Susan Esparza

Senior Consultant

Atlanta, GA

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Susan Esparza is a passionate and innovative healthcare executive with experience mentoring and leading teams and colleagues to attain organizational goals. She is a healthcare quality data expert who has sound knowledge and experience with Healthcare Effectiveness Data and Information Set (HEDIS), National Committee for Quality Assurance (NCQA), risk adjustment, and quality measures.

She joins HMA after serving as vice president of medical management with Troy Medicare where she developed and executed a unique pharmacy-centric model for rural and underserved counties. She also implemented a state management program for chronic complex conditions.

A family nurse practitioner, Susan brings clinical experience and a real-world view of the healthcare system to her consulting and is a member of several professional organizations and boards.

Her work with HEDIS has included leading strategic initiatives, incorporating information technology capabilities to create and analyze data, and utilizing quality measures to identify, review, and advise on improvement processes and new program implementations. She has helped organizations improve measures and align with quality and accreditation requirements.

Susan is an effective communicator and team-builder, with the ability to develop strategic plans to resolve complex issues and related concerns and has elevated colleagues to meet organizational goals.

She earned a Master of Science from Georgia State University, a bachelor’s degree from Mercer University, and a post-master certificate of Family Nurse Practitioner from the University of South Carolina. She holds a Lean Six Sigma Green Belt certification and is an advanced practice registered nurse and family nurse practitioner.