We are the pharmaceutical specialists that healthcare professionals turn to for thier drug needs.

Established by pharmacists and health care industry veterans, RJ Health Systems anticipates and responds to evolutions in the pharmaceutical drug landscape. The company continues to be run day-to-day by pharmaceutical industry leaders who develop services that help support sound health care decisions.

Our team shares a concern for increasing our clients’ useable knowledge of pharmaceuticals, including their cost, management, use and misuse. With experience both inside and outside the industry, RJ Health Systems turns complex data and industry jargon into information that advances appropriate use of medication.

Management Team

  • Kelly DeKeyser - Chief Executive Officer
  • Kelly DeKeyser joined RJ Health Systems as CEO in June of 2014. Kelly is a 30 year healthcare industry veteran boasting extensive experience with payer, provider and fast growth company environments. He has held executive positions at national health plans such as UnitedHealth Group, CIGNA of California, and FHP. He has held CEO and senior executive positions at multiple private equity and venture capital backed firms with a focus on healthcare technology and population risk management. Kelly is currently a board member for the Boston based health plan, Minuteman Health, as well as for the Connecticut based ACO, ProHealth Physicians.

    Kelly earned his Bachelor of Science in Business and his MBA from Arizona State University.

  • John F. Aforismo, B.Sc. Pharm, R.Ph., FASCP - Founder
  • John Aforismo is the Founder of RJ Health Systems, the drug information company that he established in 1983. With his extensive knowledge of numerous aspects of Managed Care, Pharmaceutical Benefit Design and Drug Plan Management, John is a sought-after consultant for the Managed Care Industry and Workers’ Compensation Pharmacy Management Programs, as well as Long-Term Care Drug Management. He has also partnered with the pharmaceutical industry to assist in providing value-added tools to their MCO and physician group clients.

    John developed the only comprehensive billing and coding database for reimbursement of drugs used by providers in out-patient settings, which now serves as the gold standard in the industry. In conjunction with these databases, he championed the development of websites devoted to appropriate billing of Medicare Part B/Part D drugs and injectable/specialty drugs. Under his guidance, RJ Health Systems has focused on patient compliance and the provision of educational tools for consumers, as evidenced by the development of drug labels for prescription drugs, provider and consumer newsletters, and patient education posters and brochures.

    A frequent presenter in various domestic and European symposia concerning drug management in the health care industry, John has served and continues to serve as a member of numerous Pharmacy & Therapeutic Committees. He continues to volunteer his time providing pharmaceutical consultation to the Town of Wethersfield, Connecticut’s senior citizens.

    John earned a Pharmacy Degree (B.Sc. Pharmacy) from the University of Connecticut School of Pharmacy. He is a Fellow of the American Society of Consultant Pharmacists and a member of the Academy of Managed Care Pharmacy.

  • Thomas Comcowich III, R.Ph., M.B.A. - Vice President, Drug Information Services
  • Tom Comcowich joined RJ Health Systems in October 2001 as Vice President, Drug Information Services. As Vice President, Tom has extensive involvement in the development and maintenance of the various Drug Informational Databases developed by RJ Health Systems. Additionally, he has a major role in all consulting activity of the company.

    Prior to joining RJ Health Systems, Tom was Director of Pharmacy for Health Net of the Northeast, a 1.1 million member Managed Care Organization serving the states of Connecticut, New Jersey, New York and Pennsylvania for a period of 12 years. Prior to his tenure at Health Net of the Northeast, Tom was a member of the Pharmacy team at Community Health Care Plan, a staff model HMO serving the greater New Haven County in Connecticut.

    His extensive background in all aspects of Managed Care Pharmacy, including utilization review, formulary management, network management, business operations, and benefit design, enable Tom to oversee the Consulting Services, Drug Informational Databases and Patient Education divisions of RJ Health Systems.

    Tom earned a Bachelor of Science in Pharmacy from Northeastern University and a Masters of Business Administration - Healthcare Management from the University of New Haven. He is a Registered Pharmacist in the State of Connecticut and is a member of the Academy of Managed Care Pharmacy.

  • Michael Giusani, B.Sc. Pharm., R.Ph. - Vice President, Clinical Pharmacy Services
  • Michael Giusani is the Vice President of Clinical Pharmacy Services, Workers’ Compensation Division for RJ Health Systems. He is responsible for developing and maintaining Workers’ Compensation Pharmacy Management Programs, which include but are not limited to Drug Utilization Review, Formulary Management, Benefit Design and Policy & Procedure Development.

    Michael has worked with the pharmaceutical industry to provide assistance in their knowledge of Drug Adherence and Medicare/Medicaid issues. He also is an active participant in various domestic symposia regarding issues in Workers’ Compensation and prescription drug coverage.

