Suzanne Wright Email & Phone Number

Austin, Texas, United States

Leadership for teams overseeing daily operations for production, performance, quality and compliance for non-clinical appeals and grievances. Lead departmental engagement activities and employee recognition.

Remote

Oversight and monitoring of the corporate Compliance & Audit team encompassing FWA, Member and Transportation Appeals, OIG, AG & Legal Records Requests and Fair Hearings to ensure compliance and adherence of State contracts and Managed Care Organizations contracts.

Houston, Texas, United States

Oversight and monitoring of the Quality & Compliance department and Quality Satisfaction and Resolutions teams to ensure compliance and adherence for a $49.2 million Texas contract.

Creation, maintenance and oversight of Quality of Care projects and case reviews. Facilitate and provide detailed analysis and reviews to clinical leadership to support quality service experience and overall, $40 million financial success.

Houston, Texas Area,

Supporting the development and implementation of quality improvement measures and activities for purposes of improving care and clinical outcomes, research, decision-making through the collection, processing, retrieval, analysis and dissemination of health care information. Executes member coordination of care.

Houston, Texas Area

Development, coordination, implementation and evaluation of quality improvement processes and projects, specifically for the Quality of Service/Quality of Care project.

Houston, Texas Area

Creation, maintenance and oversight of various provider risk agreements and relationships. Facilitate and provide detailed analysis, reporting, training, education and support to provider groups to promote financial success and membership growth.

Houston, Tx

Daily operations of Houston, Dallas, and East Texas markets to increase provider engagement and induce profit. Extensive knowledge of competitive landscapes and in-depth understanding of provider needs and concerns, desires and patterns, to support and maintain markets. Manage direct reports in multiple cities.

Houston, Tx

Provider education to deliver increased revenue. Engage provider community to increase retention and loyalty.

Louisville, Ky

Assisted in the design, development and implementation process for Medicare Supplement insurance products for national expansion.

Louisville, Ky

Updated provider demographics, data management and contract updates for claims processing system (Contracted through Academy of Medicine Staffing/Adecco).

Extensive project and account management. Prepared proposals, final packages and contracts to prospective and existing clients from quotation stage to project completion. Processed orders, coordinated all shipments and installation services, and confirmed scheduling. Verified billing accuracy and project close-out.