Nicole Bongiovanni

Nicole Bongiovanni

Senior Consultant

Lansing, MI

[javascript protected email address]

(517) 482-9236

LinkedIn Profile

Nicole “Nicki” Bongiovanni is an experienced nurse and quality improvement leader focused on driving healthcare quality using data and evidence-based best practices. She is passionate about decreasing fragmented care and improving service delivery for vulnerable populations.

Nicki began her career more than 25 years ago in the delivery system as a bedside nurse caring for a wide variety of populations, mostly in the critical care setting. Today, as a professional with delivery system roots and managed care expertise, she meets her clients where they are at, drawing from her front-line quality improvement experience.  Nicki works shoulder to shoulder with clients to assess their needs and tailor solutions that ensure their success. She has extensive experience helping health plans and delivery systems improve quality and determine the best way to highlight their quality programs and outcomes.

Prior to joining HMA, Nicki was quality improvement manager for a Michigan health insurance company with Medicaid, commercial and Marketplace lines of business. Her leadership helped the company achieve National Committee for Quality Assurance (NCQA) accreditation for all three lines of business. Additionally, she successfully led the Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Health Plan Provider and Systems (CAHPS), and the Qualified Health Plan (QHP) Enrollee survey projects.

She also worked with her team to conduct an analysis of those performance measures including HEDIS, CAHPS, and QHP Enrollee survey results, while identifying priority areas and implementing an overall improvement strategy. Nicki developed and wrote a population health management strategy for the plan that included quality improvement initiatives for vulnerable populations such as high-risk members, members with health disparities, and members with multiple physical and behavioral health conditions.

In addition to her patient care and quality expertise and experience, Nicki has worked in utilization and care management at a 1,000-bed acute care hospital as well as in increasingly more senior leadership roles in a large inner city hospital system known for serving some of the city’s most vulnerable residents. During her time with that system, she served in several executive leadership roles including regional interim vice president of utilization management, interim vice president of case management, and director of case management.

Her leadership experience includes strategic planning and leading employees through change as she directed implementation of a multidisciplinary collaborative approach to case management, and utilizing a data driven strategy to improve service delivery and patient outcomes.

Nicki earned a bachelor’s degree in nursing from Eastern Michigan University and completed additional training in Lean Daily Management and McKesson InterQual. In the summer of 2021, she applied to be an administrative surveyor at the NCQA and was invited to the 2021/22 NCQA Training Surveyor co-hort. She completed her didactic training in the fall of 2021 and is currently in the process of completing her training surveys.