Leigh Ann Olivares
Camarillo
Summary
Clinical quality and utilization management professional supporting care management, quality oversight, and compliance activities within large managed care organizations. Extensive experience in medical record and claims review, identifying utilization and quality risks, reviewing care-related documentation, and collaborating with nurses, clinicians, and operational teams to support care coordination, appropriate service utilization, and accurate case documentation.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Lead Clinical Quality Evaluator
Elevance Health (formerly Anthem, Inc. / Blue Cross of California)
Woodland Hills, CA
12.2009 - 05.2025
- Implemented process improvements to enhance quality assurance workflows and reduce error rates.
- Collaborated with cross-functional teams to address quality issues and implement corrective actions.
- Conducted detailed audits of service delivery to ensure adherence to established guidelines and protocols.
- Analyzed performance metrics to identify trends and recommend enhancements in evaluation processes.
- Developed training materials for onboarding new evaluators, focusing on operational efficiency and quality standards.
- Participated in internal audits as part of a broader effort to maintain a culture of continuous improvement throughout the organization.
- Collaborated with cross-functional teams to ensure consistent quality standards across all departments.
- Served as a subject matter expert on various aspects of quality assurance within the organization, providing guidance when needed for decision-making purposes.
Clinical Training Specialist
Elevance Health (formerly Anthem, Inc./ Blue Cross of California)
Woodland Hills, CA
11.2006 - 12.2009
- Trained and mentored new personnel hired to fulfill various roles.
- Developed comprehensive training programs to enhance employee performance and engagement.
- Evaluated training effectiveness using feedback surveys and assessments, making continuous improvements as needed.
- Collaborated with subject matter experts to create effective training materials and resources.
Education
Bachelor of Arts - Healthcare Management
Southern New Hampshire University
Hooksett, NH12-2026
Associate of Arts - General Studies
Southern New Hampshire University
Hooksett, NH08-2020
Skills
- Customer focus
- Quality management
- Analytical mindset
- Training and mentorship
- Process improvement
- Process evaluation
- Cross-functional collaboration
- Compliance enforcement
- Teamwork and collaboration
- Problem-solving
- Effective communication
- Adaptability and flexibility
- Time management
- Attention to detail
- Multitasking
- Reliability
- Verbal and written communication
Certification
- Licensed Vocational Nurse (LVN)- Active, Unrestricted
Timeline
Lead Clinical Quality Evaluator
Elevance Health (formerly Anthem, Inc. / Blue Cross of California)
12.2009 - 05.2025
Clinical Training Specialist
Elevance Health (formerly Anthem, Inc./ Blue Cross of California)
11.2006 - 12.2009
Bachelor of Arts - Healthcare Management
Southern New Hampshire University
Associate of Arts - General Studies
Southern New Hampshire University