QMetrics is an independent audit and consultancy organization founded in 2006 by Chief Executive Officer Suzan Mora Dalen. QMetrics places a high emphasis on diversity, quality, accuracy, efficiency, and innovation. We are unique in our ability to tailor our solutions to the needs of our clients, trusted partners and stakeholders while allowing us to build long standing relationships. Our clients consider us to be the agile “go-to” experts that they can count on.
We don’t just check a box for completion, we “think outside the box” and go above and beyond the scope of work to provide maximum value. We put ourselves in our partners shoes and consider, “what all can we do to make this process or outcome better.”
Our team has over three decades of work experience in health care, including leadership positions in managed care, working for and consulting with large multi-state Payor and Provider organizations , and overseeing and auditing health plans, providers, and health information exchange (HIE) organizations. We understand the unique challenges, barriers, and requirements our clients face. In addition to this deep understanding of the operational aspects of organizations, we know how to ensure compliance with National Committee for Quality Assurance (NCQA), State, and other regulatory agencies.
Our team has worked with a wide variety of data systems, data types, and risk adjustment models over the years.
Our objective is to help our partners stay in full compliance with NCQA, State, and other regulatory agency requirements while leveraging these activities to improve services and care provided to members and patients.
QMetrics is a California Association of Health Plans (CAHP) affiliate member and is a California Certified Small Business (#2009743). We are proud to have had a presence in the State of California since 2006.
QMetrics is a minority woman-owned business pending federal 8(a) certification.