Consultant

Susan Griffin

Susan has been a AAAHC Surveyor since 2006 for primary care (Indian Health, Student Health, Community Health), Patient Centered Medical Home, Dental Home, health plans, office-based surgery centers, and ambulatory surgery centers. She serves as Chair of the AAAHC Health Plan Standards Committee. Susan’s 30 years of executive management and operational leadership experience in the health care industry includes serving Federally Qualified Health Centers (FQHC), Accountable Care Organizations (ACO), surgery centers, urgent care centers, AHCA licensed clinics, and managed care health plans.

Susan consults on accreditation readiness, mock surveys, improving operations, transforming to a Medical Home, and complying with Florida-specific regulatory entities such as the Office of Insurance Regulation (OIR) and Agency for Health Care Administration (AHCA). Additional expertise includes quality improvement, risk management, credentialing, appeals and grievances, provider/member database maintenance, claims, and provider contract negotiations. Susan also helps clients ensure proper data extraction for HEDIS, UDS, HOS, CAHPs, ODAG/CDAG Tables, and others. With her oversight, Federally Qualified Health Centers, Community Health Centers, pediatric and family practice providers, and managed care organizations have successfully achieved accreditation and certification with national accrediting organizations. Susan is an expert content speaker for national organizations on topics such as Health Equity vs. Health Equality, Patient Centered Medical Home, Data Driven Design for Social Determinants of Health, Conducting Effective Quality Studies, Proper Infection Prevention for Primary Care, Dental Practice Management, Targeted Case Management for Medicaid Recipients, and others. She is proficient in various lines of business including Medicare, Medicaid, Commercial Insurance, ambulatory surgical centers, health care for the homeless, creating programs for underserved populations, as well as advising foreign-held insurance companies serving US Territories.

Susan earned her Bachelor Degree in Behavioral Health and her Master of Science Degree in Management.