Denise Giambalvo is the Washington Health Alliance’s Director of Purchaser Strategies. In this role she leads collaborative initiatives to reduce low-value care in Washington state, membership development and education for the purchaser members. Previously, Denise was Vice President at the Midwest Business Group on Health (MBGH), where she managed the coordination and marketing of monthly educational programs, social media, newsletters, and employer benchmarking surveys. In addition, Denise led various sponsor and grant-funded projects including the National Employer Initiative on Specialty Drugs. Prior to MBGH, Denise served as Executive Director for the Employers’ Health Coalition (EHC) in Fort Smith, AR, where she was directly involved in contract negotiations for the PBM, Employers’ Choice Rx. Committed to conducting the Coalition’s mission to “enhance the general health of the community,” Denise oversaw EHC’s launch of the National Diabetes Prevention Program and negotiated a group rate for employer-sponsored financial well-being programs. Denise has led team collaborations with stakeholders on research and pilot programs including limited-fill, site-of-service, mental and behavioral health, and data analysis. Educational activities she has organized have focused on population health management, value-based benefit design, pain management, and analytics.