Health Value Solutions
Shelly Smith is owner and Managing Consultant of Health Value Solutions, an independent healthcare consulting firm based in Liberty Lake, Washington. She has extensive experience in the development and implementation of health plan quality programs, disease management program development, worksite wellness program implementation and development of provider health care quality measurement and pay for performance programs.
Shelly brings over 28 years’ experience in the health care industry having held staff and leadership positions in both the hospital and health plan setting. She started her career as a registered nurse and spent 4 years working with cardiovascular medical, surgical and transplant patients. After completing her Master’s degree, Shelly transitioned to administrative roles where she served for over 15 years as both the Quality Manager and later Director of Quality with Premera Blue Cross. In these roles she led 5 successful NCQA accreditation efforts including commercial, Medicaid and Medicare membership, maximized HEDIS results, developed physician pay-for-performance programs and implemented successful disease management and employer-based wellness programs. She formed Health Value Solutions in 2008 and has worked with numerous health plans throughout the United States to achieve successful NCQA accreditation since that time. Shelly has been a surveyor for the National Committee for Quality Assurance (NCQA) since 1996 and training faculty for NCQA since 2013.
Ms. Smith holds a Masters’ Degree in Cardiovascular Physiological Nursing, a Bachelors’ degree in Nursing, and a National Certification in Healthcare Quality. She is also a certified content expert in PCMH.
Saturday, October 6
9:10 AM – 10:10 AM