The 2026 Board of Directors

Officers of the Cooperative Exchange

Board VICE Chair

Jennifer Nereu
Jopari Solutions

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Jennifer Nereu is a Senior Vice President of Strategic Partnerships with Jopari Solutions. Jennifer has 20 years of experience in developing and executing high-impact strategic partnership initiatives. Proven track record of driving revenue growth, expanding market reach, and enhancing brand recognition through the establishment and management of key accounts across a variety of industries. Exceptional leadership skills, adept at building and leading cross-functional teams to achieve ambitious business goals. Experienced at crafting innovative product enhancements, negotiating complex agreements, and fostering mutually beneficial relationships with industry leaders.

Board VICE Chair

Cyndi Padilla
TriZetto Product Division, Cognizant Health Sciences

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Cyndi Padilla is an accomplished healthcare professional with extensive experience managing corporate compliance and aligning operations with federal and state regulations. At Ochsner Health, she led key compliance initiatives, implemented risk management strategies, and collaborated with stakeholders to foster a culture of accountability and regulatory excellence within one of the region's largest health systems. Cyndi began her career at Compliance Partners, a healthcare technology startup in New Orleans, now known as Performance Health Partners, where she developed foundational expertise in healthcare innovation. She holds an MBA from Louisiana State University Shreveport and is a Certified Healthcare Compliance Professional (CHC), a respected designation that demonstrates her expertise in healthcare regulations, compliance program management, and risk mitigation, highlighting her ability to help organizations navigate complex regulatory environments while maintaining operational integrity. Additionally, Cyndi is a Certified Lean Practitioner, emphasizing her focus on efficiency and continuous improvement.

Currently, Cyndi drives regulatory and compliance efforts at TriZetto, a Cognizant Company, where she monitors industry trends, ensures regulatory alignment, and supports business operations in the rapidly evolving healthcare industry.


Secretary

Eric Grindstaff
Veradigm

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Eric Grindstaff served in various capacities in the healthcare industry for over 20 years. He is currently a senior business analyst and compliance analyst for Allscripts Payerpath clearinghouse where I have worked in EDI for the last 12 years monitoring federal and state legislation, regulation, and policy, including Medicare and Medicaid, and commercial insurance communication channels for changes impacting electronic healthcare clearinghouse, identifying scope and critical elements to guide development efforts.

In his capacity with Allscripts, he participated with the Cooperative Exchange, WEDI, CAQH CORE, and served as the chair and co-chair of the Transactions, Code Sets, and Identifiers Workgroup for the North Carolina Healthcare Information and Communications Alliance, Inc. from 2011 to 2020. Prior to working at Allscripts, Eric served as a Consumer Protection Specialist with the Managed Care Patient Assistance Program (MCPA) in the NC Department of Justice, a Senior Process Analyst with Mid Atlantic Medical Services Inc., and a High-Risk Intervention Mental Health Technician with the Homecare Management Corporation following graduation from the University of North Carolina at Chapel Hill with a Bachelor of Arts in Psychology.

Treasurer

Tina Greene
Mitchell / Enlyte

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Tina Greene is Senior Regulatory Affairs Consultant at Enlyte/Mitchell and has over 30 years of experience in the Property & Casualty, Workers' Compensation industry. This prior experience includes 21 years with Florida's Division of Workers' Compensation, where she was involved in administrative rule writing, electronic data interchange (both medical and claims) and numerous other system program areas. Her current role provides guidance on national and state regulatory compliance for electronic data interchange standards which directly impact numerous products and processes.

Tina serves the industry in numerous leadership positions including national industry standard making organizations. She is Chair of the International Association of Industrial Accidents, Boards and Commissions (IAIABC) EDI Medical Committee (including eBill) as well as a member of the EDI Council. Working with the IAIABC for over 20 years has allowed invaluable relationships to form with many states. Additionally, she co-chairs the Workgroup for Electronic Data Interchange (WEDI) Property & Casualty eBill Subworkgroup. Other positions include P&C subject matter expert to X12; Secretary to the X12 Code Maintenance Group (Claim Adjustment Reason Codes). In addition to serving on the Board, Tina is also co-chair of the Cooperative Exchange Cybersecurity and Privacy Committee.


Board past Chair

Pam Grosze
PNC Bank

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Pam Grosze is Vice President and Senior Product Manager for PNC Bank's Healthcare Division, which provides financial and revenue cycle management solutions for Health Plans, Third-Party Administrators, hospitals, healthcare providers, and other healthcare organizations.

Pam has spent more than 25 years in healthcare environments, developing, implementing and supporting healthcare EDI transactions for leading companies, including PNC Bank and RelayHealth.  She also takes a leading role in several major healthcare industry organizations, holding co-chair and board positions, helping to drive standards and regulations for healthcare.

Pam graduated with honors with a B.S. in Computer Science from the University of Tulsa in 1986, and worked as a software developer in a variety of industries, including an accounting department, a cable television station, a mental health agency, and a defense contractor, before beginning work in healthcare at then CIS Technologies.  Her career at CIS Technologies (which later became RelayHealth) advanced into a management role, where she had the opportunity to create new teams, build non-traditional teams, and manage existing teams as large as 40 people.  During her tenure at RelayHealth, Pam developed claim editing, remittance posting, and clearinghouse software, and managed teams focused on claims and ERA MIS, implementation, client support, clearinghouse processing, enrollments, payer relations, and healthcare regulations.

After 17 years at RelayHealth, Pam moved to PNC Bank to continue her work building teams to support various aspects of healthcare transaction processing. She created PNC's Payer Services and Enrollment teams. She is now in Product Management, building healthcare products instead of teams, and is focused on PNC's remittance advice products, while also maintaining the role of industry liaison for PNC.

