Maureen Plumstead, RN, MBA, CPHQ

Senior Consultant, NCQA Accreditation and Recognition, Integral Healthcare Solutions

Last updated: October 2026

Maureen Plumstead, RN, MBA, CPHQ, has over 25 years of experience in quality, compliance, accreditation, and licensing leadership roles. She has held corporate positions in national health systems where she implemented an NCQA review process that fostered collaboration, sharing, and successful NCQA surveys. She has held leadership and consulting positions in large medical centers and small regional hospitals, ambulatory care facilities, and managed care organizations.

Maureen has been a Surveyor for the National Committee for Quality Assurance (NCQA) since 1996. In this role she has surveyed national and regional health plans for commercial, Medicare, Medicaid, and Marketplace product lines. She has also reviewed and consulted to organizations seeking accreditation in Managed Behavioral Health, Credentialing Organizations, Case Management, Disease Management, Multicultural Health Care, Wellness Programs, Physician Organizations, Long-Term Services and Support, and Patient Centered Medical Homes.

Prior to her managed care positions, she held clinical leadership roles, supervising multiple departments in national health systems. She has led medical centers in the achievement of successful reviews by The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and Department of Managed Health Care (DMHC).

Maureen holds a Bachelors of Science in Nursing (BSN) and a Masters in Business Administration (MBA) with a focus on healthcare operations. She holds a license as a Registered Nurse in the state of California. She is certified as a professional in healthcare quality (CPHQ). She has received specialized training from the Institute for Healthcare Improvement (IHI) which led her to introducing the collaborative model to hospitals across the state of California. She has served on committees for the National Association for Healthcare Quality (NAHQ) and on the board for the California Association for Healthcare Quality.

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