The Alliance’s Board of Director is comprised of up to 24 individuals representing health care purchasers, employers, union trusts, along with health plans, health care providers and consumers.

Executive Committee:

Carol is the Director of Member Pooling Programs for the Association of Washington Cities (AWC), overseeing AWC’s Employee Benefit Trust, Risk Management Service Agency, Workers’ Comp Retrospective Rating Program, and Drug & Alcohol Consortium. For the majority of her 35 years with the AWC, Carol administered the Employee Benefit Trust, insuring 36,000 members from over 280 municipalities and special purpose districts. She serves as a resource for labor-management task forces addressing the complexities of health care coverage and frequently speaks at the state and national level on governmental entity health pools and public sector risk management trends. She was appointed to the Washington State Health Benefit Exchange Advisory Committee in 2015; serves on the Board of Directors to the National League of Cities Risk Insurance Sharing Consortium; as well as the Member Practices Committee with the Association of Governmental Risk Pools (AGRiP).

Megan Pedersen is the Director of the Office of Labor Relations for King County. Megan partners with the County’s unions to advance Executive Dow Constantine’s goal of being the best run government through a focus on employee engagement, continuous improvement, and financial stewardship. Since 2016, Megan has led “total compensation” negotiations for wages and benefits with the King County Coalition of Unions, which represents over a third of the County’s employees. In 2017, she led the County’s efforts to establish a first-ever Master Labor Agreement with the Coalition of Unions, creating efficiencies and standards across some 60 bargaining agreements. Megan previously served as Deputy Director of the King County Records and Licensing Services Division and as a Litigator with the Office of Labor Relations. Before joining King County, Megan was an associate with the Seattle law firm, Williams Kastner. She is a graduate of the University of Washington Law School.

Board Members:

As EvergreenHealth’s Chief Operating & Strategy Officer, Chris Bredeson oversees all facets for healthcare services and operations, strategic planning, service lines, business development, information technology, human resources, marketing/communications, community engagement, government relations, and digital health/innovation.

A Pacific Northwest native, Bredeson has dedicated his entire career to healthcare, serving in leadership positions since 1994. Before joining EvergreenHealth in December 2019, he was president and COO of MultiCare Good Samaritan Hospital in Puyallup. Prior to that, he was an administrator for the MultiCare Regional Cancer Center & Oncology service line.

Bredeson earned his bachelor’s degree in Speech Communication from the University of Washington, and his MBA from City University of Seattle. In addition to the Washington Health Alliance Board, Chris serves on the Washington Hospital Services Board, the Equestrians Institute Board, the Strategic Regional Healthcare Organizations (SRHO) Board, the Together Center Finance & Operations Committee, and is on the Washington State Hospital Association Public Policy Committee.

 

John Bry joined Kaiser Permanente Washington in 2023. In this role he has responsibility for all aspects of performance for the Washington market and its 600,000 covered members. This includes financial planning & analysis, forecasting, capital planning, accounting, actuarial, underwriting, and affordability. In addition, John collaborates closely with care delivery/WPMG to drive operational efficiency, the sales and account management teams to improve growth trajectory, network contracting and product teams to optimize cost position, and program office partners to ensure alignment with organizational priorities.

Prior to joining Kaiser, John spent five years as chief financial officer of UnitedHealthcare’s commercial health plans in the Pacific Northwest and California. These health plans included over 1 million covered lives and had a mix of both PPO and capitated HMO plans. In this capacity, John oversaw membership growth, financial turnaround, product development and rollout, as well as helped lead the alignment between Unitedhealthcare’s commercial health plans and Optum’s healthcare delivery expansions on the west coast.

Before UnitedHealthcare, John spent almost a decade in various consulting roles focused on the healthcare industry, particularly provider groups and large health systems, with a focus on strategic growth, expansion, and partnerships to improve client growth opportunities. John holds a Master of Public Health and Master of Business Administration from Boston University, and an Aerospace Engineering undergraduate degree from the University of California, San Diego.

