Senior Clinical Consultant
Cynthia Pawley-Martin is a Senior Clinical Consultant at Gorman Health Group (GHG). In this role, she provides expertise to health plans and provider practices regarding Quality Improvement (QI), the Centers for Medicare & Medicaid Services (CMS) Quality Bonus Programs, Quality Rating System (QRS), and Star Ratings. Cynthia is a Registered Nurse (RN) certified in Healthcare Quality and brings GHG clients more than 15 years of experience in the healthcare industry. Her areas of expertise include CMS regulatory requirements (Quality/Star Ratings/Physician Quality Reporting System (PQRS), Healthcare Effectiveness Data and Information Set (HEDIS®), Consumer Assessment of Healthcare Providers and Systems (CAHPS®), Health Outcomes Survey (HOS), Models of Care (MOCs), and providing support for Patient-Centered Medical Home (PCMH) and PQRS.
Cynthia comes with a solid record of success leading and supporting QI programs across healthcare delivery systems, including health plans and large physician practices. Her leadership skills allow her to effectively communicate across all organizational levels and enables those teams to reach consensus among diverse stakeholders to deliver better services for GHG healthcare clients.
While at GHG, Cynthia has guided plans in CMS quality program assessment, implementation, organizational design, and MOC development. She has also supported provider groups in obtaining PCMH recognition.
Prior to joining GHG, Cynthia served as Director of Star Ratings for a leading organization and has held numerous positions in Quality and managing HEDIS® for multiple products in the managed care arena.