The governing group of the Alliance, the Board of Directors, consists of 24 members: thirteen purchasers, four health plans, four providers and three consumers.

James Zimmerman - Chief Operations Officer at Washington State University Health Sciences Spokane

Jim Zimmerman is the Chief Operating Officer for the Elson S. Floyd College of Medicine. He oversees administration, accreditation, finance, information technology, development, human resources and communication activities for the college.  Mr. Zimmerman came to WSU from the Chicago Medical School, where he served as Senior Associate Dean for Administration, Accreditation and Finance and was also Vice President of the Rosalind Franklin University Health System. He has also worked in the not for profit sector as Executive Director of Health Reach Incorporated, a not for profit free clinic and pharmacy serving the medically disadvantaged populations of Lake County, Illinois and as founding chair of the Illinois Association for Free and Charitable Clinics. In his earlier career he held executive and management positions in specialty consulting companies providing engineering and software technology solutions to industry and government.

Vice Chair
John Espinola, MD - Executive Vice President, Health Care Services, Premera Blue Cross

John Espinola, MD, MPH is the Executive Vice President of Healthcare Services. He provides leadership for Premera’s healthcare strategy, including provider network development, oversight of clinical programs and healthcare quality, and collaboration with healthcare providers to develop innovative solutions to meet the needs of Premera’s customers. He was formerly Vice President of Quality, Medical Management, and Provider Engagement at Premera Blue Cross.


John joined Premera in 2010. Prior to that, he served in various roles at other health plans. He also practiced geriatric medicine in the Seattle metro area in a variety of settings.


John is board certified in geriatrics and internal medicine. He trained in internal medicine at Scripps Clinic in San Diego and in geriatrics at Harborview Medical Center in Seattle. He has a Doctor of Medicine and Masters of Public Health degrees from Tufts University School of Medicine, a master’s in business administration from the University of Washington and a bachelor’s degree from the College of the Holy Cross in Worcester, Massachusetts.

Pamela MacEwan - Chief Executive Officer, Washington Health Benefit Exchange

Pam MacEwan is the Chief Executive Officer for the Washington Health Benefit Exchange. Prior to joining the leadership team at HBE, Pam served as Executive Vice President for Public Affairs and Governance for Group Health Cooperative. She directed Medicare and Medicaid program performance and strategy, government relations, public policy, communications, and consumer governance serving on Group Health’s leadership team for 16 years. Previously Pam served as a Commissioner with the Washington Health Services Commission implementing the Health Services Act. She worked with a broad coalition to pass health reform legislation. Pam has served on several health policy initiatives in the public and private sector, chairing the Association of Washington Health Plans, serving on the Washington State Hospital policy committee, the King County Health Action Plan, and the Children’s Health Initiative. She holds an MAT in history from Brown University and a BA in economics from The Evergreen State College.

Carol Wilmes - Director of Member Pooling Programs for the Association of Washington Cities

Carol is the Director of Member Pooling Programs for the Association of Washington Cities, 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 (NLC RISC); as well as the Member Practices Committee with the Association of Governmental Risk Pools (AGRiP).

Board Members

Curt Bailey - President & CEO, Bloodworks Northwest

Curt Bailey 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 and 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, chaired Yale School of Management’s West Coast Advisory Board, and currently serves on the Board of the Washington Health Alliance.

Sue Birch - Director, Washington State Health Care Authority

Sue Birch is the Director of the Washington State Health Care Authority. Previously, she was with the Department of Health Care Policy and Financing in Colorado, where she directed efforts to improve the health of Health First Colorado and CHP+ clients and increase access to care across the state while containing costs. Under Sue’s leadership, the Department successfully expanded coverage to more low income Coloradans while focusing on containing costs and improving service delivery.


Sue served on the Connect for Health Colorado Board and was integral in modernizing and integrating the state’s health information technology systems. She led the implementation of federal and state health care reform, while working with stakeholders to integrate care across the continuum and transform the Department’s health care delivery systems.


Sue earned a nursing degree and a master’s degree in Business Administration, both from the University of Colorado.

