CORE Board


In 2013, CAQH CORE extended its existing multi-stakeholder governance and, in 2015, updated its governing procedures, which can be accessed here. Presented below is the multi-stakeholder CAQH CORE Board.



Provider - Vice Chair
(Proposed by AHA)

St. Joseph's Health Linda Reed, RN, MBA, CHCIO, FCHIME; Vice President and Chief Information Officer
Hospital Montefiore Medical Center Stephen Rosenthal, MBA, Senior Vice President, Population Health Management and President of CMO, Montefiore Care Management
Broader Care Delivery ComfortCare Dental Kenneth L. Chung, DDS, MPH; CEO
(Proposed by AMA)
Drexel University College of Medicine Marilyn J. Heine, MD, FACEP, FACP, FFSMB, FCPP; Clinical Assistant Professor of Medicine
(Proposed by MGMA)
Massachusetts General Physician Organization Kevin Mulcahy, Senior Director, Payer Relations, Special Billing & Provider Enrollment
Health Plan  Aetna Renee Ghent, Chief Digitalization Officer
Health Plan BCBSNC Troy Smith, MBA, Vice President, Healthcare Strategy & Payment Transformation
Health Plan - Chair UnitedHealthcare Tim Kaja, MBA, CPC, Senior Vice President, Optum Care
Health Plan Centene Jennifer Weigand, MBA, Senior Vice President, Business Digitization 
Health Plan
(Proposed by AHIP)
Harvard Pilgrim Health Care Michael S. Sherman, MD, MBA, MS; Chief Medical Officer
Other InstaMed Chris Seib, Chief Technology Officer and Co-Founder
Other athenahealth Paul Brient, MBA, Senior Vice President and Chief Product Officer
Other Epic Achudhan Sivakumar, Software Development Product Lead - Referrals & Authorizations

Non-Voting Members

  • Federal Government - Daniel Kalwa, Deputy Director, National Standards Group, CMS
  • State Government - TBDIn Process
  • Author - CAQH CORE: Robin Thomashauer, President, CAQH
  • Author - CAQH CORE: April Todd, Senior Vice President of CORE & Explorations

Non-Voting Advisors

  • X12: Cathy Sheppard, Executive Director
  • HL7: Walter Suarez, Chair, HL7 International Board of Directors 
  • 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 Program