Susan Beaman, RN, BS
Consultant
Susan Beaman is a Consultant on the Part C and Compliance team with BluePeak Advisors, a division of Gallager Services, Inc. Susan is a Registered Nurse (RN) with over 18 years of experience in Acute Care and Managed Care Organizations specializing in government programs (Medicare, Medicaid, Marketplace), Commercial and Federal Employee Program (FEP).
Before joining BluePeak Advisors, Susan worked in senior leadership roles, and as interim leader for local, regional, and national plans. She can leverage her experience in strategic planning and program development, to implement organizational plans to improve performance and compliance in Quality, Clinical Operations, Regulatory Compliance, and Provider Performance. Susan has supported Part C Special Needs Plans Care Coordination (SNPCC) and Organization Determinations, Appeals and Grievances (ODAG) audits, and remediation for Care Management (CM), Utilization Management (UM) (Medicare, Medicaid, DSNP). Her Quality 360 strategy utilizes LEAN principles to improve HEDIS, Medicare Stars, Pay for Performance, NCQA Accreditation, and includes Health Equity, Performance Improvement programs, CMS, and Medicaid Compliance (Adult and CHIP). She has written RFPs and conducted readiness review assessments for multiple state Medicaid programs.
At BluePeak, Susan assists plans with SNP, ODAG, and Compliance Program Effectiveness (CPE) audit readiness, Special Needs Plan-Model of Care (SNP-MOC) writing and scoring, stars and Quality Improvement (QI) initiatives, new plan implementations, and Medicaid readiness reviews.
Susan earned a Bachelor of Science in Biological Sciences from the University of California, Irvine, and studied nursing at Azusa Pacific University. She holds an active, unrestricted license as a Registered Nurse (RN) in the state of California.