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Ellen Pauley, RN, MS


 

Ellen Pauley, RN, MS, has prior experience as Assistant Director of Accreditation Operations/ Surveyor at NCQA's office in Washington, DC. Through her hands-on and personable approach, Ellen has successfully guided many organizations towards successful NCQA Accreditation. She is a healthcare executive with more than 18 years of diversified experience in developing, training, implementing, supporting, and promoting health services strategies.
Ellen's past experience includes:

 

  • development and monitoring of strategic business plans;

  • project management;

  • policy and standards development;

  • budget development and accountability; and

  • regulatory and accreditation compliance.

 

As Director of Utilization Management with a national health plan, Ellen actively participated in medical management, quality management, sales and marketing services to facilitate appropriate healthcare utilization, and to improve the quality of the healthcare program for 350,000 members. She re-engineered unit processes to exceed targeted organizational compliance goals and numerous service levels and medical costs to within standard.