Our Health Experts

Health Experts

Author: Kimberly Swanson

Director of Quality Improvement

Network Health

Kimberly Swanson is responsible for developing and leading Network Health’s quality improvement program and maintaining quality standards consistent with NCQA, CMS Star ratings and other regulatory agencies. She oversees and implements innovative quality strategies to improve the health of members and improve care delivery and coordination across Network Health’s broad network of providers. Kimberly also manages Network Health’s appeals and grievances department.

Prior to joining Network Health, Kimberly served in a number of positions with Valence Health in Chicago, Illinois, most recently as Manager of Consulting Services and Interim Director of Operations at Community Care Partners. Kimberly has also worked with APS Healthcare and the New York City Department of Health and Mental Hygiene. She has more than a decade of experience in the health care and health insurance industries.

Kimberly specializes in strategic development for quality improvement and value-based care, population health management administration and health plan process and operational improvement.

Kimberly is a graduate of Vanderbilt University and also holds a Master of Public Administration from the Robert F. Wagner School of Public Service at New York University. She is a member of the American College of Healthcare Executives.

By This Author:

It’s All in the Stars: The Importance of Medicare Plan Star Ratings

For over 15 years, the Centers for Medicare & Medicaid Services has used a five-star quality rating system to measure the experiences Medicare members have with their health plan.

Read More »

Health Care at Your Convenience

It’s so important to get the right care to maintain your health. But sometimes it’s challenging to find the time to get to your doctor’s office during regular business hours.

Learn More »