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Sarah Scott MSN, CPHQ, CPPS

Greater Boston Area

Proven ability to build and maintain positive relationships with State leaders, partners and stakeholders on behalf of organizations. An experienced leader with success managing a large scale state-wide Medicaid Managed Care program. Experienced Implementing Medicaid Private Option. Has a strong clinical background including Intensive Care (former CCRN) and hospital nursing administration experience. Skilled at mitigating organizational risk, conducting Root Cause Analysis, Failure Mode Effects Analysis, Gap Analysis, and managing adverse incident and comp...

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On-demand, expert advice.

Areas of Expertise

  • Quality Measurement

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    • Research and Clinical
    • Clinical strategy
    • CPHQ
    • CMS
    • Hedis
    • QRS
    • CAHPS
    • Joint commission
    • Patient Safety
    • Provider quality
    • Alternative Payment
    • Contracting
  • New Hampshire Healthcare

    Extensive knowledge of the NH Healthcare environment, including Medicaid, Mediciad Private Option, Substance Use Disorder, Commercial Insurance

    • Healthcare Delivery
    • Payers
    • Mediciad
    • Medicaid Private Option
    • Managed Care
    • Commercial
    • SUD
  • Utilization and Managing Total Medical Expense

    .

    • Healthcare Delivery
    • Integrated healthcare systems
    • Utilization Management
    • UM
    • population health
    • NH resources
    • CM
    • Care management
    • Medicaid
    • Disease Management
    • Payment Policy

My Interests

Health Sectors
Healthcare Delivery, Payers
Markets, Health Indications, Health Issues
  • Payer Strategy
Geographies
  • Boston, MA
  • Greater Boston Area
  • New Hampshire
  • Portsmouth, NH

Experience

  • Vice President of Quality and Medical Management

    Minuteman Health, Inc. | August 2015 - Current

    • Oversight and build out of Medical Management functions, including Utilization Management oversight, Care Management, Disease Management, and Wellness and Prevention Programs • Responsible for Quality Initiatives; NCQA accreditation, HEDIS, QRS, CAHPS, Clinical Analytics and Provider Alternative Payment Options. • Supporting the procurement and oversight of Clinical Vendors • Oversight of Risk Adjustment Program project management and clinical support