Lisa M. Calderon
Phoenix,AZ
Summary
Dynamic and service-oriented healthcare leader with over 31 years of progressive experience in clinical operations, credentialing, employee health, and team development. Proven ability to drive organizational change, improve operational efficiency, and lead cross-functional teams across multiple healthcare settings. Recognized for transformational leadership, strategic planning, and a commitment to excellence in patient and employee care.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Overview
1
1
Language
1
1
Certification
18
18
years of professional experience
Work History
Credentialing Advisor / Employee Health Nurse
Evernorth Medical Group
07.2024 - 12.2025
- Managed credentialing processes for 132 providers, ensuring compliance through initial and re-credentialing applications, audits, and timely payer submissions.
- Maintain databases and ensure timely renewals of licenses, DEA, and board certifications.
- Led employee health initiatives for 325 employees, overseeing immunization assessments, TB surveillance, OSHA recordkeeping, and development of exposure control plans.
- Oversaw Infection Prevention and Flu Committee initiatives across 18 locations to improve employee health standards.
- Collaborated with supervising physicians to maintain and update Employee Health Manual, enhancing clarity and compliance for staff.
- Contributed as a member of Policy & Procedure and Compliance Committees to support organizational compliance efforts.
Senior Operations Manager
Evernorth Medical Group
03.2022 - 07.2024
- Directed operations for five multi-specialty healthcare clinics, streamlining workflows and achieving cost efficiencies.
- Developed and implemented strategic initiatives to improve patient satisfaction and service delivery.
- Co-developed MyChart portal engagement initiative, increasing usage by 7% over six months.
- Created onboarding programs for new leaders and RN triage teams, improving cross-coverage and collaboration.
- Created onboarding programs for new leaders and RN triage teams to enhance cross-coverage and collaboration.
- Co-developed a targeted MyChart portal engagement initiative that boosted portal usage by 7% within a 6-month period.
Clinical Senior Supervisor
Cigna Medical Group
01.2008 - 03.2022
- Supervised clinical staff across two multi-specialty healthcare clinics, ensuring adherence to protocols and high-quality patient care.
- Facilitated staff training, conducted performance evaluations, and managed disciplinary actions to enhance team accountability.
- Chaired Back Office Steering Committee for 21 centers, standardized procedures to ensure compliance and streamline operations.
- Served as Epic Super User, contributed to successful system implementations and optimized in-clinic HRA processes.
- Supported state survey preparations and compliance initiatives.
Education
Bachelor of Science - Nursing
University of Phoenix
Phoenix01-2016
HIM 185 ICD-9 & CPT 1 - undefined
Phoenix College
Phoenix01-2007
Licensed Practical Nurse Certification - undefined
Gateway Community College
Phoenix01-2004
Medical Assistant Certificate - undefined
AIBT
01-1994
Skills
- Healthcare operations management
- Credentialing & Compliance
- Employee Health & Safety
- Team Leadership & Staff Development
- Quality Assurance & Process Improvement
- Budgeting & Financial Oversight
- Regulatory Compliance (OSHA, HIPAA)
- Epic & Allscripts Systems CAQH, PECOS, NPPES
Accomplishments
- Collaborated with a team of 5 Registered Nurses in the development of centralized RN triage pool across 18 healthcare clinics. This initiate improved clinic's workload, standardized triage protocols which improved quality and safety.
Certification
- AZ RN License (RN201602) – Current
- AZ LPN License (LP039653) – Current
- American Heart Association BCLS – Current
- CLIA Certification – 2007
- Safe Handling of Compressed Gases – 2007
- Prosci Change Management Practitioner – 2019
Awards & Recognition
Transformational Leadership Award – 2021, Pinnacle Award of Excellence (Epic System Launch) – 2019
Languages
English
Timeline
Credentialing Advisor / Employee Health Nurse
Evernorth Medical Group
07.2024 - 12.2025
Senior Operations Manager
Evernorth Medical Group
03.2022 - 07.2024
Clinical Senior Supervisor
Cigna Medical Group
01.2008 - 03.2022
Medical Assistant Certificate - undefined
AIBT
Licensed Practical Nurse Certification - undefined
Gateway Community College
HIM 185 ICD-9 & CPT 1 - undefined
Phoenix College
Bachelor of Science - Nursing
University of Phoenix