    Prior to joining RJ Health Systems, Michael was a member of the pharmacy team at CVS/Pharmacy. During his tenure at CVS/Pharmacy he gained extensive experience in Patient Compliance Initiatives, Patient Counseling and Drug Utilization Review.

    Michael earned a Bachelor of Science degree in Pharmacy from the University of Connecticut School of Pharmacy. He is a Registered Pharmacist in the State of Connecticut and is a member in good standing of the Academy of Managed Care Pharmacy and the American Society of Consultant Pharmacists.

  • Thomas Mancini - Vice President, Information Technology Services
  • Tom Mancini joined RJ Health Systems in June 2000 as Vice President, Information Services. Tom’s primary responsibilities encompass the planning, design and implementation of the software systems that deliver the products marketed and sold by RJ Health Systems.

    He has more than 20 years of technology experience in addition to a comprehensive knowledge base in insurance, pharmaceutical, medical and government programs. Prior to joining RJ Health Systems, he was an Independent Contractor, a Project Manager for Hartford Insurance Group, an Information Technology Manager for Travelers’ Insurance, and a Computer Programmer for the State of Connecticut Department of Transportation. He has extensive experience in Workers’ Compensation, Managed Health Care, and Property Casualty Insurance with exposure to all facets of the healthcare and insurance industries.
    Tom earned a Bachelor of Science degree from the University of Connecticut. He also has several certifications including Project Management Certification from The Boston University Center for Management Development, Sun Certified Programmer, IBM Certified Solution Developer, and Oracle Certified Professional Enterprise Developer.

  • Susan Moore, CPhT. - Vice President, Long-Term Care / Medical Records
  • Susan Moore has been with RJ Health Systems since 1989. As Vice President of Medical/Pharmacy Records, she has established relationships with a multitude of healthcare facilities and group homes across Connecticut. Her responsibilities include the organization and management of all of the Long-Term Care administrative records.

    Along with her staff, Susan ensures that administrative records are transcribed accurately and efficiently. She also oversees the creation of monthly newsletters for nurses and staff that detail potential drug issues and updates.

    Prior to joining the company, Susan worked for Hartford Hospital in the pharmacy department. Her role in this clinical setting included responsibility for mixing IV medications and TPN Solutions, filling unit dose carts and compounding medications.

    Susan has been a Nationally Certified Pharmacy Technician since 1997. She graduated from the Hartford Hospital School of Allied Health Pharmacy Technician Program.

  • Lou Delmastro - Vice President Business Development, MBA
  • Lou DelMastro has joined RJ Health Systems May 2011 as the Vice President of Business Development, responsible for managing all aspects of sales, marketing, and customer service. Prior to joining RJ Health Systems Mr. DelMastro worked for 19 years in the pharmacy benefits management industry, first with Advance PCS for 10 years and most recently with CVS/CAREMARK for 9 years. During his tenure he held positions early in his career as a sales director and then Vice President level positions overseeing account management and various sales departments.

    Mr. DelMastro has extensive experience in sales, sales management, marketing, as well as general pharmacy management applications. Mr. DelMastro also oversaw the CVS/CAREMARK TPA Advisory committee, the TPA marketing committee and served on the Best Practice committee.

    Mr. DelMastro received a Bachelor of Science degree in marketing and management from Quinnipiac University in 1982, as well as an MBA from Quinnipiac University in 1991.

  • Ryan Taylor, CPA - Vice President, Finance and Administration
  • Ryan Taylor joined RJ Health Systems in June of 2014. He brings 10 years of experience in accounting and finance. He most recently held a leadership position in the healthcare industry at Triad Healthcare, Inc., a specialty benefit manager, recently acquired by MedSolutions. He brings experience in financial modeling and analysis, strategic planning and financial management of target growth companies in healthcare.

    Ryan’s experience includes over 5 years with a regional public accounting firm, fully servicing clients from an accounting, advisory, and tax capacity. Ryan worked with a diverse client base, primarily representing small to mid-sized closely held companies from multiple industries with a concentration in healthcare.

    Ryan also holds the position of Treasurer with the Linda Clemens Breast Cancer Foundation in Connecticut. Ryan will be responsible for providing leadership and support to the day to day financial operations of the company, and to assist with executing on the company’s mission and strategic plans.

    Ryan received his Bachelor’s degrees in Accounting and Finance from Central Connecticut State University.

Top of Page

Essential information regarding how to bill and code for a particular drug/device. "In a complicated and challenging market, these tools and RJ's professional knowledge have been an asset to our organization."
John T. Ciufo, Chief Operating Officer
CareMed Specialty Pharmacy