Frank H. Stelling MEd, MPH

Mr. Frank Stelling is a senior consultant and part of TMG’s NCQA consulting team, he was an Assistant Director of Policy at NCQA. Mr. Stelling’s areas of expertise include quality improvement, credentialing, case management, disease management and all aspects of compliance with the National Committee for Quality Assurance (NCQA) Accreditation and Certification Standards and Guidelines. Mr. Stelling has worked for over 13 years at NCQA. In addition to his position as Assistant Director of Accreditation Policy, he has served NCQA as faculty for NCQA seminars and NCQA surveyor training, and the NCQA Speakers Bureau on Health Plan Accreditation, NCQA Credentialing Standards, Case Management Accreditation, and Disease Management Accreditation. He is also an NCQA surveyor and has surveyed Health Plans, Managed Behavioral Health Organizations, Disease Management Organizations, and other organizations for over 12 years. Mr. Stelling’s responsibilities at NCQA, have included managing the publication of the Standards and Guidelines for Health Plan Accreditation; overseeing the Policy Clarification Support System, the customer portal for questions about standards; coordinating the transition of new products from development to production; and training and development of staff.

He was a member of the Policy Development Group, an interdepartmental work group charged with resolving policy issues. He also was responsible for working with the Centers for Medicare and Medicaid Services (CMS) and state governments in ensuring NCQA met regulatory requirements. He was the lead in developing the NCQA Medicare Advantage Deeming program. Mr. Stelling has over 40 years of experience in health care with a focus on preventive services, disease management, and quality improvement. Before joining NCQA in 2001, Mr. Stelling held management positions with state and county health departments, hospitals, voluntary health organizations and, for 14 years, with a managed care organization. Mr. Stelling holds a Bachelor’s Degree in Exercise Science from Wake Forest University, a Master of Education in Health and Exercise Science from the University of South Carolina and a Master of Public Health from the University of California, Berkeley.