Leanne Bough - Vice President Client Services, Zenith American Solutions

Leanne Bough has been in the employee benefits administration field for nearly 40 years. The majority of her experience is in health plan administration of union trust funds, initially for a self-administered trust then for the last 30 years with Zenith American Solutions. After starting with Zenith American as the health claims manager, she moved into the Client Services area in 1990. As Vice President of Client Services at Zenith American, Leanne is currently responsible for overseeing the administration of the Sound Health & Wellness Trust along with its affiliated retiree medical plan and pension plans. Her responsibilities are not only to manage Zenith American’s direct services provided to Trust members but to also interface with the many other health plan and wellness vendors contracted by the Trust. She also works closely with the Trust’s communications consultant on plan information and campaigns directed to plan members along with oversight of the Trust’s member web site. Leanne is also a member of the International Foundation of Employee Benefits and has completed their Administrator Masters Program.

Merissa Clyde - Managing Director of Health Benefits Administration for the SEIU 775 Benefits Group

Merissa Clyde is the Managing Director of SEIU 775 Benefits Group’s Health Benefits Trust, overseeing benefits administration, Trust policy and operations for more than 50,000 home care workers throughout the Pacific Northwest. Focused on innovation, Merissa partners with government, labor and private industries to ensure that home care workers have access to the health programs and benefits they need to thrive. Merissa leads the Health Benefits Administration staff and trustees to facilitate the plan design for health benefits, organization strategic planning, operational delivery, and vendor relations with both medical and dental as well as non-medical health services. Merissa earned her Master of Social Work (MSW) from Boston University with a Certificate in Human Services Management, a Bachelor of Arts in Psychology and Sociology, and is fluent in Spanish.

Patrick Connor - Washington State Director, National Federation of Independent Business

Patrick Connor is Washington state director for the National Federation of Independent Business (NFIB), America’s Voice of Small Business with 8,000 members here and 350,000 across the nation. Health care is a top concern for small businesses, and Patrick has established NFIB as a leading advocate on cost, quality, transparency, and access to care issues affecting our state’s entrepreneurs and the families they employ. His leadership has been recognized with appointments to the governor’s Performance Measures Coordinating Committee, state Health Benefit Exchange’s Healthplanfinder Business (SHOP) Technical Advisory Committee, and a state Department of Health task force on patient out-of-pocket costs.

Lloyd David - Chief Executive Officer, The Polyclinic

Lloyd David is the Chief Executive Officer of The Polyclinic, a multi-specialty group located on First Hill in Seattle. The Polyclinic has 245 health care providers, including 205 physicians with approximately 40% primary care and 60% medical and surgical specialists. The Polyclinic has 12 locations and serves about 235,000 patients. The clinic provides a wide range of diagnostic services including ambulatory surgery, diagnostic imaging, cardiology diagnostics, etc. The Polyclinic has Medicare full risk capitation contracts, and commercial value based contracts. It was the first Medicare ACO in Washington State. The Polyclinic also manages Physicians Care Alliance and Physicians Care Network which support value based contracting for other independent medical groups. Lloyd serves on the Board of Directors at Physicians Insurance. He was previously vice-chairman of the board of the Puget Sound Health Alliance and served as president of the Washington Medical Group Alliance, an association of large medical groups across the state. Prior to joining The Polyclinic in 1994, Mr. David served in a variety of administrative roles at Harborview Medical Center where his responsibilities included strategic and facility planning, marketing, community relations, regulatory affairs, safety, security, parking, funding development, organization training and development and volunteer services. He has a BA in Government from Harvard University and an MBA from the University of Washington.

Carladenise Edwards - Executive Vice President and Chief Strategy Officer, Providence St. Joseph Health

Carladenise Edwards is the Executive Vice President and Chief Strategy Officer of Providence St. Joseph Health, a $24B health system with corporate headquarters in Renton, WA. PSJH provides health care services to over 4 million people across seven states, including Alaska, Washington, Montana, Oregon, California, Texas and New Mexico. Dr. Edwards is an expert in health care policy and administration, managed care programs, health information technology, leadership, and business development. Dr. Edwards is a medical sociologist and epidemiologist by training with a passion for teaching, coaching, and solving complex problems. She holds an undergraduate degree in sociology and a Master of Science degree in education from the University of Pennsylvania and a Doctorate in Philosophy from the University of Florida.

