Victoria Nadzam, MSN, RN, is an accomplished healthcare professional with expertise in clinical operations management, process and performance improvement, and accreditation and regulatory compliance. She has a proven track record of driving compliance with NCQA standards and optimizing healthcare delivery across diverse sectors, including Medicare, commercial ACA, and Medicaid.
With Victoria’s background in clinical excellence, she is a key asset for ATTAC clients seeking to enhance operational efficiencies and audit readiness. Her hands-on experience supports organizations in preparing for NCQA accreditation and CMS utilization management audits, and in driving cost reduction through effective care management and utilization management programs.
Victoria held two executive roles with an Ohio health plan serving more than one million members. As Vice President of Clinical Operations, she led key initiatives in appeals management, clinical training, and regulatory compliance, significantly improving operational efficiencies and CMS audit readiness. As Vice President of Clinical Care Management, she oversaw a team of more than 200 employees, implementing comprehensive strategies to optimize case and utilization management.
Victoria also served as Health Services Director for a Medicaid MCO, where she successfully led efforts to secure NCQA accreditation in under 60 days and ensured ongoing regulatory compliance.
Her leadership has consistently improved operational efficiency, cost control, and provider satisfaction, while maintaining the highest standards of regulatory and accreditation compliance.
