Elaine Knight, Bsn, MBA
About Elaine Knight, Bsn, MBA
Elaine Knight, BSN, MBA, serves as the Director of Medicaid Quality, Strategy & Initiatives at EmblemHealth, where she oversees compliance and quality improvement programs. With extensive experience in healthcare management and regulatory compliance, she has held various roles across multiple organizations in the Greater New York City area since the early 2000s.
Current Role at EmblemHealth
Elaine Knight serves as the Director of Medicaid Quality, Strategy & Initiatives at EmblemHealth, a position she has held since 2020. In this role, she is responsible for overseeing quality management for various Medicaid programs, including CHPlus, HIVSNP, HARP, and Behavioral Health. She ensures compliance with standards set by regulatory authorities such as the Department of Health (DOH), National Committee for Quality Assurance (NCQA), and the Centers for Medicare & Medicaid Services (CMS). Knight leads initiatives aimed at improving the quality of care delivery and member experience.
Professional Background
Elaine Knight has extensive experience in the healthcare sector, having worked in various capacities across multiple organizations. Prior to her current role, she was a Senior Practice Improvement Coordinator at NYU Langone Medical Center from 2016. She also held positions at AdvantageCare Physicians, Humana, Healthfirst, NYC Health + Hospitals, VillageCare, and St. Joseph's College. Her diverse roles have included responsibilities in clinical management, regulatory compliance, and quality improvement.
Education and Expertise
Elaine Knight holds a Master of Business Administration (MBA) in Health/Health Care Administration/Management from St. Joseph's College, which she completed from 2007 to 2009. She also earned a Bachelor of Science in Nursing (BSN) from Florida Gulf Coast University between 1997 and 1999. Knight has expertise in Lean Methodology and Six Sigma, serving as a subject matter expert in these areas. Her educational background supports her roles in quality management and regulatory compliance.
Regulatory Compliance and Quality Initiatives
In her current role, Elaine Knight acts as a State Regulatory Compliance Officer, ensuring adherence to various standards, including HEDIS, QARR, and CAHPS. She supports the annual HEDIS submission for Managed Care Organizations and the Medicaid Quality Incentive Award (QIA) Program. Knight is responsible for developing and coordinating quality improvement programs that focus on compliance with NCQA and other regulatory authorities, thereby enhancing the overall quality of healthcare services.
Previous Positions and Contributions
Elaine Knight has held several significant positions prior to her current role. She worked as a Clinical Manager and Acting Branch Manager at Humana, and as a CQI/Regulatory Accreditation Consultant at NYC Health + Hospitals. Additionally, she served as an Adjunct Lecturer at St. Joseph's College for six years. Her previous roles have contributed to her comprehensive understanding of healthcare quality management and regulatory compliance.