Pam is actively involved in multiple healthcare industry committees, holding leadership roles in several.  She has been involved with ASC X12 since 2000 and is currently the co-chair of the Payments (835) workgroup.  Pam is very active with the Workgroup for Electronic Data Interchange (WEDI), and holds a Board Position there, along with being co-chair of the Data Exchange Workgroup and Remittance Advice and Payments Subworkgroup.  She is very active with CAQH CORE, and with The Cooperative Exchange as well, holding the position of X12 Liaison.

Director

Crystal Ewing
Waystar

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Crystal Ewing is the Vice President of Product Management at Waystar, bringing more than 25 years of experience in healthcare technology, product strategy, and innovation. Throughout her career, she has led high-profile industry initiatives and guided organizations through complex regulatory and technological transformations, including 5010, ICD-10, and the modernization of revenue cycle management. Crystal has served as a board member of the Cooperative Exchange since 2016.

Crystal is a forward-thinking leader recognized for solving complex healthcare challenges through the strategic use of technology, data, and artificial intelligence. Her expertise lies in designing intelligent, unified solutions that streamline processes, ensure compliance, and drive measurable improvement in healthcare operations and financial performance.

In her current role at Waystar, Crystal leads cross-functional teams focused on creating innovative, data-driven products that simplify and elevate the revenue cycle experience across the healthcare ecosystem.

Within the Cooperative Exchange, Crystal serves as Past Chair and is the current Chair of the Policy and Procedures Workgroup and the Marketing and Communications Workgroup, where she continues to advance the organization’s mission of promoting standardization, efficiency, and collaboration across the healthcare clearinghouse industry.

Crystal is also an active and long-standing member of X12.org (and former co-chair within the organization), a member of HL7, and an engaged participant and former board member of WEDI (Workgroup for Electronic Data Interchange). Through these roles, she continues to influence and support national efforts focused on interoperability, compliance, and innovation in healthcare data exchange.

Director

Sean Kilpatrick
Availity

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Sean Kilpatrick is a Vice President of Product Management at Availity. In this role he serves as the business and product strategy leader for Availity's Intelligent Gateway and Clearinghouse product portfolio. In the past 15 years at Availity, he has held several roles in product management and strategy, serving as a portfolio leader for RCM, Pre-Service and Clinical product suites. Sean also held the role of Director of Product Management for RealMed, a revenue cycle management company acquired by Availity in 2010. Prior to that role he served in several operational, business and technology leadership positions in his 25+ year career in Healthcare IT..

Sean earned his B.S. in Computer Technology from Indiana University / Purdue University Indianapolis in 2002.

Director

Genevieve Morris
Optum

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Genevieve Morris is VP, Interoperability and Regulatory Strategy at Optum.  Genevieve is a a healthcare interoperability and regulatory leader who has worked across government, industry, and the standards community to turn policy into implementable practice. She currently serves as VP Interoperability and Regulatory Strategy at Optum, partnering with product, engineering, compliance and client teams to operationalize new rules (X12 upgrades, Attachments, ePA), to strengthen audit and accreditation rigor across our clearinghouse services, and support product development and launch.

Prior to joining Optum, Genevieve served as the Principal Deputy National Coordinator at ONC, where she led development of the Trusted Exchange Framework and Common Agreement (TEFCA), and briefly served as Chief Health Information Officer for the VA's Office of EHR Modernization, helping stand up the program and advance Cerner implementation and DoD/VA interoperability. Before federal service, she built the health IT policy team at Audacious Inquiry consulting on HIE governance, FHIR policy, and market strategy—co‑chairing the Carequality FHIR IG Policy Workgroup and serving on the Maryland HIMSS board. Genevieve has authored and co‑authored numerous publications on patient matching, disaster response HIE, interoperability policy, and payment reform.

She currently serves as an EHNAC commissioner and has previously served as a HIMSS chapter board member.  Genevieve has been involved in the Cooperative Exchange Industry Affairs, Emerging Trenda and Education committees.

Director

Beth Wolskij
Office Ally

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Beth Wolskij is Vice President Product, Clearinghouse with Office Ally.  Beth is a healthcare technology leader with over 25 years of experience in product management, payer relations, and corporate development. She has held executive roles at companies such as Passport Health Communications, Experian Health, Office Ally, PNT Data, UHIN, eSolutions Inc., Allscripts, CCH-Mediregs, MedSolutions, Health 123, Saint Thomas Hospital, and Dade County Public Schools. Beth is known for her ability to build strong industry relationships, optimize transaction workflows, and drive revenue growth.

Beth is a seasoned healthcare executive with deep expertise in EDI product management, payer relations, and clearinghouse operations. She has led strategic initiatives across multiple organizations, including Office Ally, Experian Health, and Allscripts, focusing on: Product strategy, roadmap development, and technical debt management.

Beth's experience is also focused on Clearinghouse operations, trading partner agreements, and cost optimization as well as Market analysis, customer engagement, and industry leadership

Beth has a strong knowledge of healthcare EDI transactions and administrative workflows and has a proven success in acquisition integration, strategic partnerships, and corporate development.

Executive Director

Lisa Beard
M3Solutions, LLC

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Lisa Beard has served as Executive Director for the Cooperative Exchange since July of 2015. With over 30 years of experience in association management, she built a career helping associations grow, engage their members, and operate more efficiently. Lisa is the President of M3Solutions, LLC, a full-service association management. M3Solutions partners with over 20 non-profit associations of all sizes to deliver customized support in key areas, including: conference and event management, member communications, benefit development, financial management, member recruitment & retention as well as day-to-day operational management.

She received her B.S. from Samford University as a student/athlete on a 4-year Track and Field Scholarship.