Kimberly Collier is vice president, human resources for Puget Sound Energy (PSE). Under her leadership, PSE is focused on talent retention and attraction, employee experience, and ensuring PSE has an inclusive culture and diverse workforce who can meet the needs of all of our customers. Prior to joining PSE, she held executive roles inside and outside of the utility industry. From 2009 to 2016, she served as deputy director of Seattle Public Utilities, where she was the Officer responsible for human resources, environmental justice and service equity, safety and HR operations, and data management. Prior to that, she was director of human resources for Cox Communications in Phoenix, Arizona. She’s also held roles with The Dial Corporation, Motorola and Kinko’s, Inc. Kim serves on the Board of the Puget Sound Energy Foundation and on the Advisory Board for the Energy Executive Course of the College of Business and Economics at the University of Idaho. She also serves her community as a member of the African American Advisory Council for the Bellevue Police Department and serves as a Community Representative for the Independent Force Investigation Team of King County, WA. Kim has a bachelor’s degree in business from The College of New Jersey. She is certified as a Senior Professional in Human Resources (SPHR) from the HR Certification Institute.  Kim lives in Bellevue, Washington.

Dr. Dacones is a nationally recognized leader in driving value-based care innovation and a long-time advocate of the Quadruple Aim. She joins us from Kaiser Permanente Northwest (KPNW), where she most recently served as President and CEO of Northwest Permanente (NWP) and chair of the National Permanente Executive Committee. In these roles Dr. Dacones had remarkable success in modernizing business functions, growing the KPNW footprint, improving margins, driving innovation, and fostering clinician and team member engagement. She also practiced as a primary care physician and hospital-based internist for more than 22 years and has been recognized numerous times as a physician and leader. In 2020, she was named one of Modern Healthcare’s Top 25 Minority Leaders. In 2019, she was the recipient of Portland Business Journal’s Health Care Leadership Award. Dr. Dacones received her undergraduate and medical degrees from the University of Chicago, where she also completed her internship and residency training in internal medicine. Imelda is moving to Seattle from Portland with her husband and two children. As their children start college in the fall, she looks forward to getting reacquainted with her college sweetheart and husband, Paul. They plan to explore the great state of Washington while getting involved in the communities we serve.

Lloyd David’s career showcases passion, leadership, innovation, strong relationship building and the ability to deliver high impact results. Mr. David served as the Chief Executive Officer of The Polyclinic and the market leader for Optum Washington from 1994 to 2021. He built The Polyclinic brand, growing from a single location with 65 physicians to a prominent, indispensable medical group with over 250 providers, 30 specialties, 240,00 patients and 13 locations, scoring #1 in Washington for quality, and leading the market in patient satisfaction. He brought an intense focus on the patient experience. Championing the move from volume to value, he created new subsidiaries to contract for full financial risk, negotiated shared savings contracts with major insurers and created Washington’s first Accountable Care Organization, per the Affordable Care Act. His keen relationship building, and negotiation skills led to the creation of several joint ventures, including a successful independent physician association, an ambulatory surgery center with Seattle’s largest hospital and a clinically integrated network with a major insurer. He led the search for a capital and strategic partner and the negotiation for The Polyclinic’s sale to Optum in 2018. Mr. David’s leadership approach is collaborative, and he is known as a consensus builder who brings out the best in those around. His high integrity and focus on values and mission have earned him respect and followership. His focus on innovation and his ability to see different perspectives and balance stakeholder interests have been hallmarks of his career. Mr. David has served on and worked directly with multiple boards. He has leveraged his broad and wide-reaching expertise on diverse committees including Innovation and Sustainability, Finance and Audit and Marketing and Risk Management committees. He currently serves on the boards of Treehouse and PSW. His past board service includes the Washington Health Alliance, Physicians Insurance and Country Doctor Community Clinic. He has worked closely with the Boards of Directors of The Polyclinic, The Everett Clinic and Harborview Medical Center. Prior to joining The Polyclinic in 1994, Mr. David was a member of the executive team at Harborview, where his responsibilities included strategic and facility planning, marketing, regulatory affairs and safety. He began his career in legislative and government relations. He has a bachelor’s degree in Government from Harvard University and a master’s degree in Business Administration from the University of Washington. Mr. David was honored by being named Seattle Magazine’s Health Care Executive of the Year.

Dr. Jay Fathi, a family physician and recognized community and health care leader across Washington State, currently serves as the Plan President and CEO of Molina Healthcare of Washington, the largest health plan by membership in the state. After serving for 12 years as a full spectrum family doctor at the 45th Street Community Health Center, he founded and served as the Senior Medical Director of Community Health at Swedish Health Services. He then helped lead the implementation of the Affordable Care Act in Washington as President and CEO of a managed care health plan that provided health coverage to over 250,000 mostly low-income individuals across Washington state, including all 25,000 children, youth, and young adults in foster care. Dr. Fathi holds an appointment as a Clinical Assistant Professor at the University of Washington School of Medicine, has served on numerous local, state, and national boards and committees, and has been recognized locally and nationally for teaching, leadership, and dedication to the health and well-being of the underserved. He has also worked as a consultant and advisor to numerous providers, social service, government, labor, and nonprofit organizations and businesses, working towards system improvements and health equity.

