Susan Moore, President 

Susan created Managed HealthCare Resources after being the Director of Operations for a managed care company and has extensive background in health plan operations, URAC and NCQA accreditations, home health care, and presentation development and speaking engagements.

Susan spoke nationally for three years for Pfizer on case management, NCQA accreditation, and health disparities. She also co-taught credentialing in accreditation on behalf of NCQA and co-developed and presented a two-day conference for NCQA accreditation readiness.

Most recently she presented at the National Association of Healthcare Quality’s national conference on health care disparities. She has personally worked with over 50 organizations nationally for accreditation and regulatory compliance. She has had one client since 1997 located in Philadelphia that services the Medicaid population.

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Experience Matters

Susan and her team have worked with over 70 organizations, many with multiple survey cycles. 

Cindy Allen-Fedor is a Registered Nurse with over 30 years’ experience, having worked in health plan administration, and consulting. Cindy has been an NCQA Nurse Surveyor since 1996 and has trained/presented on delegation and credentialing. Cindy’s areas of expertise are quality improvement, complex case management, case management for long-term services and support, population health, credentialing, and delegation.  Cindy joined Managed Healthcare Resources in 2017 as a Healthcare Consultant.

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Deborah Warren is a Registered Nurse with over 40 years of healthcare experience, including 25 years in managed care. She successfully oversaw the attainment of NCQA Health Plan and Managed Behavioral Healthcare Organization (MBHO) Accreditations across multiple reporting entities. Her expertise includes managed care evaluation, quality management, accreditation compliance, management structure, and utilization management. Debbie joined Managed Healthcare Resources in 2019 as a Healthcare Consultant. 

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Dena Reeves is a Registered Nurse with more than 28 years’ experience of which 22 years were concentrated in case management and utilization management. For over 10 years, Dena helped guide organizations preparing for NCQA Health Plan and Case Management Accreditations. Her areas of expertise include:  case management, utilization management, population health management, and quality improvement. Dena joined Managed Healthcare Resources in 2022 as a Healthcare Consultant.

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Jean Lockington is a Registered Nurse with over 30 years’ experience working in managed care. She has been an NCQA Surveyor since 2009. Her expertise is in quality improvement, new business development, accreditation preparation, Patient-Centered Medical Home, and assessment of documents for the Special Needs Plans Model of Care. Jean joined Managed Healthcare Resources in 2016 as a Healthcare Consultant.


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Kelsi Baird has more than 10 years’ experience in accreditation, network management, and consumer experience, all with a focus on the healthcare industry.  Kelsi worked at two large managed care organizations where she was a project lead and trainer on accreditation. Kelsi’s expertise is in guiding organizations in resolving complex issues.  Kelsi joined Managed Healthcare Resources in 2022 as a Healthcare Consultant.



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Kimberly Carpenter Petit’s career began in sales, consulting, and operations at a medical device company then transitioned to a national health plan with broad responsibilities for quality management, credentialing, delegation, accreditation, HEDIS, and regulatory compliance.  During this time, she gained expertise in NCQA accreditation and became an NCQA Surveyor in 2009. Kimberly joined Managed Healthcare Resources in 2017 as a Healthcare Consultant. 

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Monique Fields has nearly ten years’ experience working with health plans and MBHOs in achieving NCQA Accreditation. Her areas of expertise include quality improvement, physician and hospital directories, behavioral health utilization management programs, file reviews, member and provider communications, and delegation oversight. Monique began working as an NCQA Administrative Surveyor in 2022. Monique joined Managed Healthcare Resources in 2022 as a Healthcare Consultant.

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Rebecca Spicer joined Managed Healthcare Resources in 2021 as a Health Care Consultant.  With over 40 years of experience in healthcare delivery, Rebecca is a seasoned leader with a track record that encompasses both health system and managed care strategies, achieving sustainable demonstration of both high reliability and performance improvement.

 

 

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Sheila Petras is an independent consultant who has worked in health care quality since for over 25 years.  She has successfully led a quality management department and implemented quality improvement programs including NCQA and URAC accreditation.

 

 



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Sonia Frazier joined MHR Managed Healthcare Resources in 2019 as a Health Care Consultant. With over 20 years of experience within healthcare, she has successfully guided many organizations through the NCQA Accreditation and Certification process. Prior to consulting, Sonia was the Senior Accreditation Manager at the National Committee for Quality Assurance (NCQA).

 

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Terri Delfs joined Managed Healthcare Resources in 2022 as an independent Healthcare Consultant. She has more than 20 years of working in healthcare, including 17 years in managed care quality and NCQA health plan accreditation. Terri has extensive experience with the NCQA accreditation standards and survey processes and is committed to helping clients succeed with survey submissions with integrity and responsiveness.

 

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Tina Morton joined MHR Managed Healthcare Resources in 2019 as a Health Care Consultant. With over 25 years of experience within healthcare, Tina has been instrumental in working with organizations successfully  through several NCQA accreditation programs for Health Plans, Managed Behavioral Health, Population Health Program, and Case Management.  process. Prior to consulting, Tina was the Director of Quality Management. 

 

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Get in Contact with Us. 

We'd love to connect with you to see how a partnership can help your organization successful complete the NCQA accreditation process.