The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies.

Cindy Gohner

Director, Quality Management

Blue Cross Blue Shield of North Dakota

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Cindy Gohner

Areas of Expertise

  • Risk Adjustment Strategies
  • HEDIS
  • Provider Credentialing Quality Measurement Strategies
  • Quality Committee Development

Education

  • Bismarck Hospital School of Nursing
  • University of Mary
  • Jamestown College

Biography

As a result of the Affordable Care Act, BCBSND and other health insurers nationwide are moving to a quality outcome-based model. Cindy Gohner is responsible for overseeing and managing the activities of Quality Management, working in partnership with MediQHome Quality Program, Health Informatics, Medical Review, regulatory and compliance activities and external partnerships and process improvement activities within the Health Network Innovation division. This includes activities to identify and resolve issues that affect the quality of patient care and services and measure improvements in medical outcomes.

She began her nursing career as a registered nurse at Jamestown Hospital, now known as Jamestown Regional Medical Center (JRMC), where she has worked for 31 years. From 2005 to 2013, Gohner served as its vice president of clinical services/chief nursing officer. During her tenure, she served as a key contributing member and collaborated with architectural and construction teams to design and build a replacement, state-of-the-art, critical access hospital, which opened in July 2011, and the Jamestown Clinic Building, also located on the JRMC campus, which opened in January 2013.

Gohner is a member of the Honoring Choices North Dakota board and serves on the North Dakota Cancer Coalition Steering Committee and the North Dakota CAH Quality Network Stakeholder Committee.

She received her nursing diploma at the Bismarck Hospital School of Nursing in Bismarck, N.D. Gohner earned a bachelor of nursing degree from Jamestown College, Jamestown, N.D., and an M.B.A. from University of Mary in Bismarck, N.D.