Nicole “Nicki” Bongiovanni is a strategically-focused quality improvement leader passionate about improving population health outcomes and driving health plan quality and performance improvement.
She pairs her in-depth knowledge of the healthcare industry with innovative strategies, tools, and techniques to help clients enhance healthcare value and implement a continuous focus on clinical quality improvement. Nicki uses her vast experience utilizing data analytics and extensive business knowledge to evaluate existing and potential trends, competition, and opportunities. Her extensive knowledge of clinical operations and managed care data has helped her develop and establish performance benchmarks, quality of care initiatives and provider incentive programs to promote clinical outcomes improvement.
Nicki’s has experience evaluating Medicaid contract compliance for health plan readiness assessments, collaborating with health plans for procurement, and working with health plans to prepare them for National Committee for Quality Assurance (NCQA) accreditation. This year she led a project in for a nationwide Medicaid health plan that compared five key HEDIS measures/sub measures to their competitors across 25 states and to the NCQA Quality Compass national benchmarks.
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 NCQA accreditation for all three lines of business. She led the HEDIS, Consumer Assessment of Health Plan Provider and Systems (CAHPS), and the Qualified Health Plan (QHP) Enrollee survey projects. Additionally, she 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.
Nicki previously served as director of case management for a 380-bed tertiary care center that provides sub-specialty care to patients across the country and from around the world. She directed implementation of a multidisciplinary collaborative approach and visual controls to reduce excess days by seven percent at the center. She also led efforts to sharply focus on transitional assessments of high-risk patients and improving transitional care coordination by partnering with community agencies. These efforts resulted in a significant reduction in the center’s readmission rate.
Nicki was born and raised in Michigan. She is a busy mom of four teenagers. When she has downtime, she enjoys spending it with family and friends in northern Michigan on Lake Michigan.