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 has been an RN for over 30 years, has worked in a health plan in administration, has been a consultant for 9 years. a surveyor for 25 years and has worked with the BCBSA on projects. She has taught delegation and credentialing for NCQA for several years and is a certified case manager.

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Debbie Warren joined Managed Healthcare Resources in 2019 as a Health Care Consultant.  She has over 40 years of health care experience including 25 years working in managed care quality. Her areas of expertise include managed care evaluation, quality management, accreditation compliance, management structure, and utilization management.  

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Dena Reeves brings over 28 years of nursing and 10 years of NCQA accreditation to MHR. 

She is a seasoned leader with a track record of guiding many organizations through preparation and successful achievement of Health Plan and Case Management NCQA Accreditation. 

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Jean Lockington, a Health Care Consultant, has over 25 years of experience working as a Senior Executive in managed care. Her areas of expertise are in quality improvement, regulatory compliance, new business development, accreditation preparation, Patient Centered Medical Home and assessment of documents for Special Needs Plans Model of Care.



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Kelsi Baird joined Managed Healthcare Resources in 2022 as an Independent Healthcare Consultant. She has more than 10 years of experience in accreditation, network management, and consumer experience, all with a focus on the healthcare industry.
Prior to consulting with MHR, Kelsi served as a manager of Quality Accreditation Training with Centene, Managed Health Services plan.




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Kim began consulting in 2017, drawing from her numerous and varied accreditation experiences she has successfully guided many organizations through preparation and achievement of NCQA Accreditation and Certification. Prior to consulting, Kim was most recently the Sr. Director, Head of QM Program, Accreditation, Credentialing and Delegated Credentialing for all Commercial, Medicare and Exchange product lines across Aetna, Coventry and Joint Ventures.

 

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Kim Solano joined Managed Healthcare Resources in 2022 as an independent consultant.  Kim’s nursing career began over 30 years ago, and she is a professional with solid career experience and growth in the healthcare industry.  Kim has been a licensed nurse since 1989 with clinical experience and then transitioned into managed care, where she has over 20 years of experience. 

 

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Monique joined Managed Healthcare Resources as an Independent Healthcare Consultant in 2022. She has over nine years of experience working with health plans (large and small) and MBHOs in their quest to achieve NCQA Accreditation. Her areas of expertise include quality improvement, physician and hospital directories, behavioral health utilization management programs and file reviews, member and provider communications and delegation oversight.

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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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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.