Sarah Greene is the Strategy Consultant and Advisor focused on translating research into health improvements.  Most recently, she served as the Executive Director of the Health Care Systems Research Network, a consortium of researchers embedded in health care delivery systems. She worked with Group Health (now Kaiser Permanente) for over 15 years in a variety of roles and has published original research on patient-centered care and communication between cancer patients and their care team. Sarah has been active with the Alliance since its very early days and was Chair of the Alliance’s Consumer Education Committee from 2009 to 2021. Sarah joined the Board in 2016. She enjoys the opportunity to bridge her research knowledge with the daily experiences we all have as consumers and patients, in an effort to improve health care for all.

Dr. Andrew Jones is the CEO of Confluence Health. He has always had a passion for community. This desire to learn how we function better together culminated in a bachelor of arts degree in history from Yale University. An interest in science soon led him to attend the University of Oklahoma Health Sciences Center for his medical degree. Completing his residency in family medicine, Dr. Jones served as chief resident and received the Alan J. Maxwell, MD Award for Clinical Excellence. After his residency, he served as the associate program director for the University of Oklahoma Health Sciences Center Family Medicine Program. Desiring to branch out in his practice, Dr. Jones joined Exempla Saint Joseph Hospital in Denver, Colorado. Hired initially as a faculty physician, he quickly rose to positions of increased leadership and responsibility, being named the medical director of the Bruner Family Medicine Center and later program director for the family medicine residency program. While serving as program director, Dr. Jones also served as a board member and later chair for the Colorado Association of Family Medicine Residency Directors where he advocated for graduate medical education in Colorado. These roles also afforded him the chance to work stabilizing the hospital’s residency program and to create a wholly new obstetrics fellowship, which continues to this day. While serving in these roles, Dr. Jones was honored to also be nominated for physician of the year. Drawn to leadership roles where he could advocate for others and solve problems to make organizations stronger, Dr. Jones enrolled in the master of business administration program at the University of Colorado at Denver, focusing on health care administration. Recognized repeatedly for strong leadership, he received the James D. Suver Award for outstanding first-year student in health care administration and the Eugenie Sontag Award for outstanding graduate, while also receiving advanced training in process improvement at the Virginia Mason Institute. Accepting a position as the vice president for clinical performance excellence with Catholic Health Initiatives, Dr. Jones worked to develop improvements in eight different regions for 100 hospitals. A recognized leader in the medical administration field, Dr. Jones soon accepted the role of chief medical officer and vice president of medical affairs for St. Mary’s Medical Center in Grand Junction, Colorado, where he oversaw a wide variety of clinical and operational functions for the hospital. During this time, Dr. Jones worked directly with Dr. Richard Bohmer, an advisor specializing in health care management, to redesign how to provide care to promote better quality, lower costs, easier access, and increased engagement from medical professionals, a project that was formative in the way he approaches medical administration and patient care. Dr. Jones was named chief executive officer of Confluence Health in Wenatchee, Washington in 2022, bringing his experience and expertise to a leading health care provider in North Central Washington. In his private life, Dr. Jones is a passionate supporter of the arts and music, having served previously on the board of the Grand Junction Symphony Orchestra. An outdoor enthusiast, he enjoys spending time in the beauty of the Pacific Northwest. Dr. Andrew Jones resides in Wenatchee, Washington with his wife and two children.

Blythe is Vice President of Sales and Account Management for Public and Labor customers in the West at Aetna. In this role, she manages a team that is responsible for understanding the unique needs of each entity they work with to align appropriate resources and solutions that will help them advance their objectives. She has been working in this industry for almost 20 years in customer-facing roles with an emphasis analytics, compliance and clinical programs.

Blythe graduated from Mount Holyoke College with a B.A. in Economics. She currently resides in Seattle with her partner and two sons.