Sarah Greene - Executive Director, Health Care Systems Research Network

Sarah Greene is the Executive Director of the Health Care Systems Research Network, which is a consortium of researchers embedded in health care delivery systems including Group Health, Kaiser, and many others.


She worked with Group Health 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 is also the Chair of the Alliance’s Consumer Education Committee, and she has been active with us on the Alliance for nearly 10 years. 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.

Fred Jarrett - (Past Chair) Consumer Representative

Fred recently retired following nearly a decade as the Senior Deputy County Executive where he led the executive branch of King County government, the King County Executive Leadership Team, the Executive’s Best Run Government Initiative and improvements to local & contract public service delivery. Fred was awarded the King County Executive’s first leadership award for his work. Previously a state senator, Mr. Jarrett also served four terms in the state House of Representatives, after stints as Mercer Island Mayor, city council and school board member. Mr. Jarrett has also had a 35-year career at The Boeing Company

Christopher Kodama, MD - Pacific Northwest Clinically Integrated Network, LLC

Dr. Christopher Kodama is a Seattle-Tacoma native and is the is the President of Pacific Northwest Clinically Integrated Network, LLC. Before this he served as the President of MultiCare Connected Care (MCC), a commercial Accountable Care Organization and subsidiary of MultiCare Health System founded in 2014. In that role, Dr. Kodama is responsible for further improving access, quality and affordability of health care for the communities of the Pacific Northwest.

Prior to this role, he served as the Medical Vice President of Clinical Operations for MultiCare Health System since 2011. In that capacity, he was responsible for physician-related clinical and business operational activities at all six of the MultiCare hospitals and acute care facilities. Dr. Kodama joined MultiCare Health System in 2003 as a pediatric hospitalist at MultiCare-Mary Bridge Children’s Hospital & Health Center. From 2007-2010, Dr. Kodama served as the Medical Director and Medical VP of Pediatrics for Mary Bridge Children’s Hospital & Health Center.

Dr. Kodama earned his undergraduate degree in Human Biology at Stanford University and graduated from medical school at Albert Einstein College of Medicine in New York. He completed his pediatric residency training at New York University-Bellevue Hospital Medical Center where he also served as a Chief Resident before returning to the Pacific Northwest to join MultiCare. Dr. Kodama earned his Masters in Business Administration at University of Tennessee – Knoxville.

Applying his passion for group facilitation, collaboration, and his commitment to patient advocacy, Dr. Kodama has a particular interest in identifying how to flip dilemmas into opportunities to improve the overall health outcomes and well-being of patients and populations.

Tim Lieb - President of Regence BlueShield

Tim Lieb is the President of Regence BlueShield. He leads strategy and execution for the Washington plan consistent with Cambia’s direction and is responsible for directing and guiding statewide operations and market performance while representing and promoting Regence in business and civic arenas throughout the state. Prior to his appointment, Tim served as Vice President of Sales for Regence BlueShield where he lead the sales and services teams in Washington. Prior to Regence, he was the Pacific Northwest Employee Health and Benefits Practice Leader for Mercer, focused on client retention and growth in the Pacific Northwest. Tim has over 25 years in the industry ranging from consulting to health plan roles. His experience has focused on strategy, design and delivery of benefit programs. He graduated from Ohio University with a Bachelor of Science degree in Mathematics and a minor in Business.

Charlene Lind - Account Executive/Compliance Manager, Northwest Administrators, Inc.

Charlene Lind 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 - Director, Benefits Policy and Strategy, The Boeing Company

Greg Marchand is the Director of Benefits Policy and Integration for The Boeing Company.


He is also the process owner for Employee Benefits issues for Boeing Commercial Airplanes (BCA). 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.

Larry McNutt - Senior Vice President, Corporate Administration & Pension, Northwest Administrators, Inc.

Larry McNutt  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.

