Susmita Shah

Susmita Shah is a highly experienced nursing professional with a diverse background in quality improvement, case management, and healthcare auditing. Currently serving as a Quality and Performance Improvement Educator RN and HEDIS Quality Auditor at Southwestern Health Resources since March 2021, Susmita has held various positions in reputable organizations such as Blue Cross and Blue Shield, Humana, and CIGNA Healthcare. Previous roles include Risk Adjustment Consultant RN, Case Manager, and HEDIS RN Reviewer, demonstrating a strong focus on healthcare effectiveness and performance improvement. Susmita's educational credentials include an Associate Degree in Nursing from Columbia State and a Bachelor’s in Commerce from the University of Mumbai, complemented by foundational education from Jamnabai.