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CORE Board

Meet the multi-stakeholder CAQH CORE Board.

ENTITY TYPE COMPANY INDIVIDUAL
Provider (Proposed by AMA) Drexel University College of Medicine Marilyn J. Heine, MD, FACEP, FACP, FCPP; Clinical Assistant Professor of Medicine
Provider (Proposed by MGMA) Massachusetts General Physician Organization Kevin Mulcahy, FACMPE, Senior Director, Provider and Payer Service
Provider - Chair (Proposed by AHA) St. Joseph's Health Linda Reed, RN, MBA, CHCIO, FCHIME; Senior Vice President and Chief Information Officer
Hospital Montefiore Medical Center John Williford, Vice President and Chief Operations Officer of CMO, Montefiore Care Management
Broader Care Delivery Aspen Dental Management, Inc. Margaret Schuler, MBA, Senior Vice President, Practice Support Operations and Revenue Cycle Management
Health Plan - Vice Chair BCBSNC Emily Brannen, Vice President, Digital and Service Strategy
Health Plan Centene Susan Moon, Senior Vice President of Digital & Customer Experience
Health Plan UnitedHealth Group Jamie Bittner, Senior Director Provider Digital Transformation and Chief of Staff
Health Plan (Proposed by AHIP) Kaiser Permanente Walter G. Suarez, MD, MPH, FHIMSS, Executive Director of Health IT Strategy and Policy
Health Plan Aetna Scott Waller, Vice President, Aetna IT Application Delivery Division
Other athenahealth Paul Brient, MBA, Senior Vice President and Chief Product Officer
Other J.P. Morgan Brendan Crotty, Head of Healthcare Payments Product, J.P. Morgan and Chief Product Officer, InstaMed, a J.P. Morgan company
Other Epic Achudhan Sivakumar, Software Development Product Lead - Referrals & Authorizations

 

Non-Voting Members

  • Federal Government -Michael Cimmino, Director, National Standards Group, CMS
  • State Government -TBD
  • Author -CAQH CORE: Sarah Ahmad, CEO, CAQH
  • Author -CAQH CORE: April Todd, Chief Policy & Research Officer

Non-Voting Advisors

  • X12: Cathy Sheppard, Executive Director
  • HL7: Viet Nguyen, MD, Chief Standards Implementation Officer
  • NACHA: Jane Larimer, President and CEO
  • NCPDP: Lee Ann Stember, President
  • WEDI: Charles Stellar, President and CEO
  • Emeritus:Joel Perlman, Former EVP, CFO, Montefiore Medical Center

CAQH CORE Board Governing Procedures