CCME Announces Priscilla J. Smith as Director of State Review Services12/6/2021
Cary, NC, December 1, 2021 – The Carolinas Center for Medical Excellence (CCME) welcomes Priscilla J. Smith, RN, MS, MBA, CPHQ, as Director of State Review Services. In this role, she will oversee the operations of CCME's health-care related contracts (primarily Medicaid) and business development activities within the State Review Services department.
Ms. Smith previously served as the System of Care Director, Behavioral Health, of Magellan Complete Care of Virginia where she managed a team of clinical and non-clinical staff of diverse backgrounds, ensuring positive, integrated care outcomes for members and advancing policies and procedures to ensure full compliance with state, federal, and NCQA regulations and requirements. Her prior roles include Director, Behavioral Health and Developmental Services at Virginia Office of the State Inspector General in Richmond, VA; Director, Quality Management at Eastern State Hospital in Williamsburg, VA; and Director, Facility Operations and Quality Improvement at the Virginia Department of Behavioral Health and Developmental Services in Richmond, VA.
Ms. Smith received a Master of Science in Healthcare Management and a Master of Business Administration from Rensselaer Polytechnic Institute in Troy, NY, and a Bachelor of Science in Nursing from St. Joseph College in West Hartford, CT. She is a Certified Professional in Healthcare Quality (CPHQ) through the National Association of Healthcare Quality (NAHQ).
About The Carolinas Center for Medical Excellence: Founded by physicians in 1983, CCME is an independent, non-profit health care consultancy and Quality Improvement Organization (QIO), headquartered in North Carolina's Research Triangle. CCME offers an array of quality improvement, clinical review, audit, technical, and consulting services and solutions by External Quality Review, Fraud Waste and Abuse Services, and Utilization Management to improve health care delivery, system performance, and patient outcomes. Through various contracts, CCME serves the public sector and improves quality for Medicaid and Medicare communities. For more information about CCME, please visit www.thecarolinascenter.org.