Monique D. Fields

Monique joined the team in 2022

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.

Most recently, Monique was a member of Humana’s Corporate Accreditation team, which manages all the organization’s NCQA accreditation surveys across 13 different legal entities in 14 states for the Commercial, Medicare and Medicaid lines of business. During her tenure with Humana, she regularly consulted with stakeholders from several teams across the enterprise on activities related to accreditation requirements, and assisted in creating documented processes, materials, and reports, and conducted file reviews. She has experience working on a vast range of NCQA health plan surveys, including Interim, First and Renewal evaluation types, as well as single site multiple entity (SSME), national and corporate surveys. She spent a brief time with Humana’s behavioral health subsidiary and led the organization’s final NCQA MBHO survey submission in 2017, prior to transitioning to the corporate team.

Before joining Humana, Monique worked with Health Republic Insurance of New Jersey (HRINJ), one of 23 non-profit health insurance co-ops created under the Affordable Care Act (ACA). During her time with HRINJ, she led the organization through its Interim and First Health Plan Accreditation surveys and laid the groundwork for its quality committee structure and delegation oversight activities.

Monique participated in NCQA’s New Surveyor Training program held in October through December 2021 and began working as an Administrative Surveyor Trainee in January 2022. She holds a Bachelor of Arts degree in Psychology (with a minor in Business Administration) from St. John’s University.

Monique is a New Jersey native, and currently resides in the state. Outside of work, she enjoys traveling, spending time with her loved ones and continuing her studies as an herbalist.

Return to About Us