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:

Curt Bailey is President and Chief Executive Officer Bloodworks Northwest. Curt joined Bloodworks Northwest after 20 years in management consulting. Curt was a partner at McKinsey & Company, where he was a leader in the firm’s healthcare practice based in Seattle. Curt has advised a variety of healthcare companies across the United States with an emphasis on serving non-profit, community-based, and academic healthcare institutions. Curt’s work spanned strategy, operational improvement, and organizational health, and he has published in leading journals, such as the Harvard Business Review. Prior to joining McKinsey, Curt served as a Captain and helicopter pilot in the U.S. Marine Corps. He earned his MBA from Yale University and his BA from Tufts University. Curt has lived with his family in the Seattle area since 2002. He is active in the community and has served on the Board of Trustees for a local Montessori school, and chaired Yale School of Management’s West Coast Advisory Board.

John Wagner is the Chief Network and Operations Officer, NW, Mountain and Arizona Markets for Aetna, a CVS Company. John is responsible for optimizing local market network performance and cost as well as advancing strategic goals in support of membership growth and retention. This includes pushing innovation for all lines of business, coordinating expansion activities, and meeting the diverse needs of Aetna plan sponsors. The NW and Mountain Market includes: Oregon, Washington, Alaska, Idaho, Montana, Wyoming, Nevada and Utah. John is based out of the Portland office where he serves as Aetna’s senior most leader in the Oregon business community. John has worked for Aetna since March of 2012. His prior experience includes leadership positions at Providence Health Services where John was Vice President of Payer Strategy, at Cambia/Regence (Blue Cross, BlueShield) where John was Vice President of Provider Strategy with accountability for all things provider for the four state (OR, WA, ID, UT) health plan, and for PacifiCare in Oregon and Texas. John holds a Bachelor of Science Degree in Accounting from Oregon State University, and an MBA from the University of Portland. In addition to his professional experience, John has held board positions on the Boys and Girls Club of King County, the American Red Cross Oregon Chapter, and LifeWorks NW, a Portland based behavioral health safety net provider organization.

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.

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).

Larry McNutt is Senior Vice President Corporate/Pension Administration with Northwest Administrators, Inc. He has been directly involved in Taft-Hartley fringe benefit administration for over 35 years. His experience includes administration of benefits for many industries, including construction, freight and warehousing, building service, shipbuilding and food processing. Larry is a Certified Public Accountant in Washington state and has served as independent auditor to several Taft-Hartley trust funds in Washington and California. He is a past-President of the Northwest Association of Administrators, a past speaker for the International Foundation of Employee Benefit Plans and contributing author to IFEBP publications. Larry served as Assistant Administrator and more recently Administrator of the Carpenters Trusts of Western Washington for the past 15 years.

Board Members:

Ingrid Ulrey is the Chief Executive Officer for Washington Health Benefit Exchange. She is a health care executive with an extensive history and passion for expanding access to care, driving health system transformation and advancing equity. In her role as Exchange CEO, she oversees the entirety of the Exchange’s activities and works closely with the Governor-appointed Exchange Board, leadership and staff to define and execute our mission.

Prior to her appointment as Exchange CEO, Ulrey served in the Biden Administration as Regional Director for the U.S. Department of Health and Human Services — serving Alaska, Idaho, Oregon, Washington and the 272 federally recognized tribes. Before HHS, Ulrey was Policy Director for Public Heath — Seattle & King County, where she was a lead strategist of the region’s COVID-19 response.

Ulrey’s leadership in the health sector is informed by work at the national level, including five with the Service Employees International Union based in Washington, DC; at the state level, including eight state legislative sessions in Olympia as Advocacy Director for AARP; and with a global perspective on health from more than 5 years in the Middle East and Southeast Asia, Most recently with PATH, based in Yangon, Myanmar. She has a master’s in public policy, public policy analysis from Georgetown University and a bachelor’s in cultural anthropology from University of California, Santa Cruz.

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.

Laura Reding is the Managing Director of SEIU 775 Benefits Group Health Benefits Trust. She leads the policy, operations, and strategy of a Taft-Hartley Trust delivering health and wellness benefits to more than 55,000 home care workers in Washington state. In a historic first, the Health Benefits Trust expanded medical and dental coverage to the children of 23,000 home care workers under her leadership. Laura has 20 years of healthcare experience including care delivery, benefit purchasing and administration, utilization management, and healthcare operations. She holds a Bachelor’s degree in Psychology from the University of Notre Dame, a Master of Science in Counseling from University of North Carolina at Greensboro and earned her Master in Business Administration from the University of Washington.

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.

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.

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.

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.

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.

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.

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. 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.

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. 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.

Carla Costa Sandine joined Kaiser Permanente Washington in May 2023 as Vice President of Communications, Marketing, and Community Health.

In this role, Carla oversees internal and external communications, brand and reputation, media relations, issues management, executive communications, digital and social media, marketing, and advertising. She also manages Kaiser Permanente Washington’s community health portfolio, including medical financial assistance and charitable care as well as grants and community health initiatives.

Carla is also an Affiliate Instructor of Health Communications at the University of Washington. She is a seasoned leader with over 20 years experience in the public health, biotech, and health care sectors.

Before joining Kaiser Permanente, Carla spent seven years with PATH, the global public health and life sciences organization with a mission of advancing health equity. As PATH’s Chief of External Affairs, Carla led the 90-person communications and marketing, advocacy and policy, and philanthropy division.

Prior to her role with PATH, Carla founded, built, and sold a strategic communications firm that served public, private, and social organizations and political campaigns. Previously Carla served in multiple roles with the International Rescue Committee (IRC), including Public Affairs Officer, and HIV/AIDS Program Outreach Manager. She was also the head of marketing for a health care recruiting firm and a digital advertising consultant.

Carla has served in board and committee roles with the World Economic Forum, Social Venture Partners, Association of Fundraising Professionals, and Planned Parenthood.

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.

Sue Birch is the Director of the Washington State Health Care Authority (HCA). As HCA Director, she is focused on transforming the health care delivery system to better serve those for whom the state purchases care, while keeping health care costs in check. Before joining the HCA, Sue spent nearly seven years as the Executive Director of the Colorado Department of Health Care Policy and Financing, where she led the state’s successful implementation of the Affordable Care Act. A nurse by training, Sue also served as Chief Executive Officer of the Northwest Colorado Visiting Nurse Association.