age four, she’s spent her life navigating the healthcare system. That lived experience drives her commitment to building something better—making care simpler, more human, and easier to access.

That’s what drew her to Karias Health. For Britt, this work is personal. The opportunity to reset how employers and their teams experience and shop for healthcare is both urgent and inspiring. It’s something we all do for ourselves and those we love—and it should be easier.

Her career spans e-commerce, retail, and health tech, with leadership roles at Shutterfly, Kidizen, UnitedHealthcare, and Optum. She’s known for turning bold ideas into outcomes, building community along the way, and bridging teams, brands, and the people they serve.

Before joining Karias Health in 2025, Britt was Chief of Staff for the Strategy and Growth Office at Optum, leading client engagement strategy, executive communications, and payer sales enablement. Outside of work, Britt enjoys life by Lake Superior in Northern Minnesota with her husband and teenage son. She spends her time rowing, paddle-boarding, ice skating, and staying connected to her community through local organizations.

Andrew is a seasoned healthcare leader with more than a decade of experience across strategy, operations, and business development. He’s led cross-functional growth initiatives and complex transactions, from strategy and negotiation to diligence, integration, and operational improvement. Known for bringing structure to ambiguity, Andrew has helped organizations scale with intention and impact.

He joined Karias Health to help employers and their teams navigate the complexity of today’s healthcare system—and to make it easier to access high-quality care at a fair price. With costs rising and transparency lacking, Andrew believes people deserve a clear, guided path to better options.

Before joining Karias in 2025, Andrew served as Vice President of Strategy and Transformation at Cardinal Health and as Chief of Staff at Integrated Oncology Network, which was later acquired by Cardinal. He began his career at EY, spending five years focused on healthcare transaction advisory. He holds both bachelor’s and master’s degrees in accountancy from the University of Alabama and is an inactive CPA.

Andrew lives in Franklin, Tennessee, with his wife and two sons. Outside of work, you’ll find him road biking, golfing, or spending time with his family.

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