Heather Krueger, City of Seattle, Deputy Director of Citywide Benefits

As the Deputy Director of Citywide Benefits with the City of Seattle in the Department of Human Resources, Heather is responsible for several core business operations functions:

  • Citywide Benefits programs and plan administration, providing covered members and their qualifying family members with medical, vision, dental, ancillary benefits as well as the

City’s well-being initiatives and programs

  • City Leave Programs delivering a comprehensive variety of leave program options to employees experiencing a wide variety of qualifying events
  • Workers’ Compensation program operations overseeing the City’s self-insured and self- administered claims unit
  • Citywide Safety programs administration including drug and alcohol testing programs under FMCSA and drug free workplace guidance, and industrial hygiene related hazard testing, prevention, and mitigation

Approaching a decade with the City of Seattle, Heather has been engaged in transformational work in service to the city and its employees. Some highlights include:

  • Leading the creation of City Leave Programs unit, establishing core services, setting goals and objectives, and defining the mission of the unit. Implemented program resources for City departments to equitably administer leave and ADA programs with a targeted and transparent approach to help employees understand their rights and obligations and

increase resource access.

  • Launching a new workers’ compensation RMIS system following a competitive bid process and system implementation with associated data conversion.
  • Digitization of the City’s workers’ compensation claim files.

Prior to joining the City of Seattle, Heather held positions in Risk Management and Human Resources. Her career tenure also includes several years with a risk management third party administrator where she gained direct experience in managing workers’ compensation claims, management and leadership, and client service roles in workers’ compensation and product liability.

Charlene Lind is the Vice President of Client Relations for Northwest Administrators, Inc. She has worked in the benefits and finance industry for over 25 years. For over 20 of those years, she has held a variety of positions responsible for third-party benefit administration of single and multi-employer benefit plans at Northwest Administrators, Inc. In her current role as Account Executive/Compliance Manager, she is involved with the Washington Teamsters Welfare Trust along with a number of other health plans in the western United States. Charlene has completed the IFEBP Administrators Masters Program and is involved with the Northwest Association of Administrators.

Greg Marchand is the Director of Global Benefits for The Boeing Company. He is also the process owner for Employee Benefits issues for Boeing Commercial Airplanes. Previously, Greg served as the Senior Manager of Health and Welfare Operations for The Boeing Company. He also serves as the Boeing representative to the Leapfrog Group and is a member of the Leapfrog Board of Directors. Prior to joining Boeing, he served as a consultant to the Kellogg Company and the W.K. Kellogg Foundation.

Lee Mills McGrath is the Executive Vice President for Health Care Services at Premera Blue Cross. McGrath has extensive experience in both the provider and payer space, focused on payment reform and population management. She joined Premera in 2018 after spending several years working for other BlueCross Blue Shield Association plans, serving as the Divisional Vice President of Network Strategy and Innovation at Health Care Service Corporation in Illinois. She was also President of Illinois Health Partners, a joint venture between DuPage Medical Group and Edward Health Ventures, one of the largest clinically integrated networks in the Chicagoland area managing over 250,000 HMO and ACO patients. At Premera, McGrath is focused on improving healthcare through better solutions that focus on quality and lower cost, and through building relationships in the provider space that lead to better partnerships.

David Nosacka is the Division Senior Vice President & Chief Financial Officer at Virginia Mason Franciscan Health. He is an integral member of the Executive Leadership Team with more than 25 years of progressive financial leadership and will ensure their system meets and exceeds financial goals to the service and benefit of their patients and communities. David has an extensive and impressive career having held numerous leadership roles in both for profit and nonprofit organizations throughout the country. Most recently, he joined them from Hospital Sisters Health System in Springfield, Illinois, where he served as the Division Senior Vice President and Chief Financial Officer. Over the past two decades, he has held leadership roles with HCA Healthcare/Triad Hospitals in Plano, Texas; Creighton University Medical Center in Omaha, Nebraska; and several other large, integrated health care systems ranging from critical access hospitals to academic medical centers. David is a member of the Healthcare Financial Management Association and the American College of Healthcare Executives. He and his wife have three children ages 24, 18 and 15. Originally from Louisiana, he enjoys fishing, live music, travel, cooking, and spending time with his family.

Dr. Zak Ramadan-Jradi is the Head of Network Management and Strategy across the health plan’s four-state footprint. Zak has a long and diverse health care background that includes extensive experience in healthcare analytics, clinical and contract performance management, and network development.

After practicing bedside medicine as an Internist, Zak realized he wanted to make a positive change in the way health care is delivered at the policy and business level enabling him to assist more patients exponentially rather than one at a time. This led to his career in health care and health plan administration that includes experience working in policy and regulation and at an operational level with clinic administration. He is currently a member of the Board of The DC based Health Care Transformation Committee. He was Vice Chair on the governing board for Physicians of Southwest Washington, the Milliman Advisory Board, and has been an active participant in National Association of ACOs from 2015 through 2022. Zak’s past board experience includes participation as ex-officio on the Community Health Centers of Washington State for Skagit, Snohomish, and Mason counties. He participated in the Communication Roundtable for the Bill and Melinda Gates Foundation, Collective Medical Advisory Board, and the Change Health Advisory Board.

