Monique D. Fields, BA

Monique joined the team in 2022

With over ten years of experience working with health plans and MBHOs, Monique Fields is an expert in quality improvement, file reviews, and NCQA accreditation management. She has worked with national and smaller start-up organizations, where she led them through preparing for accreditation surveys. Monique has been an NCQA Administrative Surveyor since 2022, when she joined Managed Healthcare Resources as an independent Healthcare Consultant.

Monique worked with Health Republic Insurance of New Jersey (HRINJ), one of 23 non-profit health insurance co-ops created under the Affordable Care Act (ACA). During her time with HRINJ, she led the organization through its Interim and First Health Plan Accreditation surveys. In addition, Monique laid the groundwork for the quality committee structure and delegation oversight activities.

Afterward, Monique joined Humana as part of Humana’s Corporate Accreditation team, which managed the organization’s NCQA accreditation surveys across 13 different legal entities in 14 states for the Commercial, Medicare, and Medicaid lines of business at the time. She regularly consulted with stakeholders throughout the enterprise on activities related to accreditation requirements, assisted in creating documented processes, materials, and reports, and conducted file reviews. She led Humana’s final NCQA MBHO survey submission in 2017.

Monique has worked on NCQA Health Plan Accreditation surveys for Interim, First, and Renewal evaluation options, as well as single site multiple entity (SSME), national and corporate surveys. As a consultant and surveyor, she also specializes in Health Equity Accreditation and Credentialing Accreditation and Certification (formerly CVO) surveys.

She holds a Bachelor of Arts in Psychology, with a minor in Business Administration, from St. John’s University.

Monique resides in New Jersey. Outside of consulting, she enjoys traveling, spending time with her loved ones, and working as a clinical herbalist.