A strategic founder and CEO with deep experience in managed care and auditing who brings data driven reporting to partners and healthcare organizations that results in increased quality of care for healthcare consumers. A natural entrepreneur with talent for bringing creative solutions to complex problems with a detail-oriented approach. Leading with motivation and strive for excellence while focusing on the professional development of women and women of color bringing talent into the industry. Having been selected by the National Committee on Quality Assurance (NCQA) to explore and lay the foundational work for the development of a digital interoperability program resulting in successful launch and becoming the only Data Aggregator Validation organization in the country. Suzan credits her greatest success to creating a company that provides a wholistic approach to hardwiring quality in health care delivery processes and programs that produce demonstrated improvements in standards, and outcomes with a keen focus on access, service, and quality equity while instilling the importance of work/life balance, trusted relationship building, and a wellness mentality.
As a mission-driven executive leader and respected business consultant with subject matter expertise in data-driven infrastructures for healthcare delivery and health equity practices, I am pleased to submit my resume in consideration for membership and facilitation of the Department of Managed Health Care Equity and Quality Committee.
A native Californian, woman-owner of a California-licensed small business, and Latina woman, I am a passionate advocate for the protection of consumer health care rights through health equity practices and quality management initiatives that drive patient-centric outcomes and build transformative change in care delivery models to achieve performance improvement and equitable outcomes for all. At QMetrics, I bring a holistic view across quality reporting, HEDIS auditing, advanced data analytics, regulatory compliance, and risk and predictive modeling that would greatly benefit the Committee’s agenda in standards for excellence in equity and quality healthcare.
As Co-founder as well as the Chief Health Economist and Chief Financial Officer at QMetrics, Jim specializes in analytical reporting, statistical analysis and oversight. As a former HEDIS® auditor, he conducted audits and developed predictive models for healthcare performance. He has also contributed to survey research and reporting methods for HEDIS® and CAHPS. Jim holds a Masters in Economic Theory and Econometrics, focusing on healthcare economics and policy.
Lisa Bright is the Chief of Quality Operations at QMetrics, where she leads enterprise-wide quality initiatives and oversees strategy for survey operations. Since joining QMetrics in 2022 as Senior Director of the Data Aggregator Validation Program, she has driven operational scalability and continues to serve as lead validator, shaping audit methodologies and validation protocols. A Certified HEDIS® Compliance Auditor since 2016, Lisa has extensive experience across Commercial, Medicaid, Medicare, and Marketplace programs, including CMS and URAC audits. She holds a Master of Science in Healthcare Information and Analytics from Tufts University School of Medicine and is known for her collaborative leadership and commitment to continuous improvement in healthcare quality.
Megan brings extensive experience in enhancing the quality of care for patients and health plan members through strategic implementation of HEDIS®, CAHPS, A.M.P. and other key quality improvement initiatives. With a strong foundation in project management, she has led operational and process improvements across multiple healthcare organizations. Megan specializes in the development and coordination of medical record abstraction to support data validation for quality initiatives—work that has strengthened client confidence in performance measurement and identified areas for growth across provider networks. She holds a Master of Arts in Healthcare Leadership and remains dedicated to advancing healthcare quality through innovative and results-driven approaches.
With over 20 years of healthcare experience, Elizabeth is a passionate and results-driven leader specializing in customer service across provider offices, health plan member services, and contact centers. She brings deep expertise in Medi-Cal and Medicare, having served as a contact center leader and certified customer service facilitator. Known for her proactive leadership style, Elizabeth has designed and implemented training tools and procedures to enhance team performance and elevate the customer experience. She also brings technical know-how, having implemented dialer and CATI platforms to streamline operations. Elizabeth holds an MBA from California State University San Marcos and remains committed to driving innovation and excellence in healthcare customer experience.
Chuck comes with 20+ years of leading diverse, high-performance development teams. He has extensive hands-on experience working with both business and technical stakeholders to deliver high-quality products. Prior to joining QMetrics, Chuck was part of the leadership team that created multiple Revenue Optimization and Claim Submission products at Change Healthcare’s Risk Analytics Division. Chuck was responsible for meeting CMS ACA annual medical claim submission deadlines for 15+ clients and 40+ in-house hosted EDGE Servers. He enjoys developing data structures and analytic frameworks to discover new methods to improve processes and medical outcomes. Chuck is a lifelong learner and enjoys reading history. He holds an associate’s in history, Political Science and continues to work toward obtaining his bachelor’s in education, subject matter History.
