DEBORAH DICICCO
NURSE PRACTITIONER
Phoenix,AZ
Summary
Senior clinical and informatics leader with deep experience partnering with Engineering, Clinical Operations, Coding, Quality, Legal, and Finance to evaluate, optimize, and expand healthcare service lines. Proven ability to translate clinical, regulatory, and coding requirements into scalable templates, documentation tools, workflows, and new business lines. Recognized for serving as the clinical bridge between technical teams and operational stakeholders, ensuring solutions are compliant, analytically sound, and commercially viable.
Board-certified Family Nurse Practitioner with more than 15 years of progressive leadership in clinical program design, analytics-driven quality improvement, documentation integrity, and enterprise clinical operations. Extensive experience analyzing clinical and diagnostic data to identify missed diagnosis capture opportunities, ensuring regulatory compliance, and supporting scalable growth across managed care, Medicaid, and mobile health environments. Proven ability to lead cross-functional collaboration across clinical, quality, compliance, legal, operations, and technology teams. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
26
26
years of professional experience
3
3
Certifications
Work History
Director of Clinical Design
Matrix Medical Network
Scottsdale, AZ
01.2013 - 01.2025
- Led advanced clinical data review and analysis to identify opportunities for missed diagnosis capture, documentation gaps, and under-represented disease burden across managed care populations.
- Analyzed encounter, diagnostic, and assessment data to support accurate risk adjustment, quality reporting, and longitudinal patient profiling.
- Conducted extensive clinical research and terminology analysis, including comprehensive mapping of SNOMED CT concepts to the ICD-10-CM code set, ensuring alignment with coding guidelines, quality measures, and downstream analytics.
- Served as organizational subject matter expert on clinical classification systems, documentation standards, and interoperability, supporting internal teams and external payer requirements.
- Authored and maintained enterprise-wide clinical policies and procedures, supporting regulatory compliance, standardization of care delivery, and clinical excellence across all service lines.
- Established governance frameworks to ensure policies aligned with CMS, NCQA, Medicaid, payer, and quality requirements, and were operationally executable at scale.
- Worked closely across clinical operations, quality, coding, compliance, legal, technology, and executive leadership to coordinate enterprise growth while maintaining clinical and regulatory integrity.
- Designed, developed, and implemented the enterprise-wide quality program, serving as the clinical architect and executive lead for quality strategy across the organization.
- Established a cross-departmental quality governance model in partnership with Care Center, Clinical Services, Coding, Legal, and Finance, aligning clinical operations, documentation integrity, and financial performance.
- Integrated NCQA, Stars, CMS, and payer quality requirements into standardized workflows, policies, and performance monitoring processes.
- Leveraged clinical and documentation data to support quality performance optimization, audit readiness, and sustained payer confidence.
- Designed and governed clinical documentation workflows supporting new visit types, diagnostics, and service line expansion.
- Created and operationalized end-to-end processes for in-home specimen collection, including clinical protocols, documentation standards, and integration into existing visit models.
- Developed and implemented patient outreach workflows for alert and abnormal diagnostic results, ensuring timely follow-up, escalation, and compliance with clinical standards.
- Integral in the development and implementation of new business lines, such as diabetic, quality, and pediatric visit programs designed to meet NCQA and Medicaid requirements for multi-age pediatric preventive visits.
- Following the acquisition of HealthFair (mobile health services), led a comprehensive review, analysis, and rewrite of all clinical protocols to standardize and integrate services across the organization, including EKGs, mammography, specimen collection, pulmonary function testing, bone density testing, and comprehensive health assessments.
- Facilitated cross-functional stakeholder reviews to assess downstream clinical, operational, and compliance impacts prior to implementation of new workflows or diagnostics.
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
Director of Care Center
Matrix Medical Network
Scottsdale, AZ
01.2013 - 01.2014
- Led clinical operations with accountability for quality outcomes, workflow efficiency, and staff performance.
- Implemented standardized clinical processes to improve consistency of care delivery and quality measure performance.
- Supervised 15-member nursing team and assigned daily tasks to provide quality health care services to patients.
Clinical Services Director
Matrix Medical Network
Scottsdale, AZ
01.2010 - 01.2013
- Directed a team of over 150 nurse practitioners supporting home and facility visits.
- Utilized performance and quality data to drive clinical process improvements and operational efficiencies.
Clinical Services Coordinator
Matrix Medical Network
Scottsdale , AZ
01.2009 - 01.2010
- Reviewed 100% of all visit forms to ensure accurate and quality documentation to support diagnoses capture.
- Coordinated clinical programs, documentation processes, and compliance activities to support patient outcomes and payer requirements.
- Supported staff development through ongoing training programs, performance evaluations, and constructive feedback.
Project Manager / Nurse Informatics (Contract)
Beatitudes Campus of Care
Phoenix, AZ
01.1999 - 01.2001
- Managed enterprise-wide software conversion project supporting clinical, financial, inventory, dietary, and rehabilitation services.
- Partnered with developers to design clinician-focused user interfaces and workflows aligned with operational needs.
- Led cross-functional teams to define requirements, establish workflows, conduct testing, and meet implementation timelines.
- Successfully completed electronic documentation system for nursing, dietary, and rehabilitation departments as well as inventory control.
Education
Post-Master Family Nurse Practitioner -
University of Phoenix
Phoenix, AZ01.2001
Master of Science in Nursing -
University of Phoenix
Phoenix, AZ01.1997
Skills
- Advanced Practice Nursing (FNP-BC)
- Clinical Data Analysis & Insight Generation
- Missed Diagnosis Capture & Documentation Accuracy
- Risk Adjustment Strategy & ICD-10-CM Integrity
- Clinical Terminology & Code Set Mapping (SNOMED CT to ICD-10-CM)
- Quality Measurement & Performance (NCQA, HEDIS, Stars, CMS)
- Client Success & Health Plan Engagement
- Executive-Level Clinical Consultation for Payers
- Clinical Support for Health Plan Meetings (Quality, Stars, Diagnosis Capture)
- Policy, Procedure, and Clinical Governance Development
- Clinical Program & Service Line Design
- Population Health & Preventive Care Models
- Clinical Informatics & Documentation Workflows
- Regulatory Compliance & Audit Readiness
- Cross-Functional & Enterprise Collaboration
- Workflow Optimization & Scalable Process Design
Affiliations
The American Association of Nurse Practitioners since 2009
Certification
Family Nurse Practitioner (FNP-BC)
Timeline
Director of Clinical Design
Matrix Medical Network
01.2013 - 01.2025
Director of Care Center
Matrix Medical Network
01.2013 - 01.2014
Clinical Services Director
Matrix Medical Network
01.2010 - 01.2013
Clinical Services Coordinator
Matrix Medical Network
01.2009 - 01.2010
Project Manager / Nurse Informatics (Contract)
Beatitudes Campus of Care
01.1999 - 01.2001
Post-Master Family Nurse Practitioner -
University of Phoenix
Master of Science in Nursing -
University of Phoenix