Director of Commercial Business Development for Health Care
Pam is the Director of Commercial Business Development for
Health Care at LexisNexis Risk Solutions. She is responsible
for developing strategic partnerships with forward thinking
allies interested in improving health care cost and quality
outcomes through the application of data analytics;
monitoring and participating in healthcare-related policy
discussions; and promoting the use of comprehensive ID
management tools, provider risk scoring, and social network
analytics to prevent and detect health care fraud across the
Prior to joining LexisNexis Pam served
as Issues Management Director for the Public Policy area of
WellPoint, the nation’s largest commercial health insurer,
where she was responsible for identifying key emerging
public policy issues and working with business units across
the enterprise and external business partners to develop a
strategy for effectively managing those issues. One of her
most critical assignments involved the adoption and
promotion of national health information technology (HIT)
standards and uniform operating rules to support an economic
and efficient health care delivery system.
Pam’s background includes project
management for the medical affairs portion of a four-state
system conversion project for The Regence Group, the largest
affiliation of health-care plans in the Pacific
Northwest/Mountain State region, and nearly ten years’
experience managing state and federal regulatory and
legislative relationships for large commercial health
insurers. She earned her BS in Politics, Philosophy and
Economics from Eastern Oregon University and has been with
LexisNexis since the fall of 2010.
Karl has analyzed managed care clinical data and
identified opportunities for quality improvement
interventions, in addition to assessing the impact of those
interventions across member and provider engagement efforts
since 1995. His experience spans commercial, Medicare,
dual-eligible, and Medicaid populations at the state and
He is currently the Associate Director for Quality
Improvement within UnitedHealthcare’s national Quality
Management and Performance division, focusing on Medicaid
and dual-eligibles. He is responsible to build “best in
class” national quality initiatives that place UHC Community
& State at the forefront nationally for quality improvement
impacting members and improve HEDIS/state mandated quality
metrics, collaborating with the local health plans.
In his role, he supports the Director of HEDIS Improvement
in the identification, development, implementation,
improvement and monitoring of national quality improvement
initiatives. This includes analyzing data, conducting
barrier analysis, identifying best practices, and
facilitating the design and implementation of improvement
activities in national and state-critical quality
performance measurement areas to meet regulatory mandates.
Karl received his Masters of Public Health from the
University of Pittsburgh in 1995.
Director of State Government Health Care
Kathy Mosbaugh is Director of State
Government Health Care for LexisNexis Health Care Solutions.
In her current role, Ms. Mosbaugh works with government
health care agencies to identify opportunities where
information-rich analytic tools can be leveraged to address
the key challenges of Health Information Exchange, Fraud,
Waste and Abuse and Identity Management.
Prior to her current role, Ms. Mosbaugh
held several positions within Reed Elsevier’s Clinical
Decision Support division. During her tenure, she led
several initiatives involving chronic disease management,
medication reconciliation, quality measurement
(pay-for-performance) reporting, and health data standards.
In addition, Ms. Mosbaugh’s leadership and expertise in
knowledge-based clinical systems, HIPAA standards,
electronic prescribing, and partner relations were
instrumental in the development of such efforts as EMPOWERx
and KatrinaHealth earning awards for visionary applications
of information technology and demonstrating quality and
innovation in improving the delivery of healthcare through
the medication use process.
Ms. Mosbaugh has more than a decade of
experience in developing health information technology
solutions including ICERx.org, a national collaboration to
support the continuity of care for patients affected by a
disaster. Ms. Mosbaugh holds a MPH from University of South
Florida. She currently resides in Tampa, Florida.
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