About Susan Moore
MHSA, RN

Susan K. Moore founded Managed Healthcare Consulting, Inc. (MHR) in January 1991, where she continues to serve as President & CEO. Susan is a distinguished leader in the health insurance industry, where her firm specializes in preparing organizations for accreditation by the National Committee for Quality Assurance (NCQA).

She began her career as a Registered Nurse (RN), working across inpatient settings and home healthcare. Susan transitioned to managed care, gaining the experience to qualify as an NCQA Surveyor in 1996. Susan’s values are of utmost importance, which she upholds as CEO and expects of her team, to the benefit of her clients and the members they serve.

Susan is the founder and president of MHR

Susan K. Moore founded Managed Healthcare Consulting, Inc. (MHR) in January 1991, where she continues to serve as President & CEO. Susan is a distinguished leader in the health insurance industry, where her firm specializes in preparing organizations for accreditation by the National Committee for Quality Assurance (NCQA). She began her career as a Registered Nurse (RN), working across inpatient settings, inpatient and outpatient hemodialysis, and home healthcare. Susan transitioned to managed care, gaining the experience to qualify as an NCQA Surveyor in 1996. Susan’s values are of utmost importance, which she upholds as CEO and expects of her team to the benefit of her clients and the members they serve.

Under Susan’s leadership, MHR has become a national leader in guiding healthcare organizations to achieve NCQA accreditation. Her unwavering commitment to quality processes and operational improvement has resulted in long-standing client relationships, with some partnerships spanning over 25 years. Susan’s direct approach to ensuring that organizations uphold genuine quality standards rather than “window dressing” accreditation efforts distinguishes her in the consulting world.

Susan ensures that organizations seeking her guidance understand that she and her team have 'walked in their shoes.' Her early experience, which included establishing an acute hemodialysis unit and advancing to Director of Quality and Compliance in home health, provides her with a unique understanding of the challenges these organizations face. In the managed care arena, she developed the nurse call center, directed the nurses, and held the Director of Operations role, overseeing claims, quality, and utilization management. Her ability to drive quality improvements across diverse sectors, rooted in her hands-on experience, laid the foundation for her future leadership in consulting.

As a highly respected leader in NCQA Accreditation, Susan’s work has extended beyond surveyor and consulting to speaking engagements on accreditation, healthcare disparities, and case management. Her influence is further reflected in her role as a mentor, nurturing a team of consultants who share her dedication to ethics, quality, and continuous improvement.

MHR thrives under Susan’s leadership, built on a foundation of transparency, integrity, trust, collaboration, and a deep commitment to delivering measurable improvements in healthcare quality. Susan has personally worked with over 50 organizations nationwide, helping them navigate the complex world of accreditation and operational excellence.

Susan holds a Master’s in Health Services Administration (MHSA) from the University of Michigan and a Bachelor of Science in Nursing from Bob Jones University. She resides in Michigan, where she spends time with her children, their families, and grandchildren, and enjoys gardening and supporting her church's ministries alongside her husband.

In July of 2022, Susan was featured on the "Grow Your Independent Consulting Business" podcast with Melisa Liberman. Listen here.