Robin J. Thomashauer
As Executive Director of CAQH, Robin Thomashauer leads a broad based coalition of health plans and trade associations dedicated to creating solutions that dramatically streamline healthcare administration. A recognized industry leader, Thomashauer has more than 30 years of experience in managed care operations and hospital administration.
Prior to joining CAQH, Thomashauer served as a Director in the PricewaterhouseCoopers Healthcare Consulting practice. She has also served as an executive manager in several health care organizations, including the Kaiser Foundation Health Plan, overseeing a wide range of functions, including Medical Facilities, Clinical Services, Information Systems, Strategic Planning, Public Affairs and Alliances/Acquisitions. Thomashauer has also held management and administrative roles in several teaching hospitals, including Rockford Memorial Hospital in Rockford, Illinois, and Mercy Hospital in Chicago, Illinois.
Thomashauer is a Diplomate in the American College of Healthcare Executives and serves on the board for Adventist Healthcare. She holds an M.H.S.A in Hospital Administration from The George Washington University and a B.A in Social Sciences from Colgate University.
Managing Director, Committee on Operating Rules for Information Exchange
Gwendolyn Lohse is the Managing Director of the Committee on Operating Rules for Information Exchange (CORE) at CAQH, a nonprofit alliance of leading health plans and industry trade associations located in Washington, D.C. CAQHís mission is to be the catalyst for industry collaboration on initiatives that simplify healthcare administration, resulting in a better care experience for patients and caregivers.
CORE creates national business rules to govern the electronic exchange of administrative data, regardless of technology. To demonstrate their adoption of the CORE rules, entities must complete a certification process that verifies that their IT systems and products are in compliance with the rules. Lohse led the design and implementation of CORE, and oversees the day-to-day aspects.
Under her leadership, over 130 organizations, including health plans, hospitals, vendors, CMS, and other healthcare industry leaders, have joined CORE. CORE participants collectively cover more than 150 million lives, or approximately 75 percent of the commercially insured plus Medicare and some state-based Medicaid beneficiaries. Numerous leading national healthcare organizations have completed CORE certification or become CORE Endorsers. Lohse currently is overseeing COREís third phase of rules development.
Prior to joining CAQH, Lohse was a Manager at PricewaterhouseCoopers (PwC), serving both domestic and international healthcare clients, and an associate within Johns Hopkinsí internal consulting unit.
Managing Director, Universal Provider Datasource
With more than 30 years in health insurance, healthcare management, benefits administration, and sales/marketing, Sorin Davis has served the healthcare industry from many perspectives.
Davis currently supports CAQH, a not-for-profit alliance of the nationís leading health plans and trade associations as its Managing Director of the Universal Provider Datasource (UPD). He is responsible for the national launch and day-to-day operations of the UPD initiative. His primary focus is on overall UPD product strategy as well as oversight of the vendor which provides development, administrative and operational support of the UPD platform.
Previously, Davis was Executive Vice President of MultiPlan, and CEO of its subsidiary, CareAway USA, providing services to over 200 HMOs. During his tenure, he was instrumental in transforming MultiPlan into one of the nationís largest and best known independent PPOs. He also represented MultiPlan, as its deputy board member to CAQH. Before MultiPlan, Davis was Director of Labor Sales and Account Management at Empire Blue Cross, leading the team responsible for the then largest block of labor healthcare business in the country. Earlier, he was Director of Claims Administration for the Amalgamated Life Insurance Company, and Assistant Administrator of the International Ladies Garment Workers Union Health and Welfare Funds.
Davis holds a Masterís degree in Public Administration from New York University, specializing in Health Services Management. He served on the Democratic Leadership Councilís Progressive Policy Institute Health Care Committee, and held positions on HIAA and AAHP committees, including chair of HIAAís Managed Care Committee. A frequent guest speaker at industry events, Davis presents on a range of topics, including managed care, cost containment and marketing techniques.