The overarching goal for Zak is to achieve excellence in the health care that is delivered to our members, and our communities far and wide. He received his MD from The London Hospital Medical College in London, England, had his clinical practicum in Canada, and earned his MBA from Seattle University.

When Zak is away from his desk he enjoys spending time with his family and Kayaking

James M. Record, MD, JD, FACP, is the interim dean of the Washington State University Elson S. Floyd College of Medicine and a clinical professor in the Department of Medical Education and Clinical Sciences. Dr. Record joined WSU in 2021 as vice dean for GME, CME and partnerships, providing executive oversight of the offices of Graduate Medical Education, Continuing Medical Education, LandGrant Mission and Leadership, Advancement, and Compliance for the college. He led the development of new clinical partnerships, residency programs, continuing medical education programs, and an alumni affairs program, as well as the college’s system-wide strategic planning. Prior to WSU, Dr. Record served as provost and chief academic officer at Ross University School of Medicine, as well as the dean of the Chicago Medical School at Rosalind Franklin University in Chicago. He has held multiple prior positions of leadership in undergraduate and graduate medical education at the St. Joseph’s Healthcare System, New York Medical College, and the Mount Sinai School of Medicine. A published scholar, he is an active member of the American Association of Medical Colleges Council of Deans and the American Medical Association. Dr. Record earned a bachelor’s degree with high honors in biochemistry and sociology from Bowdoin College in Brunswick, Maine. He earned his doctor of medicine degree from the University of Massachusetts Medical School and completed his residency training in general internal medicine at Brown University School of Medicine—Rhode Island Hospital. Additionally, he earned his juris doctorate degree from Rutgers University.

Pete is an Internal Medicine physician who after graduating from the University of Washington School of Medicine in 1982 and completing an Internal Medicine residency at the University of Utah in 1985 practiced in a two-physician practice in Cody, WY for five years. Following that Pete returned to Wenatchee, WA where he grew up and has practiced General Internal Medicine since then, with a predominantly geriatric practice. Pete served as the first CEO of Confluence Health from 2013 until retiring from the position in 8/2023. He is now practicing Internal Medicine part time. He previously served on the Washington State Hospital Association board of directors from 2014 until 2022, serving as Board Chair in 2021. Areas of interest include chronic disease management, and measurement of quality, especially in smaller more rural communities. Pete has two sons who both live in the Seattle area. He lives in Wenatchee and enjoys biking and skiing as well as being a home for a retired Alaskan sled dog.

Steve Schramm joined MultiCare Connected Care in 2019. He has more than two decades of experience in health care finance and management. Schramm came from Catholic Health Initiatives (CHI) and was most recently CEO and CFO of QualChoice Health Plan Services Medicare Advantage plans.

Schramm earned a bachelor’s degree from the University of Washington and is a retired certified internal auditor and certified public accountant.

Laura Kate Zaichkin (she/her) serves as Director of Market Competition & Affordability for the Washington Health Benefit Exchange, a public-private partnership that operates the online portal used by one in four Washington residents to obtain health and dental insurance coverage. Laura Kate leads the Exchange’s primary affordability initiative that aims to improve equitable access to high-quality, affordable health coverage on the individual market. The child of two nurses, Laura Kate brings nearly 15 years of passion for and experience in health reform and health systems transformation. Her previous roles include serving as deputy chief policy officer for the Washington State Health Care Authority, leading health benefit purchasing strategy for Washington state’s long-term home caregiving workforce, and convening a multi-sector partnership of national health care quality entities in Washington, DC. Laura Kate has a master’s degree in public health policy from The George Washington University, and early in her career worked as a journalist. A Pacific Northwest native, Laura Kate lives in Seattle with her spouse and rescue dog.

Judy is a general internal medicine physician and is passionate about state level health policy. She is focused on building on and aligning work including value-based payment models, the state’s Medicaid Transformation initiative, health equity, collaboration with stakeholders, and innovative use of data.

She has served as chief medical officer for the Colorado Department of Health Care Policy and Financing. She has extensive experience in designing and implementing benefits, specifically in Medicaid programs, and was instrumental in implementing the Affordable Care Act (ACA) in Colorado.