Susan Mullaney - President, Kaiser Permanente Washington

Susan Mullaney is president of Kaiser Permanente Washington, which was established Feb. 1, 2017, following Kaiser Permanente’s acquisition of Group Health Cooperative and its subsidiaries. She led the integration planning for the acquisition. Susan leads the nonprofit health plan, which provides high-quality affordable health care to more than 700,000 members in Washington, and has oversight of $1 billion Kaiser Permanente is investing in the region during the next 10 years. She previously served as chief operating officer and vice president of hospital operations for the Kaiser Permanente Northwest Region where she was accountable for operations at two hospitals and the region’s networks and ambulatory surgery centers. Mullaney began her career at Kaiser Permanente in 2008 as a hospital administrator at Sunnyside Medical Center near Portland, Oregon. Before joining Kaiser Permanente, Susan served as corporate vice president of Strategic Service Lines and Regional Surgical Services, and vice president of Hospital Operations and Cardiovascular, Surgical Services Lines at Fairview Health Services in Minneapolis. Before that, she was director of Provider Relations and Contracting at Vivius, Inc. Susan serves on several local boards of directors, including Challenge Seattle, Washington STEM, the Seattle Metropolitan Chamber of Commerce, Washington Roundtable, Washington Healthcare Forum, and Saltchuk. She was also appointed to the Governor’s Career Connect Washington Task Force. Susan received a master’s degree in health care policy and management from the University of Massachusetts, Amherst, and a bachelor’s degree from Eastern Connecticut State University. She is a member of the American College of Healthcare Executives and represents Kaiser Permanente at the International Federation of Health Plans’ Executive Development Programme, which includes a respected cohort of global health care leaders.

Steve Mullin - President, Washington Roundtable

Steve Mullin is President of the Washington Roundtable, a public policy research and advocacy group comprised of senior executives from major private sector employers in Washington state. He is responsible for providing overall strategic direction for the organization, and manages its agenda development process, budget, staff, communications, government affairs and member relations. Steve joined the Roundtable in 1996, previously serving as the organization’s vice president. Prior to joining the Roundtable, Steve served as founding executive director of Partnership for Learning, a business-supported nonprofit organization dedicated to building public awareness and understanding about the need to better prepare Washington’s students for college and the world of work. He has also worked for several local public affairs consulting firms, as a U.S. Senate staff member in Washington, D.C. and as a legislative staff member in Olympia. Steve is a graduate of Middlebury College and the University of Washington’s Evans School of Public Affairs.

Peter Rutherford, MD - Chief Executive Officer, Confluence Health

Dr. Peter Rutherford is the CEO of Confluence Health. Dr. Rutherford joined Wenatchee Valley Medical Center as a physician in the Internal Medicine department in 1990. He has been the CEO of Confluence Health since its inception in 2013. During Dr. Rutherford’s tenure as CEO, Confluence Health has experienced 60% growth in the number of employees and physicians, added 3 new clinic locations (including an on-site clinic in partnership with a local employer), and new services and technologies. In addition to Internal Medicine, his clinical interest is predominantly geriatric medicine. Outside of work Dr. Rutherford along with his wife Karen enjoy the abundant four seasons of natural resources in the Pacific Northwest such as skiing, mountain biking, and hiking.

Ron Sims - Former King County Executive Director and Deputy Director of HUD

Ron Sims was appointed by President Obama and confirmed by the U.S. Senate to serve as the Deputy Secretary of the U.S. Department of Housing and Urban Development from 2009 to 2011. Prior to his appointment, Ron served for 12 years as the elected Executive of Martin Luther King, Jr. County in Washington state, where he convened a Health Advisory Task Force that led to the creation of the Alliance. Before becoming County Executive, he was an elected member of the county council.

John J. Wagner - Chief Network and Operations Officer, NorthWest and Mountain Markets

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.

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 Bachelors of Science Degree (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.

Caroline Whalen - County Administrative Officer and Director for the King County Department of Executive Services, King County

Caroline is the County Administrative Officer and Director for the King County Department of Executive Services, where she has sponsored a successful $86 million dollar Accountable Business Transformation Program (ABT), uniting all countywide human resources, budget, finance and payroll functions into an integrated system.


Caroline has served King County since 1994 where she has served in progressively higher roles in the Departments of Executive Services, Environmental Services and Public Works. Of particular relevance to the Alliance was her leadership of the staff team who developed King County’s comprehensive strategies for demand side and supply side solutions to employee health quality and cost issues, including a recommendation to organize the Puget Sound Health Alliance.