LISA SNUFFER
Akron,OH
Summary
Results-driven professional with extensive experience in team management and operational excellence. Proven track record of implementing strategic initiatives that enhance productivity and efficiency across diverse projects. Skilled in navigating complex challenges through effective problem-solving and decisive leadership. Committed to driving success and achieving organizational goals through innovative solutions and collaborative teamwork.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Manager, Healthcare Quality Project Management
Aetna
11.2019 - Current
- Analyzes 10+ quality initiatives to achieve compliance with NCQA UM, PHM, QI, and MR standards, securing continued accreditation for the program.
- Presents UM and PHM files for national and regional NCQA surveys, demonstrating deep knowledge of workflows and effectively communicating Case Management and Utilization Management processes to surveyors.
- Collaborates with three reporting teams to design data collection processes across multiple systems and define key performance metrics, resulting in an increase in reporting accuracy for UM and PHM programs.
- Conducts comprehensive research on HEDIS measures and PHM strategies along with UM workflows, enhancing accreditation readiness through updated policies and member communication workflows.
- Collaborates with 5 cross-functional teams including Behavioral Health and HEDIS to maintain ongoing compliance with NCQA accreditation standards.
- Conducts qualitative and quantitative analyses and presented actionable insights to leadership and key committees to drive strategic decision-making and continuous improvement.
- Created and annually updates UM and PHM trainings covering NCQA standards for 200+ staff members across Aetna's Commercial and Medicare teams, enhancing compliance and knowledge retention.
- Leads and collaborates on multiple quality management workgroups, driving project initiatives and providing education on NCQA standards to cross-functional teams, including Program Design and Clinical Performance Operations.
- Conducts monthly mock audits and delivers detailed audit results for territories, lines of business, and upcoming NCQA surveys to ensure readiness and compliance.
- Analyzes and prepares HEDIS data for annual PHM Effectiveness Analysis across Commercial and Medicare lines of business for Aetna, Allina, and Banner Health, ensuring accuracy and compliance.
- Annually reviews and updates 15+ Aetna policies and collaborated with cross-departmental workgroups to ensure compliance with NCQA standards.
- Serves as Subject Matter Expert (SME) for NCQA standards in Utilization Management (UM) and Population Health Management (PHM) resulting in successful accreditation renewals.
- Trained 10+ new staff members on UM and PHM standards, focusing on research initiatives and compliance reporting.
Case Manager
Aetna
08.2015 - 11.2019
Worker's Compensation Case Manager
CompManagement Health Systems
10.2013 - 07.2015
Assistant Manager, Operating Room
Akron General Medical Center
07.2013 - 10.2013
Registered Nurse, Operating Room
Dunlap Memorial Hospital
10.2009 - 01.2010
Registered Nurse, Labor & Delivery
Wadsworth Hospital
04.2006 - 10.2009
Registered Nurse, Labor & Delivery
Barberton Hospital
09.2004 - 05.2008
Project Manager, Radiology Department
MetroHealth Medical Center
02.1997 - 03.1999
Operations Supervisor, Division of Trauma, Burns, Critical Care, and Metro Life Flight
MetroHealth Medical Center
09.1995 - 02.1997
Education
RN-to-BSN -
Capella University
02.2026
Diploma of Nursing - undefined
Aultman Hospital School of Nursing
07.2004
Associate of Applied Arts - undefined
Cuyahoga Community College
05.2001
Skills
- Project oversight
- Continuous improvement initiatives
- Healthcare compliance
- Statistical analysis
- Healthcare compliance standards
- Effective communication
- Flexible problem solver
- Detail-oriented organization
- Effective time management
- Precision-focused approach
- Information gathering
- Trustworthy collaborator
Certification
- CM - Certified Manager Certification
Timeline
Manager, Healthcare Quality Project Management
Aetna
11.2019 - Current
Case Manager
Aetna
08.2015 - 11.2019
Worker's Compensation Case Manager
CompManagement Health Systems
10.2013 - 07.2015
Assistant Manager, Operating Room
Akron General Medical Center
07.2013 - 10.2013
Registered Nurse, Operating Room
Dunlap Memorial Hospital
10.2009 - 01.2010
Registered Nurse, Labor & Delivery
Wadsworth Hospital
04.2006 - 10.2009
Registered Nurse, Labor & Delivery
Barberton Hospital
09.2004 - 05.2008
Project Manager, Radiology Department
MetroHealth Medical Center
02.1997 - 03.1999
Operations Supervisor, Division of Trauma, Burns, Critical Care, and Metro Life Flight
MetroHealth Medical Center
09.1995 - 02.1997
Diploma of Nursing - undefined
Aultman Hospital School of Nursing
Associate of Applied Arts - undefined
Cuyahoga Community College
RN-to-BSN -
Capella University
Licensure
Ohio Board of Nursing RN-314137